A Comparison of The Effectiveness of The Tera Gymnastics Breathing Technique with Deep Breathing Techniques on Reducing Labor Pain
DOI:
https://doi.org/10.62817/jkbl.v18i2.423Keywords:
tera gymnastics breathing technique, deep breathing, period I labor painAbstract
The most common problem that arises in maternity mothers is labor pain. Pain during labor accompanied by fear will slow down the labor process. Labor pain will cause hyperventilation, increase oxygen consumption, cause respiratory alkalosis, vasoconstriction of blood vessels in the uterus and acidosis in the fetus. Increasing noradrenaline will lower blood to the placenta and decrease uterine contractions, thereby interfering with the safety of the mother and fetus and the success of vaginal partus. Tera gymnastics can stimulate the heart's ability to pump blood to meet oxygen needs so that the heart works with relaxation, resting pulse, and blood pressure becomes stable. The purpose of this study was to determine the comparison of the effectiveness of deep breathing and tera gymnastics breathing techniques on pain reduction during the first childbirth. This study uses a quasi-experimental design with two groups pretest-posttest design. The research was carried out at TPMB "P" Cimahi City which was carried out in February – September 2024. The sample in this study is maternity mothers during the active phase 1 who meet the inclusion and exclusion criteria. The sampling technique used was non-random sampling by purposive sampling totaling 40 mothers. The sample in this study was divided into 2 groups, namely the intervention group and the comparison group. Data analysis using the Mann-Whitney test. Based on the findings from the pain scale measurements, the tera gymnastics breathing technique demonstrated a greater reduction in pain with a delta value of 4.4, compared to 2.8 in the deep breathing technique. This indicates that tera gymnastics breathing is more effective in alleviating pain among laboring women during the active phase of the first stage of labor. It is recommended that expectant mothers and healthcare providers implement tera gymnastics and deep breathing techniques during labor to help ease pain and enhance maternal comfort.
References
Djafar, N. & Retni, A. (2023). An investigation into how deep breathing relaxation affects pain responses during the first stage of labor in pregnant women at RSIA Sitti Khadidjah Gorontalo. Journal of Educational Innovation and Public Health, 1(2).
Fitri, L., Nova, S., & N.R. (2019). Association between deep breathing techniques and decreased pain intensity during active phase I labor at Jambu Mawar Pratama Clinic. Endurance Journal, 4(2), 419.
Ayuningtyas, I.F. & L.Y. (2021). The influence of abdominal breathing exercises in minimizing pain in first-stage active labor at Dhiaulhaq Eniyati Clinic, Magelang. Journal of Midwifery, 13(2). Retrieved from http://www.ejurnal.stikeseub.ac.id.
Irianti, B. & Hartiningtiyaswati, S. (2022). A descriptive analysis of women’s perceptions and concerns about childbirth. Information Media, 18(1), 20–25. https://doi.org/10.37160/bmi.v18i1.4
Juwita, S. (2019). Impact of breathing relaxation on labor pain during the active phase at Zahira Clinic & RB, Jakarta.
Tera Gymnastics Community (J.B.). (2011). Understanding and the health benefits of Indonesian Tera Gymnastics. Retrieved from http://senamteraindonesiajakartabarat.blogspot.co.id/2011/04/hakekat-and-benefits-of-tera-gymnastics.html
Kushariyadi, & Setyoadi. (2011). Therapeutic modalities in nursing for psychogeriatric clients. Jakarta: Salemba Medika.
Mayestika, P. & Hasmira, M.H. (2021). Variations in labor pain levels before and after applying acupressure point therapy during first stage labor at Jember Clinical Hospital. Journal of Perspectives, 4(4), 519. https://doi.org/10.24036/perspektif.v4i4.466
Ningdiah, A.K., Sari, K., Ningsih, A.F., Iskandriani, L., & Lawra, C. (2022). A literature review on childbirth pain reduction methods. Proceedings of the National Seminar and Call For Paper, Midwifery, Ngudi Waluyo University, 1(2).
Pradana, S.A.Z. (2017). Tera gymnastics and its effects on reducing anxiety in elderly residents at Hargo Dedali Nursing Home, Surabaya. Airlangga University Repository. Retrieved from http://repository.unair.ac.id/76634/
Putri, Y.S. & Bakti, A.P. (2019). Effectiveness of Tera Gymnastics in alleviating knee joint discomfort among seniors aged 60–69 in Surabaya. Journal of Sports Health, 7(2), 175–182. https://jurnalmahasiswa.unesa.ac.id/index.php/7/article/view/27857
Rehatta, N.M., et al. (2019). Textbook of Anesthesiology and Intensive Care (Kati-Perdatin). Jakarta: Gramedia Pustaka Utama.
Septiani, M. & Agustia, L. (2021). Use of deep breathing techniques to ease labor pain during the first active phase at PMB Desita, Pulo Ara Village, Bireuen. Journal of Healthcare Technology and Medicine, 7(2), 975–984.
Safitri, J., Sunarsih, & Yuliasari, D. (2020). The effectiveness of deep breathing as a relaxation therapy to manage labor pain. Jurnal Dunia Kesmas, 9(3), 365–370. http://ejurnalmalahayati.ac.id/index.php/duniakesmas/index
Widiyanto, A. (2021). A literature review on the effectiveness of deep breathing techniques in managing pain during the first stage of labor. Avicenna: Journal of Health Research, 4(2), 138–146. Retrieved from https://jurnal.stikesmus.ac.id/index.php/avicenna
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