Practices of Counter Pressure and Birth Ball Exercise Combination to Increase β-Endorphin Hormone Levels in Labor Pain

Abstract

Labor pain is a subjective experience regarding physical sensations that occur due to uterine contractions, dilation and thinning of the cervix and is a physiological sensation. The pain occurs due to the transmission of pain impulses through certain nerves. Inefficient uterine contractions could affect the mother's condition in the form of fatigue, fear, and stress. Nonpharmacological methods used to reduce labor pain is counterpressure and birth ball exercise combination which applying pressure using the base of the hand on the sacral bone and lumbar of the mother by sitting on the birth ball during a contraction so that can reduce the sensation of pain transmission impulses to the brain. This type of research used a Quasi Experiment with a random cluster design pretest and posttest control group was used to determine the effect of the combination intervention to increase β-endorphin levels. 40 samples were divided into 2 groups using purposive sampling technique. Each group consisted of 20 respondents. The result shows that the combination was more effective in increasing β-endorphin levels compared to back massage seen from the p-value 0.002 (p <0.05) which means there is a difference in betaendorphin levels of the treatment group and the control group.

Decreasing Labor Pain with Counter-Pressure Massage During the First Stage of Labor Active Phase

“…Rusmilia & Indrayani (2022) explained that counter pressure can be used as a technique in pain management to reduce labor pain. The results of research by Sari et al, (2020) show that labor pain using the VAS (Visual Analog Scale) measurement scale in the treatment group is more effective than the control group as seen from the P-value = 0.000. There was a significant difference between before and after the intervention in the application of a combination of counter pressure in the treatment group and the control group who received back massage.…”

Trend of Non-Pharmacological Therapy for First Phase of Active Labor Pain: A Pilot Study

“…Emphasis is applied when the respondent experiences uterine contractions (which cause low back pain) during the first stage of the active phase. 6,7,9 Then, a warm compress is an action by providing a warm compress that aims to meet the needs of comfort, reduce or relieve pain, reduce or prevent muscle spasms and provide a feeling of warmth. [10][11][12] Combined therapy between and CPM and warm compresses uses the principle of a warm sensation and a relaxation inducer which has been shown to reduce pain during the 1st stage of labor.…”

“…The use of relaxation techniques and pain relief strategies in preparation for labor and delivery has even been regulated in the Regulation of the Minister of Health (PMK) RI Number 369 / MENKES / SK / III / 2007 concerning professional standards for midwives. 6 In addition, the development of combined nonpharmacological therapies based on theoretical and proven interventions that are proven to reduce pain and anxiety in labor patients is currently very important. 7 Midwives also need to think about reducing the psychological impact caused by the economic pressure of pharmacological therapy that will be given to patients.…”

Terapia de balón para manejo del dolor y sus efectos en el parto

“…Descubrieron que la esferodinamia estimula la producción de β-endorfina, hormona que crea un efecto de relajación, ayudando a disminuir el dolor del trabajo de parto. Además, la liberación de β-endorfina puede inhibir la producción de adrenalina, disminuyendo así los estímulos de ansiedad transmitidos al cerebro 32 .…”