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Effectiveness of Endorphin Massage for Pain Reduction During the Active Phase of First-Stage Labor: A Quasi-Experimental Pretest–Posttest Study Fitrianingsih, Julia; Fitriani, Fitriani; Yulis, Dian Meiliani
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1711

Abstract

Pain during the first stage of labor frequently heightens maternal stress and may interfere with the physiological progress of childbirth. This study examined the effectiveness of endorphine massage as a non-pharmacological technique for reducing pain experienced by women in the active phase of first-stage labor. A quasi-experimental one-group pretest–posttest design was conducted with sixteen consecutively recruited participants from a community health center. The intervention consisted of a structured endorphine-massage protocol delivered by trained midwives, involving gentle rhythmic strokes and light pressure applied for approximately 15 minutes to the lower back, shoulders, and pelvic area. Pain intensity was measured before and after the intervention using the validated Numeric Rating Scale (NRS). Normality was confirmed with the Shapiro–Wilk test, permitting the use of a paired t-test. The mean pain score decreased from 7.40 before the intervention to 6.13 afterward, indicating a statistically significant reduction (p = 0.001) with a moderate effect size. These findings suggest that endorphine massage may serve as a supportive option for managing pain during the active phase of labor. However, the small sample size and single-site setting limit generalizability, and larger multi-center studies are recommended to strengthen the evidence base for clinical application
Peningkatan Kualitas Hidup Lansia Melalui Penerapan Pola Hidup Sehat di Desa Moncongloe Bulu Julia Fitrianingsih
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 2 No. 1 (2022): Maret : Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v2i1.598

Abstract

Elderly is synonymous with various declines in health status, especially physical health status. Various theories about the aging process show the same thing. The health status of the elderly which declines with age will affect the quality of life of the elderly. Increasing age will be accompanied by the emergence of various diseases, decreased body function, body balance and the risk of falling. The decline in the health status of the elderly is contrary to the desire of the elderly to remain healthy, independent and able to carry out activities as usual, such as bathing, dressing, moving independently. This activity aims to provide information to the public about the importance of maintaining reproductive health in improving the quality of life. This educational process uses the lecture method with the help of powerpoints and leaflets. The results obtained from this activity are that the youth participating in this service activity become more aware and know more about how to improve the quality of life, especially during this pandemic. The assessment is based on the response and enthusiasm of the participants in receiving the material provided. Including positive responses from participants in answering questions correctly when asked questions by the presenters.