The Effect of Counter Pressure to Sacrum on Labour Pain of Active Phase First Stage In Primipara

Abstract

Labour pain can affect the physiology of labour and effects prolong the labour process. Long period of labour has bad effect to the mother and her baby. One of the methods to reduce labour pain is counter pressure. The aim of this study is to know the effect of counter pressure to sacrum on labour pain of active phase first stage in primipara. This study used pre-experimental one-group pretest-posttest design and accidental sampling. A non randomized one group without controlled study was conducted between 11th January and 21st February 2009. Target population was all the primiparous admitted at Tali Kasih Maternal Clinic in West Ungaran and Asy-Syifaa Maternal Clinic in Pringapus Village, for delivery. Twenty three primiparous women expected to have a normal delivery at Tali Kasih Maternity Nursing West Ungaran and Asy-Syifaa Maternity Clinical Village Pringapus were experimental group who received counter pressure to the sacrum. The intensity of pain was measured with the Numerical Rating Scales. The data were analyzed using descriptive (frequency distribution, mean and standard deviation) and analytical method (paired sample t-Test). Mean of labour pain decreased significantly from 5,13  1,180 to 3,30  1,020 (<0,05). These results suggest that counter pressure to the sacrum affect labour pain. Counter pressure could be introduced as a new useful method during delivery; regarding its supportive role. It is supposed that the results of the study would introduce counter pressure as a non-pharmacological intervention during delivery to reduce the labour pain