Penerapan Endorphin Massage dalam Menurunkan Intensitas Nyeri Persalinan Kala I Fase Aktif: Studi Kasus

Abstract

Labor pain during the first stage of labor is a physiological process experienced by almost all women in labor and is influenced by both physiological and psychological factors. High-intensity pain may trigger stress responses that can potentially inhibit the progress of labor. Pain management can be performed using pharmacological and non-pharmacological approaches. One of the non-pharmacological methods that has been increasingly applied in midwifery practice is endorphin massage, a light-touch technique aimed at stimulating the release of endorphins as the body’s natural analgesics. Endorphin massage is known to reduce pain perception, promote relaxation, and support the physiological labor process through improved oxytocin hormone balance. Although various studies have demonstrated the effectiveness of non-pharmacological methods in reducing labor pain, the implementation of endorphin massage in healthcare facilities is still not optimal due to limited knowledge and training among healthcare providers. Therefore, this case study was conducted to describe the application of endorphin massage as a non-pharmacological intervention to reduce labor pain in women during labor and to evaluate maternal responses to the intervention within the context of midwifery care.

Abstrak

Nyeri persalinan pada kala I merupakan proses fisiologis yang hampir dialami seluruh ibu bersalin dan dipengaruhi oleh faktor fisiologis maupun psikologis. Intensitas nyeri yang tinggi dapat menimbulkan respon stres yang berpotensi menghambat kemajuan persalinan. Penatalaksanaan nyeri dapat dilakukan secara farmakologis maupun nonfarmakologis. Salah satu metode nonfarmakologis yang berkembang dalam praktik kebidanan adalah pijat endorfin (endorphine massage), yaitu teknik sentuhan ringan yang bertujuan merangsang pelepasan hormon endorfin sebagai analgesik alami tubuh. Pijat endorfin diketahui mampu menurunkan persepsi nyeri, meningkatkan relaksasi, serta mendukung proses persalinan fisiologis melalui peningkatan keseimbangan hormon oksitosin. Meskipun berbagai penelitian menunjukkan efektivitas metode nonfarmakologis dalam mengurangi nyeri persalinan, penerapan pijat endorfin di fasilitas kesehatan masih belum optimal karena keterbatasan pengetahuan dan pelatihan tenaga kesehatan. Oleh karena itu, studi kasus ini disusun untuk menggambarkan penerapan pijat endorfin sebagai intervensi nonfarmakologis dalam mengurangi nyeri persalinan pada ibu bersalin serta mengevaluasi respon ibu terhadap intervensi tersebut dalam asuhan kebidanan.