<![CDATA[Childbirth is a physiological process often accompanied by significant pain, which, if not properly managed, can increase maternal stress and the risk of medical interventions. Non-pharmacological techniques, such as counterpressure and the use of a birthing ball, are complementary interventions aimed at stimulating endorphin release and utilizing gravity to accelerate fetal head descent. This study aims to provide comprehensive midwifery care for Mrs. S, focusing on labor pain management and facilitating fetal head descent through counterpressure and birthing ball methods. The research instrument utilized a descriptive approach, documented in the SOAP (Subjective, Objective, Assessment, Planning) format. Data were collected through interviews, observations, physical examinations, diagnostic tests, documentation, and literature reviews. The study was conducted from June 2025 to October 2025. Results showed that during the active phase of the first stage of labor, Mrs. S reported significant lower back pain. Following the intervention of counterpressure during contractions and vertical pelvic movements using a birthing ball, the patient felt more relaxed and comfortable. The total duration of the first stage of labor from 3 cm dilation to complete dilation was 5 hours. The infant was delivered spontaneously and healthy, without perineal lacerations; the fetal position descended effectively into the pelvic area and stimulated productive contractions. Based on the comprehensive midwifery care report for Mrs. S, a 26-year-old (G2P1A0) at the Tri Karya Clinic, the researcher concluded that the combination of counterpressure and birthing ball techniques is effective in reducing labor pain intensity (back labor) and accelerating the duration of the first stage of labor by optimizing pelvic diameter and utilizing gravity. Midwives are expected to implement these methods as a standard of "mother-friendly care" to enhance maternal comfort during the birthing process. Abstrak Persalinan merupakan proses fisiologis yang sering disertai nyeri signifikan, yang jika tidak dikelola dengan baik dapat meningkatkan stres pada ibu dan risiko intervensi medis. Teknik non-farmakologis seperti counterpressure dan penggunaan birthing ball merupakan intervensi komplementer yang bertujuan merangsang hormon endorfin dan memanfaatkan gaya gravitasi untuk mempercepat penurunan kepala janin. Tujuan penelitian ini memberikan asuhan kebidanan komprehensif pada Ny. S dengan fokus pada penatalaksanaan nyeri persalinan dan fasilitasi penurunan kepala janin melalui metode counterpressure dan birthing ball. Intsrumen penelitian menggunakan metode pendekatan yang bersifat deskriptif dan didokumentasikan dalam bentuk SOAP. Dalam asuhan ini, penulis mengumpulkan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi daftar pusataka. Penelitian ini dilakukan pada bulan Juni 2025 – Oktober 2025. Dari hasil pada fase aktif kala I, Ny. S melaporkan nyeri punggung bawah yang signifikan. Setelah diberikan intervensi counterpressure selama kontraksi dan penggunaan birthing ball dengan gerakan panggul vertikal, ibu merasa lebih rileks dan nyaman. Total durasi persalinan kala I dari pembukaan 3 cm hingga lengkap berlangsung selama 5 jam. Bayi lahir spontan, sehat, tanpa adanya robekan perineumposisi bayi turun ke area panggul dan merangsang kontraksi. Berdasarkan hasil laporan asuhan kebidanan komperhensif pada Ny.S umur 26 tahun G2P1A0 di Klinik Tri Karya, sehingga peneliti memperoleh kesimpulan sebagai berikut penerapan kombinasi teknik counterpressure dan birthing ball efektif dalam mengurangi intensitas nyeri persalinan (back labor) serta mempercepat durasi kala I melalui optimalisasi diameter panggul dan gravitasi. Bidan diharapkan dapat menerapkan metode ini sebagai standar asuhan sayang ibu untuk meningkatkan kenyamanan selama proses persalinan.]]>
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