Differences in pain intensity of mothers during labor with endorphin massage techniques
Keywords:
labor pain, endorphin massage, first stage of labor, pain management, numeric rating scaleAbstract
Labor pain is a common yet significantly discomforting experience for women, especially during the first stage of labor. Based on field observations, most patients choose cesarean section due to their inability to endure labor pain. Out of approximately 10 patients, around 5 to 6 request a cesarean delivery, with the majority being primigravida mothers. This phenomenon indicates that the inability to manage labor pain, particularly among women giving birth for the first time, is one of the contributing factors to the increasing rate of cesarean deliveries. Furthermore, if labor pain is not properly managed, it can cause physical and emotional stress in the mother that interferes with her ability to push, breathe, and progress during labor, increases sympathetic responses and the risk of psychological trauma, reduces oxygen supply to the fetus which may lead to fetal distress, asphyxia, and other complications, as well as prolongs labor due to ineffective contractions, while also raising the risk of medical interventions and postpartum hemorrhage. This study aimed to determine the difference in pain intensity among mothers in the first stage of labor before and after the application of the Endorphin Massage technique. A quantitative research design was used, employing a pre-experimental method with a one-group pretest-posttest design. The sample consisted of 20 respondents selected through purposive sampling. The research instruments included the Standard Operating Procedure (SOP) for Endorphin Massage and a pain measurement sheet using the Numeric Rating Scale (NRS). The research results show a decrease in pain intensity, as indicated by a reduction in the incidence of pain from 70% of respondents experiencing moderate pain before the intervention to 60% of respondents after the intervention. The Paired Samples Test revealed a t-value of 17.085 with a significance level of 0.0001 (p < 0.05), indicating a statistically significant difference in pain intensity before and after the Endorphin Massage. The mean difference of 2.189 also demonstrated a substantial reduction in pain intensity following the intervention. These findings support existing theories that Endorphin Massage can stimulate the body's natural endorphin release, which acts as a natural analgesic. Therefore, this technique can be considered an effective alternative for labor pain management.
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