<![CDATA[Labor pain is one of the main problems experienced by mothers during the birth process. Pain management can be done with pharmacological and non-pharmacological methods. Non-pharmacological approaches are considered safer and more effective because they have minimal side effects. This systematic review aims to analyze the effect of non-pharmacological interventions such as music therapy, endorphin massage, effleurage massage, deep back massage, and a combination of therapies on reducing pain in the first stage of labor. The review method uses a systematic review using PRISMA For Systematic Review, which is obtained from the Google Scholar, Proquest, Pubmed databases. The review results obtained 18 of the 369 articles selected from 2018-2025. The keywords used are non-pharmacological therapy, labor pain, music therapy, massage therapy. Labor pain is grouped into 1 theme, namely non-pharmacological therapy. This study involved 18 relevant articles. The results showed that all interventions were effective in reducing labor pain (p <0.05). Combinations of therapies such as music and aromatherapy provided a more significant effect.]]>
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