The Effect of Endorphin Massage on the Sleep Quality of Third-Trimester Pregnant Women

Authors

  • Dwi Estuning Rahayu Department of Midwifery, Poltekkes Kemenkes Malang
  • Az Zahra Nafahati Shafa Department of Midwifery, Poltekkes Kemenkes Malang
  • Chelsia Rahma Adinda Department of Midwifery, Poltekkes Kemenkes Malang
  • Choirun Nisak Jayanti Department of Midwifery, Poltekkes Kemenkes Malang
  • Dea Oktavia Rahmadhani Department of Midwifery, Poltekkes Kemenkes Malang

Keywords:

endorphin massage, sleep quality, pregnant women

Abstract

Sleep disturbances are common among pregnant women, especially in the third trimester, but effective non-pharmacological interventions are still limited. This study aims to analyze the effect of endorphin massage on the sleep quality of pregnant women aged 37–40 weeks. The study design used a pre-experimental one-group pretest–posttest without a control group. A total of 30 respondents were selected through total sampling. Endorphin massage was administered twice, with each session lasting 15–20 minutes. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The results showed a change in the PSQI score from a pretest average of 9.3 to 7.8 on the posttest; however, the McNemar test produced a p-value of 1.00 (p > 0.05), indicating that there was no statistically significant effect. Clinically, endorphin massage has the potential to enhance sleep quality through its relaxation and endorphin release mechanisms. This study concludes that although not statistically significant, endorphin massage may be considered as a supportive therapy to enhance sleep comfort in pregnant women. Limitations of this study include a small sample size and the absence of a control group; thus, further research with a stronger design is needed.

References

Agustina, R., Novelia, S., & Kundaryanti, R. (2022). The Effect of Baby Massage on The Sleep Duration of Infants Aged 6-12 Months. Nursing and Health Sciences Journal (NHSJ), 2(4), 361–366. https://doi.org/10.53713/nhs.v2i4.147

Al-Musharaf, S. (2022). Changes in Sleep Patterns during Pregnancy and Predictive Factors: A Longitudinal Study in Saudi Women. Nutrients, 14(13). https://doi.org/10.3390/nu14132633

Anggraini, R., Sari, S. D., & Lamdayani, R. (2024). The Effect of Endorphin Massage on Reducing Back Pain in Third Trimester Pregnant Women. Lentera Perawat, 5(2), 196–200. https://doi.org/10.52235/lp.v5i2.338

Baek, J. Y., Lee, E., Gil, B., Jung, H. W., & Jang, I. Y. (2022). Clinical effects of using a massage chair on stress measures in adults: A pilot randomized controlled trial. Complementary Therapies in Medicine, 66(March), 102825. https://doi.org/10.1016/j.ctim.2022.102825

Dahlan, F. M., Yanti, R., Suralaga, C., & Aulia, Y. (2023). Endorphin Massage on Intensity of Pain in the First Stage of Active Labour. Health and Technology Journal (HTechJ), 1(4), 420–426. https://doi.org/10.53713/htechj.v1i4.40

Dwita, P., Mulyani, S., & Menarisa. (2021). The Effectiveness Of Pregnancy Exercises In Improving The Quality Of Sleep For Pregnant Women. Jurnal Keperawatan Universitas Jambi, 6(3), 1–6. https://doi.org/10.22437/jkuj.v8i2.19796

Felix, N. A. R., & Ceolim, M. F. (2023). Sleep in pregnancy quarters: a longitudinal study. Revista Gaucha de Enfermagem, 44, 1–10. https://doi.org/10.1590/1983-1447.2023.20210278.en

Field, T. (2024). Massage Therapy Research: A Narrative Review. Current Research in Psychology and Behavioral Science (CRPBS), 5(1), 1–7. https://doi.org/10.54026/crpbs/10108

Haufe, A., & Leeners, B. (2023). Sleep Disturbances Across a Woman’s Lifespan: What Is the Role of Reproductive Hormones? Journal of the Endocrine Society, 7(5), 1–14. https://doi.org/10.1210/jendso/bvad036

Iacovides, S., Kamerman, P., Baker, F. C., & Mitchell, D. (2021). Why It Is Important to Consider the Effects of Analgesics on Sleep: A Critical Review. Comprehensive Physiology, 11(4), 2589-2619. https://doi.org/10.1002/j.2040-4603.2021.tb00191.x

Ismarina, Prihayati, Ikhlasiah, M., & Arta, K. (2023). The Effect of Back Massage on Labor Pain in Phase I Active in Maternity Mothers at PMB Intan In Tangerang District 2022. Nursing and Health Sciences Journal (NHSJ), 3(3), 345–348. https://doi.org/10.53713/nhsj.v3i3.278

Jin, R. R., Cheung, C. N. M., Wong, C. H. Y., Lo, C. C. W., Lee, C. P. I., Tsang, H. W., Virwani, P. D., Ip, P., Lau, K. K., & Lee, T. M. C. (2023). Sleep quality mediates the relationship between systemic inflammation and neurocognitive performance. Brain, Behavior, and Immunity - Health, 30(April), 100634. https://doi.org/10.1016/j.bbih.2023.100634

Kopf, D. (2021). Massage and touch-based therapy: Clinical evidence, neurobiology and applications in older patients with psychiatric symptoms. Zeitschrift für Gerontologie und Geriatrie, 54(8), 753-758. https://doi.org/10.1007/s00391-021-01995-4

Moghadam, Z. B., Rezaei, E., & Rahmani, A. (2021). Sleep Disorders During Pregnancy and Postpartum:A Systematic Review. Sleep Medicine Research, 12(2), 81–93. https://doi.org/10.17241/SMR.2021.00983

Mueller, S. M., & Grunwald, M. (2021). Effects, side effects and contraindications of relaxation massage during pregnancy: A systematic review of randomized controlled trials. Journal of Clinical Medicine, 10(16). https://doi.org/10.3390/jcm10163485

Paulino, D. S. M., Borrelli, C. B., Faria-Schützer, D. B., Brito, L. G. O., & Surita, F. G. (2022). Non-pharmacological Interventions for Improving Sleep Quality during Pregnancy: A Systematic Review and Meta-Analysis. Revista Brasileira de Ginecologia e Obstetrícia, 44(8), 776–784. https://doi.org/10.1055/s-0042-1746200

Polo-Kantola, P. (2022). Sleep disturbances in pregnancy: Why and how should we manage them? Acta Obstetricia et Gynecologica Scandinavica, 101(3), 270–272. https://doi.org/10.1111/aogs.14325

Rahmawati, Rukmaini, & Novelia, S. (2024). The Effect of Baby Massage on Body Weight and Sleep Quality of Babies Aged 3-6 Months. Health and Technology Journal (HTechJ), 2(2), 150–156. https://doi.org/10.53713/htechj.v2i2.172

Ramar, K., Malhotra, R. K., Carden, K. A., Martin, J. L., Abbasi-Feinberg, F., Aurora, R. N., Kapur, V. K., Olson, E. J., Rosen, C. L., Rowley, J. A., Shelgikar, A. V., & Trotti, L. M. (2021). Sleep is essential to health: An American Academy of Sleep Medicine position statement. Journal of Clinical Sleep Medicine, 17(10), 2115–2119. https://doi.org/10.5664/jcsm.9476

Sari, L. L., & Anissa, K. (2023). Effect of Endorphin Massage on The Level of Anxiety among >36 Weeks Pregnant Women. Embrio, 15(1), 49–56. https://doi.org/10.36456/embrio.v15i1.6995

Stenbäck, V., Lehtonen, I., Mäkelä, K. A., Raza, G. S., Ylinen, V., Valtonen, R., Hamari, T., Walkowiak, J., Tulppo, M., & Herzig, K. H. (2024). Effect of Single Session of Swedish Massage on Circulating Levels of Interleukin-6 and Insulin-like Growth Factor 1. International Journal of Molecular Sciences, 25(17), 1–8. https://doi.org/10.3390/ijms25179135

Subriah, S., Amdadi, Z. A., Arianggara, A. W., Fajriah, S. N., Iskandar, I., & Jumrah, J. (2022). Feasibility analysis of the endorphin massage module as an effort to increase breast milk production in puerperal mothers. International Journal of Health & Medical Sciences, 5(4), 342–350. https://doi.org/10.21744/ijhms.v5n4.2006

Zelharsandy, V. T., Soleha, M., & Anggeriani, R. (2024). The Effect of Endorphin Massage To Reduce Back Pain in Pregnant Women in the Third Trimester. Indonesian Journal of Global Health Research, 6(2), 565–572.

Zhu, J., Zheng, T., Jin, H., Wei, M., Yu, J., Ni, J., Sun, K., & Zhang, J. (2024). Sleep Disturbances in Early Gestation and the Risks of Hypertensive Disorders of Pregnancy: A Prospective Cohort Study. American Journal of Epidemiology, 193(3), 479–488. https://doi.org/10.1093/aje/kwad223

Downloads

Published

2025-12-09

How to Cite

Rahayu, D. E., Shafa, A. Z. N., Adinda, C. R., Jayanti, C. N., & Rahmadhani, D. O. (2025). The Effect of Endorphin Massage on the Sleep Quality of Third-Trimester Pregnant Women. Health and Technology Journal (HTechJ), 3(6), 757–762. Retrieved from https://journalkhd.com/ojs/index.php/htechj/article/view/558