EFEKTIFITAS STIMULASI KULIT DENGAN TEKNIK KOMPRES HANGAT DAN DINGIN TERHADAP PENURUNAN PERSEPSI NYERI KALA I FASE AKTIF PERSALINAN FISIOLOGIS

ABSTRACT
THE EFFECTIVENESS OF SKIN STIMULATION WITH WARM AND COLD COMPRESSES TO REDUCE PAIN PERCEPTION IN THE FIRST STAGE OF THE ACTIVE PHASE OF PHYSIOLOGICAL LABORS TAKING PLACE IN MIDWIVES’PRACTICES IN PETERONGAN JOMBANG

By:

HAJAR DEWI RIZQI

Pain is an integral part of labor. Pain during childbirth is very specific. The very strong Intensity is often felt very painful. Stimulating the skin by using warm and cold compresses is non-pharmacological pain control that can be used as an alternative to provide a sense of comfort and control the pain perception, especially in the first stage of the active phase of physiological labor. The purpose of this research is to determine the effectiveness of skin stimulation technique with warm and cold compresses on the pain perception during the first stage of physiological labor.  

In this study, the research design applied is the Quasy Experimental Design, with Equivalent Time Samples Design type. The sample was taken using the purposive sampling technique. Each treatment group using warm compress and cold compress consists of 15 respondents. The data analysis applies  Wilcoxon Sign Rank Test  and Mann Whitney U Test with the significance level of ρ ≤ 0.05.

Using the Wilcoxon Signed Rank Test on the warm compress groups, the result showed that ρ = 0.003; while on the cold compress group, it is obtained that ρ = 0.001. Whereas the Mann Whitney Test showed that ρ = 0.005 which means that H0 is rejected. It means that there is a difference in terms of effectiveness between the group using  warm compress and that using cold compress.

It is understood that inpartu mothers especially those in the first stage of the active phase of physiological labor need more comfort to deal with the pain. Giving a warm compress will increase comfort and reduce the perception of pain on the inpartu mothers by getting rid of the inflammatory products. Whereas the cold compress can provide local anesthesia so as to reduce the local pain.

The conclusion of this research is that stimulating the skin with cold compress technique is more effective in reducing the pain perception and increasing the comfort than with warm compress as cold compress gives local anesthesia.


Keywords: Pain, The first stage of the active phase of physiological labor, Skin Stimulation