Efek Terapi Birth Ball pada Ibu Bersalin terhadap Intensitas Nyeri Persalinan Kala I Fase Aktif
Abstract
This study aims to analyze the effect of birth ball therapy on mothers giving birth to the pain intensity of the first active phase of labor. The method used was quasi-experimental with a one-group pretest-posttest design involving 40 mothers during the first active phase at PMB Nuriman Rafida, Jambi City, who were selected by accidental sampling. Research data were analyzed using paired t-tests. The results showed that most of the pain intensity of the mother before the study was carried out was in a severe category. After the intervention using a birth ball, the majority of the pain intensity of the mother in labor was in the moderate category (p-value = 0.000). In conclusion, there is an effect of birth ball therapy on reducing the intensity of labor pain during the first active phase.
Keywords: Birth Ball, Active Phase, Labor Mother, Pain Intensity, First Stage of Labor
References
Anggraeni, A. S., Aulya, Y., & Widowati, R. (2021). Pengaruh Terapi Birth Ball terhadap Tingkat Kecemasan dan Penurunan Intensitas Nyeri pada Ibu Bersalin Primipara Kala I Fase Aktif. Jurnal Penelitian Dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram, 7(2), 116–123. https://www.lppm.poltekmfh.ac.id/index.php/JPKIK/article/view/260
Delgado, A., Maia, T., Melo, R. S., & Lemos, A. (2019). Birth Ball Use for Women in Labor: A Systematic Review and Meta-Analysis. Complementary Therapies in Clinical Practice, 35, 92–101. https://doi.org/10.1016/j.ctcp.2019.01.015
Dewi, P. I. S., Aryawan, K. Y., Ariana, P. A., & Nandarini, N. A. P. E. (2020). Intensitas Nyeri Persalinan Kala I Fase Laten pada Ibu Inpartu Menggunakan Birth Ball Exercise. Jurnal Keperawatan Silampari, 3(2), 456–465. https://doi.org/10.31539/jks.v3i2.1050
Dinas Kesehatan Provinsi Jambi. (2020). Profil Kesehatan Jambi 2019. http://dinkes.jambiprov.go.id/file/informasi_publik/MTYxNTE2NDQyOA_Wkt1615164428_XtLnBkZg.pdf
Dirgahayu, I., & Rustikayanti, N. (2022). Birth Ball Exercises dalam Menurunkan Intensitas Nyeri Persalinan Kala I: Literature Review. Jurnal Keperawatan, 14(1), 1–10. https://doi.org/10.32583/keperawatan.v14i1.7
Ferinawati, F., & Zahara, R. (2022). Pengaruh Penggunaan Birthing Ball terhadap Penurunan Tingkat Nyeri pada Ibu Bersalin di BPM Yulia Fonna, A. Md. Keb, SKM Desa Lipah Rayeuk Kecamatan Jeumpa Kabupaten Bireuen. Journal of Healthcare Technology and Medicine, 7(2), 651–660. https://doi.org/10.33143/jhtm.v7i2.1578
Grenvik, J. M., Rosenthal, E., Wey, S., Saccone, G., De Vivo, V., De Prisco LCP, A., Delgado Garcia, B. E., & Berghella, V. (2021). Birthing Ball for Reducing Labor Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The Journal of Maternal-Fetal & Neonatal Medicine, 1–10. https://doi.org/10.1080/14767058.2021.1875439
Indrayani, T., & Riyanti, S. M. (2019). Pengaruh Penggunaan Birthing Ball terhadap Penurunan Skor Nyeri pada Ibu Bersalin Kala I Fase Aktif di Klinik Bersalin Bekasi Tahun 2018. Jurnal Akademi Keperawatan Husada Karya Jaya, 5(1), 3–8. https://ejurnal.husadakaryajaya.ac.id/index.php/JAKHKJ/article/view/102
Irawati, A., Susianti, S., & Haryono, I. (2019). Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball. Jurnal Bidan Cerdas, 2(1), 15–22. https://doi.org/10.33860/jbc.v2i1.78
Kurniawati, A., Dasuki, D., & Kartini, F. (2017). Efektivitas Latihan Birth Ball terhadap Penurunan Nyeri Persalinan Kala 1 Fase Aktif pada Primigravida. Jurnal Ners dan Kebidanan Indonesia, 5(1), 1–10. https://doi.org/10.21927/jnki.2017.5(1).1-10
Makvandi, S., Mirzaiinajmabadi, K., Tehranian, N., Mirteimouri, M., & Sadeghi, R. (2019). The Impact of Birth Ball Exercises on Mode of Delivery and Length of Labor: A Systematic Review and Meta-Analysis. Journal of Midwifery and Reproductive Health, 7(3), 1718–1727. https://doi.org/10.22038/jmrh.2019.33781.1367
Nurhidayati, S., Hidayati, E., & Saleha, S. (2022). Pengaruh Massage Effleurage dan Birthing Ball terhadap Intensitas Nyeri Persalinan Kala I di PMB Muaddah Kecamatan Kota Juang Kabupaten Bireuen. Journal of Midwifery, 10(1), 91–100. https:// doi.org/10.12345/jikp.v9i02.191
Sari, N. M. (2020). Pengaruh Terapi Birth Ball pada Ibu Bersalin Kala I Fase Aktif terhadap Penurunan Nyeri di Praktik Mandiri Bidan (PMB) Hartati Kecamatan Sawang Kabupaten Aceh Utara. Jurnal Penelitian Kebidanan & Kespro, 3(1), 69–75. https://doi.org/10.36656/jpk2r.v3i1.406
Shanti, E. F. A., & Utami, N. W. (2021). Efektivitas Prenatal Yoga dengan Teknik Birth Ball pada Ibu Hamil terhadap Nyeri Punggung. Jurnal Ilmiah Keperawatan, 16(1), 20–26. https://doi.org/10.30643/jiksht.v16i1.131
Sheishaa, D. M. R., El-Mashad, H. A. M., & Khedr, N. F. H. (2019). Effect of Birthing Ball Exercises during Pregnancy on the First Stage Progress of Labor. International Journal of Nursing, 6(2), 47–67. https://doi.org/10.15640/ijn.v6n2a6
Shirazi, M. G., Kohan, S., Firoozehchian, F., & Ebrahimi, E. (2019). Experience of Childbirth with Birth Ball: A Randomized Controlled Trial. International Journal of Women’s Health and Reproduction Sciences, 7(3), 301–305. https://doi.org/10.15296/ijwhr.2019.50
Subagio, S. U. (2022). Efektivitas Birth Ball untuk Mengurangi Nyeri Persalinan pada Ibu Bersalin Ny. Y Kala I Fase Aktif di Klinik Mahabbah Prima Medika Kota Serang. Journal of Midwifery, 10(1), 65–70. https://doi.org/10.37676/jm.v10i1.2321
Sulistianingsih, A., & Wijayanti, Y. (2022). Kombinasi Birth Ball dan Latihan Pernafasan dengan Penurunan Nyeri Persalinan Kala I. Jurnal Ilmu Keperawatan dan Kebidanan, 13(1), 66–74. https://doi.org/10.26751/jikk.v13i1.1243
Suryani, L., & Hardika, M. D. (2020). The Effectiveness of Birthing Ball Therapy on the Duration of the First Stage of Labor and the Intensity of Labor Pain in Primigravid Mothers Giving Births. STRADA Jurnal Ilmiah Kesehatan, 9(2), 981–989. https://doi.org/10.30994/sjik.v9i2.404
Triwidiyantari, D. (2022). Efektivitas Relaksasi Birthing Ball dalam Menurunkan Nyeri Persalinankala I Fase Aktif. Jurnal Sehat Masada, 16(1), 256–264. https://doi.org/10.15520/ijnd.v8i09.2289
Ulfah, M., & Rosmaria, R. (2021). Pengaruh Terapi Birth Ball pada Ibu In-Partu terhadap Intensitas Nyeri Persalinan Kala I Fase Aktif di PMB Nuriman Rafida Jambi. NURSING UPDATE: Jurnal Ilmiah Ilmu Keperawatan, 12(4), 10–20. https://doi.org/10.36089/nu.v12i4.491
Wijayanti, I., Wahyuni, S., & Maran, P. W. B. (2021). Efektivitas Birth Ball Exercise pada Ibu Bersalin Kala I terhadap Kecemasan dan Skala Nyeri di Ruang Bersalin Puskesmas Arso 3 Kabupaten Keroom Provinsi Papua. Intan Husada: Jurnal Ilmiah Keperawatan, 9(1), 9-20. https://doi.org/10.52236/ih.v9i1.208
Yeung, M. P. S., Tsang, K. W. K., Yip, B. H. K., Tam, W. H., Ip, W. Y., Hau, F. W. L., Wong, M. K. W., Ng, J. W. Y., Liu, S. H., & Chan, S. S. W., Law, C. K., & Wong, S. Y. S. (2019). Birth Ball for Pregnant Women in Labour Research Protocol: A Multi-Centre Randomised Controlled Trial. BMC Pregnancy and Childbirth, 19, 1–6. https://doi.org/10.1186/s12884-019-2305-8
Yuliza, Z., Novita, A., & Jayatmi, I. (2022). Pengaruh Teknik Couterpressure Massage dengan Birth Ball terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif di PMB Wilayah Kelurahan Grogol Selatan dan Grogol Utara Kota Jakarta Selatan Tahun 2022. SENTRI: Jurnal Riset Ilmiah, 1(1), 233–247. https://doi.org/10.55681/sentri.v1i1.227
Delgado, A., Maia, T., Melo, R. S., & Lemos, A. (2019). Birth Ball Use for Women in Labor: A Systematic Review and Meta-Analysis. Complementary Therapies in Clinical Practice, 35, 92–101. https://doi.org/10.1016/j.ctcp.2019.01.015
Dewi, P. I. S., Aryawan, K. Y., Ariana, P. A., & Nandarini, N. A. P. E. (2020). Intensitas Nyeri Persalinan Kala I Fase Laten pada Ibu Inpartu Menggunakan Birth Ball Exercise. Jurnal Keperawatan Silampari, 3(2), 456–465. https://doi.org/10.31539/jks.v3i2.1050
Dinas Kesehatan Provinsi Jambi. (2020). Profil Kesehatan Jambi 2019. http://dinkes.jambiprov.go.id/file/informasi_publik/MTYxNTE2NDQyOA_Wkt1615164428_XtLnBkZg.pdf
Dirgahayu, I., & Rustikayanti, N. (2022). Birth Ball Exercises dalam Menurunkan Intensitas Nyeri Persalinan Kala I: Literature Review. Jurnal Keperawatan, 14(1), 1–10. https://doi.org/10.32583/keperawatan.v14i1.7
Ferinawati, F., & Zahara, R. (2022). Pengaruh Penggunaan Birthing Ball terhadap Penurunan Tingkat Nyeri pada Ibu Bersalin di BPM Yulia Fonna, A. Md. Keb, SKM Desa Lipah Rayeuk Kecamatan Jeumpa Kabupaten Bireuen. Journal of Healthcare Technology and Medicine, 7(2), 651–660. https://doi.org/10.33143/jhtm.v7i2.1578
Grenvik, J. M., Rosenthal, E., Wey, S., Saccone, G., De Vivo, V., De Prisco LCP, A., Delgado Garcia, B. E., & Berghella, V. (2021). Birthing Ball for Reducing Labor Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The Journal of Maternal-Fetal & Neonatal Medicine, 1–10. https://doi.org/10.1080/14767058.2021.1875439
Indrayani, T., & Riyanti, S. M. (2019). Pengaruh Penggunaan Birthing Ball terhadap Penurunan Skor Nyeri pada Ibu Bersalin Kala I Fase Aktif di Klinik Bersalin Bekasi Tahun 2018. Jurnal Akademi Keperawatan Husada Karya Jaya, 5(1), 3–8. https://ejurnal.husadakaryajaya.ac.id/index.php/JAKHKJ/article/view/102
Irawati, A., Susianti, S., & Haryono, I. (2019). Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball. Jurnal Bidan Cerdas, 2(1), 15–22. https://doi.org/10.33860/jbc.v2i1.78
Kurniawati, A., Dasuki, D., & Kartini, F. (2017). Efektivitas Latihan Birth Ball terhadap Penurunan Nyeri Persalinan Kala 1 Fase Aktif pada Primigravida. Jurnal Ners dan Kebidanan Indonesia, 5(1), 1–10. https://doi.org/10.21927/jnki.2017.5(1).1-10
Makvandi, S., Mirzaiinajmabadi, K., Tehranian, N., Mirteimouri, M., & Sadeghi, R. (2019). The Impact of Birth Ball Exercises on Mode of Delivery and Length of Labor: A Systematic Review and Meta-Analysis. Journal of Midwifery and Reproductive Health, 7(3), 1718–1727. https://doi.org/10.22038/jmrh.2019.33781.1367
Nurhidayati, S., Hidayati, E., & Saleha, S. (2022). Pengaruh Massage Effleurage dan Birthing Ball terhadap Intensitas Nyeri Persalinan Kala I di PMB Muaddah Kecamatan Kota Juang Kabupaten Bireuen. Journal of Midwifery, 10(1), 91–100. https:// doi.org/10.12345/jikp.v9i02.191
Sari, N. M. (2020). Pengaruh Terapi Birth Ball pada Ibu Bersalin Kala I Fase Aktif terhadap Penurunan Nyeri di Praktik Mandiri Bidan (PMB) Hartati Kecamatan Sawang Kabupaten Aceh Utara. Jurnal Penelitian Kebidanan & Kespro, 3(1), 69–75. https://doi.org/10.36656/jpk2r.v3i1.406
Shanti, E. F. A., & Utami, N. W. (2021). Efektivitas Prenatal Yoga dengan Teknik Birth Ball pada Ibu Hamil terhadap Nyeri Punggung. Jurnal Ilmiah Keperawatan, 16(1), 20–26. https://doi.org/10.30643/jiksht.v16i1.131
Sheishaa, D. M. R., El-Mashad, H. A. M., & Khedr, N. F. H. (2019). Effect of Birthing Ball Exercises during Pregnancy on the First Stage Progress of Labor. International Journal of Nursing, 6(2), 47–67. https://doi.org/10.15640/ijn.v6n2a6
Shirazi, M. G., Kohan, S., Firoozehchian, F., & Ebrahimi, E. (2019). Experience of Childbirth with Birth Ball: A Randomized Controlled Trial. International Journal of Women’s Health and Reproduction Sciences, 7(3), 301–305. https://doi.org/10.15296/ijwhr.2019.50
Subagio, S. U. (2022). Efektivitas Birth Ball untuk Mengurangi Nyeri Persalinan pada Ibu Bersalin Ny. Y Kala I Fase Aktif di Klinik Mahabbah Prima Medika Kota Serang. Journal of Midwifery, 10(1), 65–70. https://doi.org/10.37676/jm.v10i1.2321
Sulistianingsih, A., & Wijayanti, Y. (2022). Kombinasi Birth Ball dan Latihan Pernafasan dengan Penurunan Nyeri Persalinan Kala I. Jurnal Ilmu Keperawatan dan Kebidanan, 13(1), 66–74. https://doi.org/10.26751/jikk.v13i1.1243
Suryani, L., & Hardika, M. D. (2020). The Effectiveness of Birthing Ball Therapy on the Duration of the First Stage of Labor and the Intensity of Labor Pain in Primigravid Mothers Giving Births. STRADA Jurnal Ilmiah Kesehatan, 9(2), 981–989. https://doi.org/10.30994/sjik.v9i2.404
Triwidiyantari, D. (2022). Efektivitas Relaksasi Birthing Ball dalam Menurunkan Nyeri Persalinankala I Fase Aktif. Jurnal Sehat Masada, 16(1), 256–264. https://doi.org/10.15520/ijnd.v8i09.2289
Ulfah, M., & Rosmaria, R. (2021). Pengaruh Terapi Birth Ball pada Ibu In-Partu terhadap Intensitas Nyeri Persalinan Kala I Fase Aktif di PMB Nuriman Rafida Jambi. NURSING UPDATE: Jurnal Ilmiah Ilmu Keperawatan, 12(4), 10–20. https://doi.org/10.36089/nu.v12i4.491
Wijayanti, I., Wahyuni, S., & Maran, P. W. B. (2021). Efektivitas Birth Ball Exercise pada Ibu Bersalin Kala I terhadap Kecemasan dan Skala Nyeri di Ruang Bersalin Puskesmas Arso 3 Kabupaten Keroom Provinsi Papua. Intan Husada: Jurnal Ilmiah Keperawatan, 9(1), 9-20. https://doi.org/10.52236/ih.v9i1.208
Yeung, M. P. S., Tsang, K. W. K., Yip, B. H. K., Tam, W. H., Ip, W. Y., Hau, F. W. L., Wong, M. K. W., Ng, J. W. Y., Liu, S. H., & Chan, S. S. W., Law, C. K., & Wong, S. Y. S. (2019). Birth Ball for Pregnant Women in Labour Research Protocol: A Multi-Centre Randomised Controlled Trial. BMC Pregnancy and Childbirth, 19, 1–6. https://doi.org/10.1186/s12884-019-2305-8
Yuliza, Z., Novita, A., & Jayatmi, I. (2022). Pengaruh Teknik Couterpressure Massage dengan Birth Ball terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif di PMB Wilayah Kelurahan Grogol Selatan dan Grogol Utara Kota Jakarta Selatan Tahun 2022. SENTRI: Jurnal Riset Ilmiah, 1(1), 233–247. https://doi.org/10.55681/sentri.v1i1.227
