Author : Munayarokh*, Nuril Nikmawati, Masini, Tuti Sukini
Introduction: Pain in labour is a fear for many women particularly for primigravida women. This population groupreportedlyhad a higher score of pain during labour compared to multigravida women partly due to less experience of previous pregnancies, inadequate preparation for delivery and low knowledge regarding labour process as a result of lack of antenatal education.Massage therapy such as Effleurage massage has been well established as an effective method to reduce the labour pain by stimulating the endogenous system of the body. Another method is Kinesio Taping (KT) which has been widelyused in recent years as an effective treatment of pain problems. KT could lift the epidermis that subsequently reduce pressure and create more space of the subcutaneous, increase the blood circulation with and the drainage of the lymph fluid. Furthermore, this method could help activating the endogenous system which stimulates endorphin to inhibit pain in the cord spinal due to cervix dilatation. Purpose: This study aimed to analyse the difference of the pain level during the first stage of labour on women with effleurage massage as the control group and women with the KT application as the intervention group among primigravida women in Kandangan Primary Health Centre (KPHC), Temanggung Regency Indonesia. Method: This study is a quantitative study utilising quasi experiment with pre- and post-test two group design. The study population is 44 primigravida women who were giving birth in KPHC. Given the population number, Slovin sampling technique was used. Mann Whitney was used to analyse data obtained in this study. Results: The two-tailed asymptomatic significance was 0.000 (i.e. α < 0.05) meaning that there was statistically significant difference of effectiveness between applying KT and performing effleurage massage. The mean rank score of the intervention group was greater than the control group (28.25 and 16.75 respectively). Hence, it is concluded that the KT application was more effective in reducing pain among primigravida women during the first stage of labour as opposed to effleurage massage. Key words: Kinesio Taping, Massage, Pain, Active phase of the first stage of labour.
Dr. Arend L Mapanawang, Sp.PD, FINASIM, PhD