Combination Practices of Counter Pressure and Birth Ball Exercise Towards the Labor Pain Intensity

Background Labor pain can affect the functional mechanisms that cause physiological stress responses, resulting in a decrease in uterine contractions. One of the non-pharmacological methods is very effective in overcoming labor pain is the method of massage. The combination of counterpressure and birth ball exercise is one of the options for labor pain management that can improve the progress of labor. Objective To analyze the effect of a combination of Counter pressure and birth ball exercise in reducing the intensity of labor pain and increasing levels of -Endorphin. Methods Quasy experiment with random cluster design pretest and posttest control group design. There were 40 samples divided into 2 groups with Consecutive sampling technique. Each group consists of 20 respondents. Group 1 was given a combination of Counter pressure and birth ball exercise interventions, while the second group was a control group. Analysis was used to assess differences in pain reduction between the 2 groups using the Mann-Whitney test, while differences in the increase in beta-endorphine levels used Independent Sample T-Test. Results The mean labor pain after treatment was 70 % (moderate pain), while the control group was 85 % (severe pain). Different test results of labor pain using Mann-Whithney test obtained p value = 0.003. The mean level of -endorphine after being given treatment was 121.02 ng / ml, while the control group was 63.46 ng / ml. The results of different test -endorphine levels using Independent T-Test test obtained p value 0, 000. Conclusion Combination of Counter pressure and birth ball exercise was effective to reduce labor pain and increase -endorphine levels in labor.