Accelerating Labor : The Impact Of Moxibustion On First Stage Duration

Harwin Holilah Desyanti* -  Program Studi DIII Kebidanan,, Universitas Nurul Jadid, Indonesia
Herdhika Ayu Retno Kusumasari -  Department of Midwifery, Faculty of Medicine, Universitas Brawijaya, Indonesia
Dian Mayasari -  Prodi S1 Kebidanan, Institut Teknologi Kesehatan Malang Widya Cipta Husada, Indonesia
Nur Aisyah Laily -  Department of Midwifery, Universitas Borneo Tarakan, Indonesia
Anggie Diniayuningrum -  Prodi Sarjana Kebidanan, Universitas Islam Sultan Agung, Indonesia
Novayanti Simbolon -  Klinik Bersalin Bojonggede, Bogor, Indonesia, Indonesia

Latar Belakang: Kesehatan ibu merupakan prioritas global, dengan tujuan Sustainable Development Goals 2030 (SDGs) untuk mengurangi angka kematian maternal hingga 70%. Untuk mencapai tujuan ini memerlukan peningkatan akses pelayanan kesehatan maternal yang aman dan efektif, khususnya dalam mendukung proses persalinan. Moxibustion merupakan terapi tradisional Tiongkok yang menggunakan moxa yang dipanaskan pada titik-titik akupunktur untuk menginisiasi kontraksi rahim dan dapat mengurangi durasi persalinan. Tujuan :  Penelitian ini bertujuan untuk menilai efektivitas terapi moxibustion terhadap kontraksi uterus selama kala I persalinan. Metode : Desain penelitian yang digunakan adalah cross-sectional untuk menganalisis data sekunder dari rekam medis 90 wanita hamil aterm yang menerima terapi moxibustion di Praktik Bidan Novayanti, Jawa Barat, antara Januari 2022 dan September 2024. Penelitian ini mengkaji hubungan antara terapi moxibustion dan durasi kala I persalinan.Hasil: Penelitian ini menunjukkan adanya hubungan yang signifikan antara terapi moxibustion dan pengurangan durasi kala I persalinan. Sebanyak 77,8% responden mengalami durasi persalinan yang lebih pendek, dengan hasil yang signifikan secara statistik (p=0,000). Kesimpulan : Terapi moxibustion menunjukkan potensi sebagai metode yang efektif untuk memulai kontraksi uterus dan mengurangi durasi kala I persalinan. Terapi ini merupakan alternatif potensial bagi metode farmakologis tradisional, yang dapat meningkatkan kenyamanan ibu dan memperlancar proses persalinan. Saran : Penelitian lebih lanjut disarankan menggunakan data primer dan meningkatkan ukuran sampel untuk memperdalam pemahaman tentang efek terapi moksibusi pada induksi persalinan, sambil mengeksplorasi berbagai titik akupunktur seperti SP4, LI4, ST36, dan SP9 untuk lebih memahami manfaat dan perannya dalam manajemen persalinan.

 

Kata kunci: kontraksi uterus, moksibusi, persalinan, terapi komplementer

 

ABSTRACT

 

Background: Maternal health is a global priority, with the 2030 Sustainable Development Goals (SDGs) aiming to reduce maternal mortality by 70%. Achieving this goal necessitates enhancing access to safe and effective maternal healthcare, particularly by improving labor support. Moxibustion, a traditional Chinese medicine technique that involves thermal stimulation of specific acupoints, has garnered attention as a complementary method for initiating uterine contractions and reducing labor duration. Purpose: This study aimed to evaluate the effectiveness of moxibustion therapy in initiating uterine contractions during the first stage of labor. Method: A cross-sectional design was employed to analyze secondary data from medical records of 90 full-term pregnant women who received moxibustion therapy at the Novayanti Midwife Clinic in West Java between January 2022 and September 2024. The study investigated the relationship between moxibustion therapy and the duration of the first stage of labor. Result: The study identified a significant relationship between moxibustion therapy and a reduction in the duration of the first stage of labor. A total of 77.8% of participants experienced a shortened labor duration, with the results being statistically significant (p=0.000). Conclusion: Moxibustion therapy demonstrates potential as an effective method for initiating uterine contractions and reducing the duration of the first stage of labor. It serves as a viable complementary therapy to enhance labor progress, improving maternal comfort during the childbirth process. Suggestions: Future research should utilize primary data and increase sample size to enhance insights into moxibustion therapy's effects on labor induction, while exploring various acupuncture points like SP4, LI4, ST36, and SP9 to better understand its benefits and role in labor management.

 

Keywords: complementary therapy, labor, moxibustion, uterine contraction

 

Keywords : Keywords: moxibustion therapy, labor induction, labor, uterine contractions

  1. ACOG. (2009). ACOG Practice Bulletin No. 107: Induction Of Labor. Obstet Gynecol, 114, 386–397.
  2. Betts, D. (2009). Inducing labour with acupuncture-crucial considerations. The Journal of Chinese Medicine, 90, 20.
  3. Bonapace, J., Gagné, G. P., Chaillet, N., Gagnon, R., Hébert, E., & Buckley, S. (2018). No. 355-physiologic basis of pain in labour and delivery: an evidence-based approach to its management. Journal of Obstetrics and Gynaecology Canada, 40(2), 227-245.
  4. Chen, Y., Xiang, X. Y., Chin, K. H. R., Gao, J., Wu, J., Lao, L., & Chen, H. (2021). Acupressure for labor pain management: a systematic review and meta-analysis of randomized controlled trials. Acupuncture in Medicine, 39(4), 243-252.
  5. Cui, J., Yang, X., Jin, Z., Ma, S., Dong, L., & Li, Q. (2011). Effect of acupoint Sanyinjiao (SP6) moxibustion on the first stage of labor and uterine contractive pain in primiparae. Chinese Journal of Integrative Medicine, 17, 464–466.
  6. Huang, K., Liang, S., Morgan, P. J., & Zhang, J. (2016). To understand moxibustion from the biological effect of local thermal stimulation. World Journal of Acupuncture-Moxibustion, 26(3), 31–48.
  7. Huck, W. (2022). Goal 14 Conserve and Sustainably Use the Oceans, Seas and Marine Resources for Sustainable Development. Sustainable Development Goals: Article-by-Article Commentary. Nomos, CH Beck, Hart Publishing,.
  8. Liao, J. A., Shao, S. C., Chang, C. T., Chai, P. Y. C., Owang, K. L., Huang, T. H., ... & Chen, Y. C. (2021, May). Correction of breech presentation with moxibustion and acupuncture: a systematic review and meta-analysis. In Healthcare (Vol. 9, No. 6, p. 619). MDPI.
  9. Liu, J., Li, Y., Li, L., Luo, X., Li, N., Yang, X., ... & Sun, X. (2022). Effects of acupuncture at acupoints with lower versus higher pain threshold for knee osteoarthritis: a multicenter randomized controlled trial. Chinese Medicine, 17(1), 67.
  10. Liu, W., & Gong, C. (2015). Acupuncture in Obstetrics. International Journal of Clinical Acupuncture, 24(3).
  11. Ma, S. X., Wu, F. W., Cui, J. M., Jin, Z. H., & Kong, L. J. (2010). Effect on moxibustion at Sanyinjiao (SP 6) for uterine contraction pain in labor: a randomized controlled trial. Zhongguo Zhen Jiu= Chinese Acupuncture & Moxibustion, 30(8), 623–626.
  12. Pak, S. C., Na, C. S., Kim, J. S., Chae, W. S., Kamiya, S., Wakatsuki, D., Morinaka, Y., & Wilson Jr, L. (2000). The effect of acupuncture on uterine contraction induced by oxytocin. The American Journal of Chinese Medicine, 28(01), 35–40.
  13. Schlaeger, J. M., Stoffel, C. L., Bussell, J. L., Cai, H. Y., Takayama, M., Yajima, H., & Takakura, N. (2018). Moxibustion for cephalic version of breech presentation. Journal of Midwifery & Women’s Health, 63(3), 309–322.
  14. Smith, C. A., Crowther, C. A., & Grant, S. J. (2013). Acupuncture for induction of labour. Cochrane Database of Systematic Reviews, 8.
  15. Vaamonde, D., Hackney, A. C., & Garcia-Manso, J. M. (Eds.). (2022). Fertility, pregnancy, and wellness. Elsevier.
  16. Wang, Y., Tang, L., Haiyan, E., Wei, Y., Jiang, J., & Dong, Y. (2023). Operating procedures of moxibustion technology. Journal of Integrative Nursing, 5(3), 228-233.
  17. WHO. (2018). WHO Recommendations On Intrapartum Care For A Positive Childbirth Experience. World Health Organization.
  18. World Health Organization. (2018). WHO recommendations on intrapartum care for a positive childbirth experience. World Health Organization.
  19. Yang, Y., Wang, J., Zhang, C., Guo, Y., Zhao, M., Zhang, M., ... & Xu, Z. (2023). The efficacy and neural mechanism of acupuncture therapy in the treatment of visceral hypersensitivity in irritable bowel syndrome. Frontiers in Neuroscience, 17, 1251470.
  20. Zamora-Brito, M., Fernández-Jané, C., Pérez-Guervós, R., Solans-Oliva, R., Arranz-Betegón, A., & Palacio, M. (2024). The role of acupuncture in the present approach to labor induction: a systematic review and meta-analysis. American Journal of Obstetrics & Gynecology MFM, 6(2), 101272.
  21. Zhao, X., Liu, B., Zhang, Q., Wang, H., Tian, Y., & Wang, F. (2022). Moxibustion for uterine contraction pain: A protocol for systematic review and meta-analysis. Medicine, 101(48), e32195.

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