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Warda Warda
FKIP UNTAD
Religion Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Journal : Open Access Health Scientific Journal

 1 
The Effectiveness of Endorphin Massage Combined with Nutmeg (Myristica fragrans) Aromatherapy in Reducing Pain and Anxiety During the Active Phase of the First Stage of Labor at Labuha Regional Hospital Warda, Warda; Kristiarini, Juda Julia; Suryantara, Bima
Open Access Health Scientific Journal Vol. 6 No. 2 (2025): August 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i2.102

Abstract

Background: Labor pain and anxiety, primarily caused by uterine contractions, are common experiences during childbirth and can lead to complications if not properly managed. Non-pharmacological methods such as endorphin massage and nutmeg aromatherapy offer promising alternatives for pain and anxiety reduction. This study aimed to evaluate the effectiveness of endorphin massage in combination with nutmeg aromatherapy in reducing pain and anxiety during the active phase of the first stage of labor.Methods: A quasi-experimental design with a pretest-posttest control group was employed. The intervention group received endorphin massage alongside nutmeg aromatherapy, while the control group was given nutmeg aromatherapy alone. A total of 52 laboring women in the active phase of first-stage labor at Labuha Regional Hospital during May–June 2025 were recruited using purposive sampling, with 26 participants in each group. Data were collected using questionnaires and observation sheets. Descriptive statistics, the Kolmogorov-Smirnov normality test, and both paired and unpaired statistical tests were utilized. The Mann-Whitney U test was used to assess group differences.Results: In the control group, Wilcoxon tests showed significant reductions in both pain (p = 0.000) and anxiety levels (p = 0.000) following the aromatherapy intervention. The treatment group demonstrated a significantly greater reduction in pain (Z = -6.102, p = 0.000) and anxiety (Z = -3.074, p = 0.002) compared to the control group, indicating the added benefit of endorphin massage.Conclusion: The combination of endorphin massage and nutmeg aromatherapy is effective in significantly reducing labor-related pain and anxiety. This method may be recommended as a supportive non-pharmacological intervention to enhance maternal comfort and care quality during labor, particularly by midwives.
Co-Authors . NURFAIDA A Ifayani Haanurat Achmad, Pratiwi Maharani Achsanuddin, Nur Adi, Moh. Adiningrat, Andi Arifwangsa Agustan Agustan, Agustan Ahmad Dzul Ilmi Syarifuddin Akhmad, Akhmad Alamsyah - Ali, Moh. Mudassir Amran Husen Anca, Ronaldus Anggraini, Tri W Anshar Rante arniati, arniati Asriati Asriati, Asriati Astina, Sri Wahyuni Azidhan, Moh. Bima Suryantara David, Nirwana Binti Dewi Tureni Erwina Erwina, Erwina Faisal Rizal Zaenal Farida, Anif Herlina Herlina Hidayati Hidayati Ichsan, Nur Aziza Indrawati, A. Iramaya, Iramaya Ismawati Ismawati Ismunandar J, Jusriadi Jam'an, Andi Jayadi, Yusma Indah Kaharuddin, Deliah Kamsi, Elsa Klara Kristiarini, Juda Julia Lestari, Novita Dian M. Ikbal, Sin Iwil Maulida Rahmah, Maulida Milasari Milasari Moh. Ali muhammad rizky, muhammad Muhammad Rusydi Muhammad, Alfais Munawir Munawir N. Laterey, Moh. Ibrahim Naidah, Naidah Nda’a, Moh. Rozali S. Nuaira, Nuaira Nurfatmi, Rezki Nurjannah, Sitti NURUL AZIZAH Padilla, Resa Ponisri, Ponisri Putri, Herlin Sagitha Rahmawati, Rahmawati Rahmi Susanti Rasyid, Djusmadi Rico, Rico Risma Haris Risna Risna, Risna Rusman Latif Rustam, Andi Saeni, Fajrianto Safri Haliding Salam, Marsyad Alganawi Salimung, Hardianto Dg. Sarwani Sarwani, Sarwani Sinta, Wahyu Nirmala Sri Hastati Sriwinarsi Zulkarnain Sukfitrianty Syahrir Sulaiman, Syarifuddin Suriati, Suriati Susanti, L.R. Retno Syahputra, Moh. Rizky Syahruni, Syahruni Syamsu Syamsu Thaariq, Muhammad Tikirik, Wita Oileri Wahyuni Ulpi Widianti , Alma Wulandari, Syarifah As Zahrah