Optimization Of Cold Compress In Labor Pain Management
DOI : 10.33024/jkm.v11i4.17818
Nyeri persalinan merupakan kondisi fisiologis. Data dari Wilayah Kerja Puskesmas Rawat Inap Sidomulyo menunjukkan bahwa dari 15 ibu bersalin, 13 orang (86,7%) mengalami nyeri disertai kecemasan, dengan tingkat nyeri sedang 6, dan 2 orang (13,3%) mengalami nyeri ringan dengan tingkat nyeri 3. Penelitian ini bertujuan untuk mengkaji optimalisasi pemberian kompres dingin untuk penanganan nyeri persalinan di Wilayah Kerja Puskesmas Rawat Inap Sidomulyo, Lampung Selatan, tahun 2024.
Penelitian ini merupakan penelitian kuantitatif dengan desain praeksperimental menggunakan pendekatan one group pretest-posttest. Populasi dan sampel penelitian adalah 30 orang ibu bersalin di Wilayah Kerja Puskesmas Rawat Inap Sidomulyo, dengan pengambilan data dilakukan pada bulan Februari sampai dengan Juli 2024. Pengambilan sampel dilakukan dengan metode purposive sampling. Analisis data meliputi analisis univariat dan bivariat dengan uji t dependen.
Rata-rata skor nyeri persalinan sebelum dilakukan kompres dingin adalah 7,50, yang menunjukkan bahwa responden secara umum mengalami nyeri berat. Setelah dilakukan pemberian kompres dingin, skor nyeri rata-rata menurun menjadi 6,13 yang berarti responden merasakan nyeri berat. Hasil uji statistik didapatkan nilai p sebesar 0,000 yang menunjukkan bahwa optimalisasi kompres dingin efektif dalam mengatasi nyeri persalinan di Wilayah Kerja Puskesmas Rawat Inap Sidomulyo, Lampung Selatan tahun 2024. Disarankan agar penggunaan kompres dingin dilanjutkan dan disertai dengan intervensi lain seperti sugesti pada trimester ketiga, pijat punggung, aromaterapi lavender, terapi musik, dan lain-lain.
Kata Kunci : Kompres dingin, Nyeri, Persalinan
ABSTRACT
Labor pain is a physiological condition. Data from the Working Area of Sidomulyo Inpatient Primary Health Care show that out of 15 laboring mothers, 13 (86.7%) experienced pain with anxiety, with a moderate pain level of 6, and 2 (13.3%) experienced mild pain with a level of 3. This study aims to assess the optimization of cold compresses for managing labor pain in the Working Area of Sidomulyo Inpatient Primary Health Care, South Lampung, in 2024.
This is a quantitative study with a pre-experimental design using a one group pretest-posttest approach. The population and sample comprised 30 laboring mothers from the Working Area of Sidomulyo Inpatient Primary Health Care, with data collection conducted from February to July 2024. Sampling was conducted using purposive sampling. Data analysis included univariate and bivariate analysis using dependent t-tests.
The average labor pain score before administering the cold compress was 7.50, indicating that respondents generally experienced severe pain. After applying the cold compress, the average pain score reduced to 6.13, suggesting that respondents experienced heavy pain. Statistical testing revealed a p-value of 0.000, indicating that the cold compress optimization effectively alleviated labor pain in the Working Area of Sidomulyo Inpatient Primary Health Care, South Lampung, in 2024. It is recommended that the use of cold compresses continue and be complemented with other interventions, such as suggestions during the third trimester, back massage, lavender aromatherapy, music therapy, and others.
Keywords : Cold compress, Pain, Labor
Keywords : Cold compress, Pain, Labor
- Fadli., Akmal, H. (2018). The Effect of Warm Compresses on Changes in Body Temperature in Febrile Patients. Nursing Profession Study Program, Muhammadiyah Sidrap Health College.
- Fadmiyanor, I., Susilawati, E., & Tuljannah, W. (2018). The Difference Between Warm Compresses and Cold Compresses on the Intensity of Pain in the First Stage of Active Labor at the Taman Sari 1 Main Clinic, Pekanbaru City. Journal of Mothers and Children, 6(2), 61-67.
- Fatimah., Lestari. P. (2019). Perineal Massage (Reducing Perineal Rupture for the General Public. Pregnant Women and Health Students). Pustaka Baru: Yogyakarta.
- Felina, M., Susanti, M., & Nataria, D. (2022). The Effect of Lavender Aroma by Inhalation on Reducing Perineal Stitch Wound Pain. Journal of Health, 13
- Ministry of Health of the Republic of Indonesia. (2019). Maternal and Infant Mortality Rate.
- Manuaba, Ida Bagus Gede, et al. (2014). Obstetrics, Gynecology and Family Planning, Jakarta: Egc.
- Marina, S.W. (2017). Effectiveness of Warm Water Compresses with Plaster Compresses on Reducing Body Temperature of Pre-School Feverish Children in the Children's Room of Bethesda Hospital, GMIM, Tomohon. Faculty of Medicine, Sam Ratulangi University.
- Maryunani, Anik. (2010). Pain in Labor. Trans Info Media: Jakarta.
- Mulati., T, S. (2018). The Effect of Perineal Tear Degree on Perineal Pain Scale in Postpartum Mothers in Wonogiri Regency. Ministry of Health, Surakarta Health Polytechnic, Department of Midwifery.
- Notoatmodjo. (2018). Health Research Methodology. Jakarta: Rineka Cipta.
- Nova. E, M. (2017). The Effect of Giving Ice Gel Compresses on Pain in the First Stage of Active Labor in Independent Midwives in the City of Surabaya. Postgraduate Program, University of 'Aisyiyah Yogyakarta.
- Pratama, R. N. (2021). Giving Cold Compresses to Reduce Labor Pain. Babul Ilmi Scientific Journal of Multi Science Health, 13(2).
- Purwaningsih, A.A. (2015). The Effectiveness of Warm Compress and Cold Compress to Reduce Laceration Perineum Pain on Primiparous at Candimulyo Magelang. Muhammadiyah Magelang University.
- Rejeki, S. (2021). Counter Pressure Regiosacralis with Classical Music (Cprmk) as Labor Pain Therapy.
- Resmawati. (2015). The Relationship Between Baby Birth Weight and Perineal Rupture in Normal Labor at the Tegalrejo Health Center, Yogyakarta. Faculty of Health Sciences, University of 'Aisyiyah Yogyakarta.
- Rohani, Saswita, R., & Marisa. (2013). Midwifery Care During Childbirth. Jakarta: Salemba Medika.
- Sarwono, P. (2014). National Reference Book for Maternal and Neonatal Health Services. Jakarta: Pt Bina Pustaka Sarwono Prawihardjo.
- Shirvani, M. A., & Ganji, J. (2014). The Influence of Cold Pack on Labor Pain Relief and Birth Outcomes: A Randomized Controlled Trial. Journal of Clinical Nursing, 23(17-18), 2473-2480.
- Sukarni, I., & Margareth. (2019). Pregnancy, Childbirth, and Postpartum. Yogyakarta: Nuha Medika.
- Susilawati, E., & Ilda, W. R. (2019). Effectiveness of Warm Compresses and Cold Compresses on the Intensity of Perineal Wound Pain in Postpartum Mothers at Bpm Siti Julaeha Pekanbaru. Jomis (Journal of Midwifery Science), 3(1), 7-14.
- Susilawati, E., Iida, W.R. (2019). Effectiveness of Warm Compresses and Cold Compresses on the Intensity of Perineal Wound Pain in Postpartum Mothers at Bpm Siti Julaeha Pekanbaru. Poltekes Kemenkes Riau.
- Suzanne C. Smeltzer, (2002). Medical-Surgical Nursing. Vol 1, Edition 8. Egc: Jakarta.
- Tarigan, R. N. (2020). The Effect of Cold Compresses on Reducing Pain in the First Stage of Active Labor in Primigravida Mothers in the Work Area of the Kutalimbaru Health Center, Deli Serdang Regency in 2017.
- Triyani. (2015). The Effect of Warm Compresses on the Perineum During the Second Stage on Reducing Postpartum Pain. Poltekes Jakarta.
- Vidayawati, V., Rini, A. S., & Putri, R. (2023). Midwifery Care for Handling Maternal Pain During Labor with Deep Breathing and Oxytocin Massage. Journal of Midwifery, 11(2), 378-383.
- Vitrianingsih, V., & Khadijah, S. (2019). The Effectiveness of Lemon Aromatherapy for Handling Emesis Gravidarum. Journal of Nursing, 11(4), 277-284.
- Walyani S, E.. (2015). Midwifery Care During the Postpartum and Breastfeeding Periods. Pustaka Baru Press: Yogyakarta.
- Weniarti. (2016). The Effect of Ice Pack Therapy on Changes in Pain Scale in Post-Episiotomy Mothers. Faculty of Medicine, Sriwijaya University: South Sumatra.
- Widiawati, I., & Legiati, T. (2018). Understanding Labor Pain in Primipara and Multipara. Bimtas Journal: Umtas Midwifery Journal, 2(1), 42-48.
- Wiknjosastro. (2016). Midwifery Science. Bina Pustaka Sarwono Prawirohardjo Foundation. Egc. Jakarta.
- Wirda Tuljannah, P. (2018). The Difference Between Warm Compresses and Cold Compresses on the Intensity of Labor Pain in the First Active Phase at the Taman Sari 1 Main Clinic, Pekanbaru City (Doctoral Dissertation, Riau Ministry of Health Polytechnic).
- Yana, R., & Utami, S. (2016). The Effectiveness of Al-Qur'an Recitation Therapy on the Intensity of Labor Pain in the First Active Phase (Doctoral Dissertation, Riau University).
- Zakiya, Ana. (2015). Concepts and Management in Evidence-Based Nursing Practice. Jakarta: Salemba Medika.
Copyright (c) 2025 JKM (Jurnal Kebidanan Malahayati)