Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.   Keywords: Cervical dilatation, counterpressure, effleurage

Nyeri adalah bagian integral dari persalinan dan melahirkan. Nyeri selama kala I fase aktif persalinan, diakibatkan oleh dilatasi serviks dan segmen bawah uterus serta distensi korpus uteri. salah satu upaya non-farmakologi untuk menurunkan nyeri persalinan dengan memberikan tindakan terapi akupresur titik L14. Tujuan studi kasus ini adalah melaksanakan asuhan keperawatan pada nyeri persalinan kala I aktif di ruang VK RSUD Bangil Kabupaten Pasuruan. Metode ini adalah study kasus dengan sampel 2 pasien dengan persalinan kala I aktif yang dirawat selama 3 hari. Sehingga study kasus didapatkan diagnosa prioritas adalah nyeri akut berhubungan dengan kontraksi uterus. Implementasi yang dilakukan pada kedua pasien adalah mengobservasi reaksi ketidaknyamanan non-verbal dari raut wajah atau tingkah laku, mengontrol lingkungan pasien dan suhu ruangan, melakukan pengkajian nyeri, memberikan terapi nonfarmakologis yaitu terapi akupresure pada titik L14, mengajarkan tehnik akupresur titik L14. Terapi akupresur titik L14 dapat mengatasi nyeri ibu pada saat persalinan kala I fase aktif dengan cara melakukan penekanan pada titik akupresur pada titik L14 diantara tulang metacarpal pertama dan kedua bagian distal dengan gerakan memutar. Dengan demikian terapi relaksasi akupresur dapat menurunkan nyeri persalinan kala I aktif. Evaluasi pada pasien 1 dan pasien 2 dengan masalah keperawatan nyeri akut ditandai dengan pasien mengatakan sudah tidak merasakan nyeri. Hasil menunjukkan keefektifan implementasi pada kedua pasien mengalami perbaikan kondisi dan masalah keperawatan nyeri kronis pada kedua pasien teratasi.

Mual muntah merupakan suatu gejala yang wajar di alami Ibu hamil Primigravida terutama di usia kehamilan 4-6 minggu. Mual muntah pada ibu hamil mengakibatkan kelemahan tubuh, pucat, aktivitas  terganggu, penurunan nafsu makan  hingga ibu mengalami penurunan berat badan, kekurangan gizi bahkan ibu mengalami dehidrasi sampai terjadinya defisit nutrisi yang membahayakan kondisi ibu dan janin. Terapi yang dapat di lakukan untuk mengatasi mual muntah yaitu Aromaterapi lemon yang merupakan terapi komplementer yang aman pada kehamilan. Penelitian ini merupakan penelitian kuantitatif yang bertujuan untuk mengetahui Pengaruh Aromaterapi Lemon Sebagai Terapi Komplementer Pada Ibu Hamil Trimester Pertama Dengan Mual Muntah Di TPMB Surabaya. Desain penelitian menggunakan metode Pre-eksperimen dengan desain penelitian yang di gunakan one group pre-post. Sampelnya Ibu hamil trimester pertama yang mengalami mual muntah berjumlah 30 orang dengan menggunakan teknik Purposive sampling. Teknik pengumpulan data yang di gunakan lembar kuisioner PQUE SCORE dengan menggunakan Uji Wilcoxon. Hasil penelitian menunjukan bahwa sebelum di berikan aromaterapi lemon sebagian besar 73,3% ibu hamil yang mengalami mual muntah berat dan sesudah di berikan aromaterapi lemon sebagian besar 70% ibu hamil mengalami mual muntah ringan. Berdasarkan hasil Uji statistic di dapatkan nilai p value 0,000 <0,05 yang berarti ada pengaruh Aromaterapi Lemon Sebagai Terapi Komplementer Pada Ibu Hamil Trimester Pertama Dengan Mual Muntah. Dari hasil penelitian disimpulkan bahwa Aromaterapi lemon dapat meredakan Mual Muntah pada ibu hamil trimester pertama, Sehingga aromaterapi Lemon dapat dipakai sebagai alternatif menurunkan sensasi mual pada Ibu Hamil trimester pertama.

Background: Teenager is a one of development stages in the life cycle. Female teenagers are often marked by the menstrual phase. Menstruation is often accompanied by pain or what is called dysmenorrhea. Dysmenorrhea is often experienced by female teenagers and it can interfere with the activity and ability of concentration in learning that results in a decrease in performance in school. Counterpressure can be used as a solution to overcome the problem of dysmenorrhea. The counterpressure massage technique is applying strong pressure using the heel of the hand by clenching the lumbar region where there is a uterine sensory nerve that runs with the sympathetic uterus entering the spinal cord through the thoracic nerve 10-11-12 which can increase the endorphin hormone. The purpose of this study was to analyze the effect of counterpressure massage on dysmenorrhea pain in high school students.Objectives: The purpose of this study was to analyze the effect of counterpressure massage on dysmenorrhea pain in high school students.Methods: The research design used was quasi experiment (one group pre-post test design). The location of this research was Kartika IV Senior Hight School in Surabaya. The number of respondents was 30 respondents taken by consecutive sampling technique. Analysis of the data in this study was using the Wilcoxon Test with a significance level 0.05 with a significance level of 0.05.Results: Wilcoxon test results obtained p value of 0.00 (p <0.05). These results indicate that there are significant differences for dysmenorrhea pain before and after the counterpressure intervention has given.Conclusion: :  Counterpressure massage techniques can reduce dysmenorrhea pain experienced by female teenagers.Key words: Counterpressure massage, Dysmenorrhea, Female Teenagers

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage