The Effect of Counter Pressure and Birthball on The Time of The First Stage of Labor and Prevention of Perineal Rupture

https://doi.org/10.33860/jik.v17i3.3042

Authors

  • Khalidatul Khair Anwar Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, South East Sulawesi, Indonesia
  • Yustiari Yustiari Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, South East Sulawesi, Indonesia
  • Hasmia Naningsi Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, South East Sulawesi, Indonesia
  • Melania Asi Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, South East Sulawesi, Indonesia

Keywords:

Counter Pressure, Birthball, First Stage, Ruptur Perineum

Abstract

Mothers with prolonged labor have a higher risk of bleeding. This study aimed to determine the effect of the counterpressure technique with a birthball on the length of the first stage of perineal rupture. This type of research is quantitative with a quasi-experimental design using an observation form conducted  in Kendari City Hospital from May to August 2023. The design used was a two-group-only post-test, with a control group. The study population comprised multiparous mothers in the first active stage. The sample size consisting of 20 who were given the counterpressure technique with birthball, 20 who were only given the counterpressure technique, and 20 who received no treatment. The inclusion criteria were mothers who were willing to become respondents and mothers who gave birth with normal births. The samples were collected using purposive sampling. The t-test was used to determine the differences between the three groups. The results of the difference test in the length of active phase I between the group given the counterpressure technique with birthball (intervention I) and the control group were p-value (0.000). The results of the analysis for the group given the counterpressure technique (Intervention II) with the control group were p-value (0.000). The results of the analysis for the group given the counterpressure technique with birthball (Intervention I) with the counterpressure technique (Intervention II) were p-value (0.759). In Conclusions, Providing counterpressure techniques with a birthball or simply providing counterpressure techniques is effective in reducing the incidence of perineal ruptures.

References

Albers LL. Reducing genital tract trauma at birth: Launching a clinical trial in midwifery. J Midwifery Women’s Heal. 2003;48(2):105–10.

Fernando RJ, Sultan AH, Kettle C, Thakar R. Methods of repair for obstetric anal sphincter injury. Cochrane Database Syst Rev. 2013;2013(12):1–36.

Kettle C, Tohill S. Perineal care. BMJ Clin Evid. 2008;2008(April 2007):1–18.

Byrd LM, Hobbiss JH, Tasker M. Is it possible to predict or prevent third degree tears? Color Dis. 2005;7(4):311–8.

Andrews V, Sultan AH, Thakar R, Jones PW. Occult anal sphincter injuries - Myth or reality? BJOG An Int J Obstet Gynaecol. 2006;113(2):195–200.

Godosis D, Kaselas C, Demiri C, Anastasiadis K, Tsiaprazi T, Spyridakis I. Traumatic perineal injury in a 13-year-old female: Case report and review of the literature. Pediatr Rep. 2019;11(2):35–7.

Dahlen HG, Homer CSE, Cooke M, Upton AM, Nunn R, Brodrick B. Perineal outcomes and maternal comfort related to the application of perineal warm packs in the second stage of labor: A randomized controlled trial. Birth. 2007;34(4):282–90.

Dahlen HG, Homer CSE, Cooke M, Upton AM, Nunn RA, Brodrick BS. “Soothing the ring of fire”: Australian women’s and midwives’ experiences of using perineal warm packs in the second stage of labour. Midwifery. 2009;25(2):e39–48.

Soong B, Barnes M. Maternal position at midwife-attended birth and perineal trauma: is there an association? Birth [Internet]. 2005;32(3):164–9. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed7&NEWS=N&AN=16128969

Jiang H, Qian X, Carroli G, Garner P. Selective versus routine use of episiotomy for vaginal birth. Cochrane Database Syst Rev. 2017;2017(2):1–73.

Christianson LM, Bovbjerg VE, McDavitt EC, Hullfish KL. Risk factors for perineal injury during delivery. Am J Obstet Gynecol. 2003;189(1):255–60.

Wiliandari M, Sagita YD. Pengaruh Terapi Birthball Pada Primigravida Terhadap Lamanya Persalinan Kala I di PMB Meri Wiliandari dan PMB Sri Wartini Kecamatan Padang Ratu Kabupaten Lampung Tengah Tahun 2021. J Matern Aisyah (JAMAN AISYAH). 2021;2(2):166–73.

Qonitul U, Fadilah SN. Faktor-faktor yang Melatarbelakangi Kejadian Partus Lama pada Ibu Bersalin di RSUD dr. R. Koesma Tuban. J Kesehat dr Soebandi. 2019;7(1):51–7.

Sari N, Runjati, Fatmasari D, Pujiyanto TI. Practices of Counter Pressure and Birth Ball Exercise Combination to Increase β-Endorphin Hormone Levels in Labor Pain. 2020;27(ICoSHEET 2019):314–7.

Abdolahian S, Ghavi F, Abdollahifard S, Sheikhan F. Effect of Dance Labor on The Management of Active Phase Labor Pain & Clients’ Satisfaction: A Randomized Controlled Trial Study. Glob J Health Sci. 2014;6(3):219.

Sriwenda D. Efektifitas Latihan Birth Ball t erhadap Efikasi Diri Primipara dengan Persalinan Normal Efectivity of Birth Ball Exercise o n Self Efficacy of Primiparous with Normal Labor. J Ners dan Kebidanan Indones [Internet]. 2016;4(3):141–7. Available from: http://ejournal.almaata.ac.id/index.php/JNKI JOURNAL

Arfah A, Tridiyawati F. The Effectiveness of Pelvic Rocking Exercises With Birthing Ball on Labor Progress in Maternal in 2022. Int J Med Heal. 2022;1(3):22–30.

Halman DP, Umar S, Limbong T. Perbedaan Tingkat Kecemasan Primigravida dan Multigravida Trimester III dalam Menghadapi Persalinan. J Ilm Kesehat Sandi Husada. 2022;11(2):513–21.

Maryuni. Hubungan Karakteristik Ibu Bersalin dengan Nyeri Persalinan. J Heal Sci Physiother. 2019;2(1):116–22.

Hariyani F, Murti NN, Wijayanti E. Hubungan Usia, Paritas, Dan Kelas Ibu Hamil Dengan Komplikasi Persalinan Di RSKB Sayang Ibu Balikpapan. Mahakam Midwifery J. 2019;4(1):361.

Soviyati E. Faktor-Faktor yang Berhubungan Dengan Lama Persalinan di RSUD’45 Kuningan Jawa Barat Tahun 2015. J Bidan. 2016;234056.

Mahalia Putri NC, Dahliana D. Pengaruh Kegel Exercise Dan Teknik Birth Ball Terhadap Robekan Jalan Lahir Pada Ibu Bersalin. J Ilmu Keperawatan dan Kebidanan. 2022;13(1):114.

Yeung MPS, Tsang KWK, Yip BHK, Tam WH, Ip WY, Hau FWL, et al. Birth ball for pregnant women in labour research protocol: A multi-centre randomised controlled trial. BMC Pregnancy Childbirth. 2019;19(1):1–6.

Raidanti D, Mujianti C. Birthing Ball. Ahlimedia Press. Malang: Ahlimedia Press; 2021. 1–24 p.

Merry YA, Bebasari M, Ridanta OR. Pengaruh Massage Counter Pressure Terhadap Lama Kala 1 Fase Aktif Persalinan Normal. J Ilm Kebidanan. 2018;9(1):38–45.

Nisa SMK, Murti B, Qadrijati I. Psychosocial Factors Associated with Anxiety and Delivery Pain. J Matern Child Heal. 2018;03(01):44–58.

Prawirohardjo S, Wiknjosastro H. Ilmu Kandungan. Jakarta: YBP-SP; 2020.

Munafiah D, Utami SWH. The Effect of Counter-Pressure Care on Multipara Maternal Towards the Second-Stage Duration. J SMART Kebidanan Sekol Tinggi Ilmu Kesehat Karya Husada Semarang. 2018;5(1):66–72.

Hidayah N, Nisak R. Buku Ajar Terapi Komplementer untuk Mahasiswa Keperawatan (Evidence Based Practice). Vol. 10, Samudera Biru. 2018. 5–6 p.

Anwar KK, Hadju V, Massi MN. Pengaruh Murottal Al-quran terhadap Peningkatan Kadar Beta-endorphin dan Penurunan Tingkat Nyeri Pasien Post Sectio Caesarea. J Kesehat. 2019;10(2):58–62.

Anwar KK. Keajaiban Terapi Al-Quran: Meningkatkan β–Endorphin dan Menurunkan Nyeri. Makassar: Faira Aksara; 2020.

Nadia ATE. Pengaruh Massage Counter-Pressure Terhadap Adaptasi Nyeri Persalinan Kala 1 Dan Kecepatan Pembukaan Pada Ibu Bersalin. J Ilm Kesehat. 2016;8(2).

Hazma Y, Nurlliyani N, Suharman S. The Effect Of Counter Pressure On The Scale Of Labor Pain In Active Phase I In. J Kebidanan Malahayati. 2023;9(1):88–94.

Fathi Najafi T, Latifnejad Roudsari R, Ebrahimipour H. The Best Encouraging Persons in Labor: A Content Analysis of Iranian Mothers’ Experiences of Labor Support. PLoS One. 2017;12(7):e0179702.

Mutoharoh S, Indrayani E. Efektivitas Birth Ball Selama Kehamilan terhadap Lama Persalinan. Penerbit LeutikaPrio; 2019.

Rizki LK, Anggraini FD. Efektivitas Pelvic Rocking Exercise Terhadap Kemajuan Persalinan Dan Kejadian Robekan Perineum. Midwifery J J Kebidanan UM Mataram. 2020;5(1):9.

Farrag RE. Using of Birthing Ball during the first Stage of Labor: Its Effect on the Progress of Labor and Outcome among Nulliparous Women. Int J Nurs Didact. 2018;8(09):01–10.

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Published

2023-11-05

How to Cite

Anwar, K. K., Yustiari, Y. ., Hasmia Naningsi, & Asi, M. (2023). The Effect of Counter Pressure and Birthball on The Time of The First Stage of Labor and Prevention of Perineal Rupture. Poltekita: Jurnal Ilmu Kesehatan, 17(3), 647–654. https://doi.org/10.33860/jik.v17i3.3042

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