Work stress on midwives during the COVID-19 pandemic can occurred due to high working hours, long working hours, mindset, limited number of health workers while the number of patients continued to grow and work safety procedures continue to change along with the development of the virus. If midwives did not manage work stress properly this will have an impact on their performance in providing health services to patients. To analyse the relationship between work stress and the midwife performance during pandemic covid-19 in Pontianak. Quantitative with cross sectional design. The sample of this study was 43 midwives in Pontianak. Sampling with total sampling method. The results of this study were 23 respondents (53.5%) who experienced work stress and 20 respondents (46.5%) who did not experience work stress. On the performance of midwives there were 25 respondents (58.1%) with good performance and 18 respondents (41.9%) with poor performance. Based on the Chi-square test, the p value = 0.004 meant that the sig value was smaller than(0.004 <0.05) indicating that work stress was related to the performance of midwives during the COVID-19 pandemic in Pontianak. Work stress was related to the performance of midwives during the COVID-19 pandemic in Pontianak with a p value = 0.004. Keywords: Work Stress, Midwife Performance, COVID-19 Pandemic

Nyeri merupakan suatu bentuk ketidaknyamanan yang didefinisikan dalam berbagai perspektif. Rasa nyeri yang dialami selama persalinan berbeda-beda pada setiap ibu. Beberapa penanganan nyeri persalinan sebagian besar merupakan tindakan medis. Puskesmas Sungai Kakap hanya melakukan teknik relaksasi pernapasan untuk mengurangi rasa nyeri pada persalinan. Salah satu metode non farmakologi yang sangat efektif dalam menanggulangi rasa nyeri adalah dengan massage kneading, counterpressure serta kneading dan counterpressure. Tujuan penelitian ini menganalisis efektivitas massage kneading, counterpressure serta kneading dan counterpressure terhadap penurunan intensitas nyeri pada inpartu kala I fase aktif. Metode penelitian ini menggunakan metode quasy eksperiment dengan rancangan three group pretest-posttest dengan sampel 30 responden menggunakan teknik purposive sampling. Pengumpulan data menggunakan kuesioner NRS, SOP massage kneading, counterpressure serta kneading dan counterpressure. Analisis data menggunakan univariat dan bivariat. Hasil uji statistik, dapat disimpulkan bahwa massage kneading (p=0,004), counterpressure (p=0,004), serta kombinasi kneading dan counterpressure (p=0,002) efektif dalam menurunkan intensitas nyeri pada inpartu kala I fase aktif. Tidak ada perbedaan efektivitas antara ketiga massage tersebut terhadap penurunan intensitas nyeri inpartu kala I fase aktif (p=0,485).