Penerapan Effleurage Massage untuk Mengurangi Nyeri Persalinan Kala I Fase Aktif pada Ny. K Usia 25 Tahun G1P0A0

Abstract

Labor pain is a common physiological experience in childbirth, particularly during the active phase of the first stage of labor, due to progressive cervical dilation and stronger uterine contractions. One of the non-pharmacological methods that can be used to reduce pain is effleurage massage. This case study aims to evaluate the effectiveness of effleurage massage in reducing labor pain during the active phase of the first stage in Ny. K, a 25-year-old primigravida (G1P0A0) at Puskesmas Pimping, using a Continuity of Care (CoC) approach. Subjective data showed that the mother complained of contraction pain radiating from the lower back to the abdomen. Objective data indicated that the mother’s general condition was good, vital signs were within normal limits, fetal heart rate was 140 beats per minute, uterine contractions were adequate, and cervical dilation was 5 cm in the active phase of the first stage of labor. The midwifery diagnosis was Ny. K G1P0A0 in active phase of the first stage of labor with labor pain. The intervention provided included comprehensive midwifery care and effleurage massage applied to the abdomen during contractions, along with emotional support and relaxation techniques. The evaluation results showed that the mother felt more relaxed and reported a reduction in labor pain after the intervention, and labor progressed normally until full cervical dilation. This case study concludes that effleurage massage is effective in reducing labor pain during the active phase of the first stage and in improving maternal comfort during childbirth.

Abstrak

Nyeri persalinan merupakan keluhan fisiologis yang umum terjadi pada ibu bersalin, terutama pada kala I fase aktif akibat proses dilatasi serviks dan kontraksi uterus yang semakin kuat. Salah satu upaya nonfarmakologis yang dapat digunakan untuk mengurangi nyeri adalah teknik effleurage massage. Studi kasus ini bertujuan untuk mengetahui efektivitas penerapan effleurage massage dalam mengurangi nyeri persalinan kala I fase aktif pada Ny. K usia 25 tahun G1P0A0 di Puskesmas Pimping dengan pendekatan Continuity of Care (CoC). Data subjektif menunjukkan ibu mengeluh nyeri kontraksi dari pinggang menjalar ke perut. Data objektif menunjukkan keadaan umum ibu baik, tanda vital dalam batas normal, DJJ 140 x/menit, his adekuat, serta pembukaan serviks 5 cm pada kala I fase aktif. Diagnosis kebidanan yaitu Ny. K G1P0A0 inpartu kala I fase aktif dengan masalah nyeri persalinan. Penatalaksanaan yang diberikan berupa asuhan kebidanan komprehensif dan penerapan teknik effleurage massage pada abdomen saat kontraksi berlangsung disertai dukungan emosional dan teknik relaksasi. Hasil evaluasi menunjukkan ibu merasa lebih rileks dan nyeri persalinan berkurang setelah dilakukan intervensi, serta proses persalinan berlangsung normal hingga pembukaan lengkap. Kesimpulan studi kasus ini menunjukkan bahwa effleurage massage efektif dalam membantu mengurangi nyeri persalinan kala I fase aktif serta mendukung kenyamanan ibu selama proses persalinan.