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Abstrak :
Latar belakang dan tujuanNyeri biasanya dianggap sebagai suatu fenomena patologis. Tetapi nyeri yang berhubungan dengan persalinan mempunyai makna berbeda pada wanita dan sangat bergantung pada pengalaman nyeri serta konstribusi ibu pada pengendalian nyeri tersebut. Ketika seorang wanita merasa bahwa suatu persalinan, terdiri dari lsquo;nyeri dan kerja keras rsquo;, dan rasa nyeri yang lama dan tak tertahankan dapat mengganggu ibu serta bayi, maka saat itulah diperlukan intervensi pengendalian rasa nyeri pada persalinan. Telah banyak metode yang dipergunakan dalam penanggulangan nyeri pada persalinan salah satunya adalah akupunktur. Penelitian ini ditujukan untuk melihat efek terapi akupunktur terhadap pengurangan nyeri ibu bersalin normalMetodePenelitian ini memakai metode Randomized Clinical Trial With Control. Penelitian ini dilakukan terhadap 50 wanita bersalin normal. Terdiri dari 25 orang kelompok kasus dan 25 orang kelompok kontrol. Kedua kelompok mendapat perlakuan sama sesuai protokol kebidanan wanita akan melahirkan. Pada kelompok kasus diberikan terapi akupunktur pada saat kala 1 aktif atau dimana rasa nyeri mulai mengganggu, sedangkan pada kelompok kontrol tidak. Dilakukan penilaian terhadap NAS nyeri persalinan, dihitung jumlah dan lama his. Lama kala 2 dan membandingkan APGAR Score bayiHasilTerapi akupunktur mempunyai efek terhadap pengurangan nyeri persalinan dengan dilihat pada kelompok kasus secara bermakna. ......Back Ground and PurposePain is usually regarded as a pathological phenomenon. But the pain associated with childbirth have different meanings in women and relies heavily on the experience of pain as well as the mother 39 s contribution is on controlling the pain. When a woman feels that a labor, consists of 39 pain and hard work 39 , and the prolonged pain and unbearable can interfere with the mother and the baby, that 39 s when the necessary interventions for controlling pain in childbirth. Many methods have been used in pain relief in childbirth one is acupuncture. This study aimed to look at the effect of acupuncture therapy against a reduction of the normal maternity mother pain researchMethodThis method of wear of Randomized Clinical Trial With Control. Research. This research was conducted against 50 women maternity normally. Consists of 25 people groups of case and control groups of 25 people. Both groups received the same treatment protocol accordingly obstetrics women will give birth. In the case group was given acupuncture therapy at the time of the fase 1 active or where the pain starts to interrupt, whereas in the control group did not. Conducted assessment of the NAS calculated the amount of labor pain, and long and intensity of the uterus contraction . Long fase 2 and compare the APGAR Score baby.Results of acupuncture Therapy has an effect against the reduction of labor pain with views on this group of cases significantly p 0.05 Acupuncture Therapy Conclusion have the effect of a reduction of labor pain. Strengthen uterus contraction, speed up fase 2 and has no side effects on the mother and baby.

Abstrak :
[ABSTRAK
Nyeri dan kecemasan merupakan hal yang normal ketika ibu menghadapi persalinan, namun jika mengalami nyeri dan kecemasan yang berlebihan akan menimbulkan komplikasi selama proses persalinan. Penelitian ini bertujuan untuk mengetahui pengaruh paket Touching, Massage, Acupressure (T.M.A) oleh keluarga terhadap nyeri persalinan dan proses persalinan. Penelitian ini merupakan operasional research. Sampel dalam penelitian ini 94 ibu hamil yang dibagi menjadi dua kelompok yaitu 47 orang sebagai kelompok intervensi dan 47 kelompok kontrol yang diambil dengan teknik consecutive sampling. Pengumpulan data menggunakan kuesioner FPRS, FAS, lembar observasi proses persalinan dan wawancara. Hasil wawancara keluarga mengatakan bahwa pengetahuan keluarga bertambah dan adanya manfaat setelah penerapan paket T.M.A. Hasil uji statistik dengan menggunakan Chi Square menunjukan bahwa ada perbedaan yang bermakna pada proses persalinan (power, p=0,028); passanger p=0,006; passageway p=0,048; position p=0,048; psikologis p=0,000) dan nyeri persalinan (p=0,003) antara kedua kelompok intervensi dan kontrol. Hal ini menunjukan bahwa pendampingan keluarga dengan menggunakan paket T.M.A berpengaruh terhadap proses persalinan dan nyeri persalinan. Paket T.M.A diharapkan menjadi intervensi non farmakologis dalam keperawatan untuk menurunkan nyeri dan kecemasan pada ibu bersalin.

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ABSTRACT
Pain and anxiety is normal when a mother facing labor. Excessive pain and anxiety will cause complications during childbirth. This research aimed to know the effect of touching package, Massage, Acupressure (TMA) by the family to the pain of labor and delivery process. This research operasional research. The sample were 94 pregnant women that divided into two groups: 47 as intervention group and 47 control group that taken with consecutive sampling technique. Collection data using questionnaires FPRS, FAS and observation sheet delivery process. The results obtained in the interview, participant said that family knowledge has increased and they feel the benefit of the TMA package. The quantitatif result showed there was a significant difference in labor process (power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048; psychological response p=0,000) and pain (p=0,003) between the intervention and control groups. This shows that the family what used TMA package influence on labor process and pain. Touching package, Massage, Acupressure (TMA) is expected as an intervention non farmakologis in decreased pain and anxiety maternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain and anxiety will cause complications during childbirth. This research aimed to know the effect of touching package, Massage, Acupressure (TMA) by the family to the pain of labor and delivery process. This research operasional research. The sample were 94 pregnant women that divided into two groups: 47 as intervention group and 47 control group that taken with consecutive sampling technique. Collection data using questionnaires FPRS, FAS and observation sheet delivery process. The results obtained in the interview, participant said that family knowledge has increased and they feel the benefit of the TMA package. The quantitatif result showed there was a significant difference in labor process (power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048; psychological response p=0,000) and pain (p=0,003) between the intervention and control groups. This shows that the family what used TMA package influence on labor process and pain. Touching package, Massage, Acupressure (TMA) is expected as an intervention non farmakologis in decreased pain and anxiety maternal., Pain and anxiety is normal when a mother facing labor. Excessive pain and anxiety will cause complications during childbirth. This research aimed to know the effect of touching package, Massage, Acupressure (TMA) by the family to the pain of labor and delivery process. This research operasional research. The sample were 94 pregnant women that divided into two groups: 47 as intervention group and 47 control group that taken with consecutive sampling technique. Collection data using questionnaires FPRS, FAS and observation sheet delivery process. The results obtained in the interview, participant said that family knowledge has increased and they feel the benefit of the TMA package. The quantitatif result showed there was a significant difference in labor process (power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048; psychological response p=0,000) and pain (p=0,003) between the intervention and control groups. This shows that the family what used TMA package influence on labor process and pain. Touching package, Massage, Acupressure (TMA) is expected as an intervention non farmakologis in decreased pain and anxiety maternal.]

Abstrak :
[ABSTRAK
Nyeri dan kecemasan merupakan hal yang normal ketika ibu menghadapi persalinan, namun jika mengalami nyeri dan kecemasan yang berlebihan akan menimbulkan komplikasi selama proses persalinan. Penelitian ini bertujuan untuk mengetahui pengaruh paket Touching, Massage, Acupressure (T.M.A) oleh keluarga terhadap nyeri persalinan dan proses persalinan. Penelitian ini merupakan operasional research. Sampel dalam penelitian ini 94 ibu hamil yang dibagi menjadi dua kelompok yaitu 47 orang sebagai kelompok intervensi dan 47 kelompok kontrol yang diambil dengan teknik consecutive sampling. Pengumpulan data menggunakan kuesioner FPRS, FAS, lembar observasi proses persalinan dan wawancara. Hasil wawancara keluarga mengatakan bahwa pengetahuan keluarga bertambah dan adanya manfaat setelah penerapan paket T.M.A. Hasil uji statistik dengan menggunakan Chi Square menunjukan bahwa ada perbedaan yang bermakna pada proses persalinan (power, p=0,028); passanger p=0,006; passageway p=0,048; position p=0,048; psikologis p=0,000) dan nyeri persalinan (p=0,003) antara kedua kelompok intervensi dan kontrol. Hal ini menunjukan bahwa pendampingan keluarga dengan menggunakan paket T.M.A berpengaruh terhadap proses persalinan dan nyeri persalinan. Paket T.M.A diharapkan menjadi intervensi non farmakologis dalam keperawatan untuk menurunkan nyeri dan kecemasan pada ibu bersalin.

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ABSTRAK
Pain and anxiety is normal when a mother facing labor. Excessive pain and anxiety will cause complications during childbirth. This research aimed to know the effect of touching package, Massage, Acupressure (TMA) by the family to the pain of labor and delivery process. This research operasional research. The sample were 94 pregnant women that divided into two groups: 47 as intervention group and 47 control group that taken with consecutive sampling technique. Collection data using questionnaires FPRS, FAS and observation sheet delivery process. The results obtained in the interview, participant said that family knowledge has increased and they feel the benefit of the TMA package. The quantitatif result showed there was a significant difference in labor process (power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048; psychological response p=0,000) and pain (p=0,003) between the intervention and control groups. This shows that the family what used TMA package influence on labor process and pain. Touching package, Massage, Acupressure (TMA) is expected as an intervention non farmakologis in decreased pain and anxiety maternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain and anxiety will cause complications during childbirth. This research aimed to know the effect of touching package, Massage, Acupressure (TMA) by the family to the pain of labor and delivery process. This research operasional research. The sample were 94 pregnant women that divided into two groups: 47 as intervention group and 47 control group that taken with consecutive sampling technique. Collection data using questionnaires FPRS, FAS and observation sheet delivery process. The results obtained in the interview, participant said that family knowledge has increased and they feel the benefit of the TMA package. The quantitatif result showed there was a significant difference in labor process (power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048; psychological response p=0,000) and pain (p=0,003) between the intervention and control groups. This shows that the family what used TMA package influence on labor process and pain. Touching package, Massage, Acupressure (TMA) is expected as an intervention non farmakologis in decreased pain and anxiety maternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain and anxiety will cause complications during childbirth. This research aimed to know the effect of touching package, Massage, Acupressure (TMA) by the family to the pain of labor and delivery process. This research operasional research. The sample were 94 pregnant women that divided into two groups: 47 as intervention group and 47 control group that taken with consecutive sampling technique. Collection data using questionnaires FPRS, FAS and observation sheet delivery process. The results obtained in the interview, participant said that family knowledge has increased and they feel the benefit of the TMA package. The quantitatif result showed there was a significant difference in labor process (power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048; psychological response p=0,000) and pain (p=0,003) between the intervention and control groups. This shows that the family what used TMA package influence on labor process and pain. Touching package, Massage, Acupressure (TMA) is expected as an intervention non farmakologis in decreased pain and anxiety maternal., Pain and anxiety is normal when a mother facing labor. Excessive pain and anxiety will cause complications during childbirth. This research aimed to know the effect of touching package, Massage, Acupressure (TMA) by the family to the pain of labor and delivery process. This research operasional research. The sample were 94 pregnant women that divided into two groups: 47 as intervention group and 47 control group that taken with consecutive sampling technique. Collection data using questionnaires FPRS, FAS and observation sheet delivery process. The results obtained in the interview, participant said that family knowledge has increased and they feel the benefit of the TMA package. The quantitatif result showed there was a significant difference in labor process (power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048; psychological response p=0,000) and pain (p=0,003) between the intervention and control groups. This shows that the family what used TMA package influence on labor process and pain. Touching package, Massage, Acupressure (TMA) is expected as an intervention non farmakologis in decreased pain and anxiety maternal.]

Abstrak :
Respon nyeri pada tiap individu berbeda satu sama lain karena sensasi nyeri merupakan pengalaman yang subjektif. Studi terdahulu menunjukkan, perbedaan respon nyeri dipengaruhi oleh berbagai faktor, salah satunya adalah latar belakang budaya. Dalam perspektif budaya, respon nyeri terbagi menjadi dua kategori, yaitu private pain dan public pain. Tujuan dari penelitian ini adalah mendeskripsikan respon nyeri pada ibu pasca persalinan dengan latar belakang budaya Jawa. Penelitian ini menggunakan desain deskriptif kuantitatif yang bertujuan untuk menyajikan gambaran respon nyeri secara statistik. Penelitian ini melibatkan 67 responden yang dipilih dengan menggunakan teknik quota sampling. Pengambilan data dilakukan dengan menggunakan kuesioner untuk kemudian dianalisis secara univariat. Hasil penelitian menunjukkan 91% responden memiliki kecenderungan public pain. Rekomendasi yang diajukan bagi penelitian selanjutnya adalah untuk melihat kecenderungan secara lebih luas dan mendalam, perlu dilakukan penelitian dengan menggunakan studi fenomenologi, analisis multivariat atau studi longitudinal. ...... Individual responses of pain are distinctive from each other due to subjective senses experiences. The former study showed that the difference of pain responses are influenced by a number of factors including of culture background. In terms of culture perspective, responses of pain include of two categories: private-pain and public-pain. This study aims to describe responses of pain after childbirth occurring mothers with Javanese culture background. This research used quantitative descriptive design approach in the purpose of presenting description of pain responses statistically. For data sampling, 67 respondents were selected based on quota sampling technique. Data collection with questionnaire was used for univariate analysis. This research showed that 91% respondents have tendency to public pain. Recommendations for future related research are broader and deeper study of its tendency, necessity of research with the study of phenomenology, and multivariate analysis or the longitudinal study.

Abstrak :
ABSTRAK Peran suami sangat penting untuk membantu istri dalam mengurangi nyeri persalinan. Cara yang dapat dilakukan oleh suami antara lain massase, relaksasi napas dalam, imajinasi, posisi dan kompres. Tujuan penelitian ini untuk menggambarkan pengalaman cara suami membantu mengurangi nyeri persalinan istri. Penelitian ini menggunakan metode kuantitatif dengan desain deskriptif sederhana. Sampel penelitian terdiri dari suami yang mendampingi dan memberikan dukungan serta cara untuk mengurangi nyeri selama persalinan sebanyak 43 orang. Pengambilan sampel menggunakan teknik purposive sampling dimana sampel diambil berdasarkan tujuan yang telah ditetapkan. Penelitian ini menggunakan instrumen kuesioner. Hasil penelitian menunjukkan bahwa 70% lebih responden menggunakan teknik relaksasi napas dalam, massase atau sentuhan, perubahan posisi serta teknik distraksi. Sedangkan kurang dari 50% responden menggunakan teknik kompres untuk mengurangi nyeri persalinan. Hasil penelitian merekomendasikan untuk meningkatkan peran suami dalam mengurangi nyeri persalinan.

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ABSTRACT Husband role is very important to help his wife to reduce labour pain. Several ways can be done by husband, such as massage, deep breathing relaxation, guided imagery, positioning and compress. The purpose of this research was to describe husband's experience to help reducing wife's labour pain. This research used quantitative method with simple descriptive design. Samples consist of 43 husbands who were accompanying, providing, and helping his wife to reduce pain during labour experiences. This study used purposive sampling where sample taken based on intended purpose. This research used questionnaire as instrument. The result showed that more than 70% of respondents used deep breathing relaxation, massage, position changes as well as guided imagery, whereas less than 50% of respondents used the compresses technique to reduce labour pain. Researcher suggests husbands to increase their role in reducing labour pain.

Abstrak :
Rasa nyeri persalinan yang tinggi dapat menimbulkan kecemasan pada ibu, terutama pada ibu primigravida. Nyeri yang tidak bisa diadaptasi oleh ibu yang akan melahirkan dapat meningkatkan perasaan cemas pada ibu, rasa cemas tersebut dapat menyebabkan terjadinya persalinan yang lama, sehingga kekuatan ibu akan habis saat persalinan yang berakibat terhadap kejadian perdarahan serta kala II lama. Tujuan penelitian ini untuk menge- tahui pengaruh pijat terhadap pengurangan rasa nyeri persalinan fase aktif, lama kala II, dan perdarahan persalinan pada primigravida di Puskesmas Magelang Selatan. Penelitian ini merupakan penelitian desain kuasi eksperimental bentuk perbandingan kelompok statistik, yaitu mem- berikan perlakuan atau intervensi, kemudian dilakukan pengukuran atau observasi. Hasil pengukuran pada kelompok perlakuan dibandingkan de- ngan kontrol. Skala rasio digunakan. Subjek penelitian sebanyak 40 orang. Analisis data dengan uji Mann Whitney didapatkan hasil ada pengaruh pi- jat punggung terhadap adaptasi rasa nyeri persalinan fase aktif, lama per- salinan kala II dan perdarahan persalinan pada primigravida dengan nilai p= 0,001.

Severe labour pain can cause anxiety especially in primigravida. Many mothers who experience labour have not got action yet to minimize labour pain, If labour pain cannot be decreased, it will cause mother anxiety, that anxiety result in long labour, so energy will decrease that can cause labour bleeding. Therefore it is needed to take action to minimize labour pain. One of that action was back massage that could stimulate endorphine, so the pain will decrease. The objectives of this study was to know the influence of massage towards the decrease of labour pain in active fase, lenght of stage II, and labour bleeding in primigravida at Publich Health Center Magelang Selatan. Quasi-experimental design was applied with static group comparation. The design gave intervention, then measurement and obser- Pengaruh Pijat Punggung terhadap Adaptasi Nyeri Persalinan Fase Aktif Lama Kala II dan Perdarahan Persalinan pada Primigravida The Influence of Back Massage toward the Decrease of Labor Pain in Active Phase Length of Stage II and Labor Bleeding in Primigravida Wiwin Renny Rahmawati, Siti Arifah, Anita Widiastuti vation was conducted. The intervention group result was compared to con- trol. Ratio scale was used. Subject of this research was 40 person. After analizing data by man Whitney test, here are the influence of back massage toward the decrease of pain labour in active fase, lenght of labour kala II and labour bleeding in primigravida with p value= 0.001.

Abstrak :
ABSTRAK
Latar Belakang: Persalinan merupakan suatu proses fisiologis, namun berkaitan dengan nyeri dan rasa tidak nyaman. Selain itu induksi persalinan merupakan suatu intervensi dari luar terhadap proses alami kehamilan sehingga menginisiasi terjadinya kontraksi uterus dan dilatasi serviks Saat ini belum ada studi yang membandingkan nyeri persalinan spontan dan nyeri induksi persalinan. Tujuan: Mengetahui perbedaan nyeri persalinan spontan dan nyeri induksi persalinan pada kala I dengan his 2-3 kali dalam 10 menit dan lama his 20-40 detik, kala I dengan his 4 kali dalam 10 menit dan lama his lebih dari 40 detik, kala IV dan satu hari pasca persalinan. Metode: Penelitian dengan desain kohort prospektif membandingkan 50 ibu persalinan spontan dan 50 ibu yang menjalani induksi persalinan sesuai dengan kriteria inklusi dan eksklusi. Sampel didapatkan dari RS Cipto Mangunkusumo dan RS jejaring lainnya periode Juli 2013- September 2013. Intensitas nyeri dinilai dengan Visual Analogue Scale. pada persalinan spontan dan induksi persalinan . Perbandingan data antara dua kelompok dianalisis dengan uji Mann-Whitney Hasil : Didapatkan skor nyeri ibu dengan persalinan spontan dibandingkan induksi persalinan pada kala I his 2-3x/10 menit lama his 20-30 detik (5,00 vs 6,00, nilai tengah semu 38,36 vs 62,64, p <0,001), saat kala I his 4x/10 menit lama his lebih dari 40 detik (10,00 vs 10,00, nilai tengah semu 45,50 vs 55,50, p= 0,013), kala IV (1,00 vs 1,00, nilai tengah semu 44,53 vs 56,48, p 0,020). Sedangkan pada skor nyeri ibu satu hari pasca persalinan didapatkan nilai median yang lebih tinggi pada skor nyeri pasien dengan persalinan spomtan dan induksi persalinan (1,00 vs 0,00, nilai tengah semu 46,00 vs 55,00, p=0,072) nilai p > 0,05 menunjukkan tak ada perbedaan bermakna. Kesimpulan : Persalinan induksi lebih nyeri dibandingkan persalinan spontan pada kala I dengan his 2-3 kali dalam 10 menit dan lama his 20-40 detik, kala I his lebih dari 4x /10 menit lama his lebih dari 40 detik dan kala IV. Pada penilaian satu hari pasca persalinan, tidak ada perbedaan bermakna secara statistik pada ibu persalinan spontan dengan induksi persalinan

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ABSTRAK
Background:Childbirth is a physiological process, but associated with pain and discomfort. In addition, the induced labor is an external stimulation for the natural process of pregnancy as to initiate uterine contractions and cervical dilation. Currently no studies comparing the pain between spontaneous labor and induced labor . Objectives:Knowing the difference in spontaneous labor pain and induced labor pain during 2-3 times in 10 minutes of contractions within 10 minutes in the first stage was 20-40 seconds length of contractions,4 times of contractions in the first stage wich was more than 40 seconds length of contraction,in the fourth stage of labor and one day after the birth. Methods: An analytical cohort study, with 50 women undergoing spontaneous labor and compared with 50 women undergoing induced labor, accordance with the inclusion and exclusion criteria. Samples obtained from Cipto Mangunkusumo and others networking hospital period July 2013 - September 2013. The Pain intensity in spontaneous labor and induced labor was assessed by Visual Analogue Scale. Comparison of data between the two groups were analyzed with the Mann-Whitney test Results: Obtained pain scores by VAS compared to women with spontaneous labor and induction of labor respectively, in the first stage with contraction 2-3 times in 10 minutes with 20-40 seconds length of contraction (5.00 vs 6.00, mean rank 38.36 vs. 62.64 , p <0.001) , in the first stage with contractions 4 time in 10 minutes more than 40 seconds length of contraction (10.00 vs. 10.00,mean rank 45.50 vs 55.50, p = 0.013), fourth stage of labor (1.00 vs. 1.00 , mean rank 44.53 vs. 56.48, p 0.020). While the pain score on one day after the birth (1.00 vs 0.00 , mean rank 46.00 vs. 55.00 , p 0,072). Conclusion: Induced labor more painful than spontaneous labor in the first stage with contraction 2-3 times in 10 minutes with 20-40 seconds length of contraction, the first stage with contractions 4 time in 10 minutes more than 40 seconds length of contraction and at the fourth stage of labor. On one day after the birth assessment, there was no statistically significant difference at spontaneous labor pain compared with induced labor pain.

Abstrak :
Akupresur dapat merangsang pelepasan oksitosin untuk induksi persalinan dan juga dapat mengelola nyeri selama persalinan. Penelitian ini bertujuan untuk mengidentifikasi pengaruh akupresur terhadap tingkat nyeri dan lama persalinan ibu primipara. Penelitian ini merupakan penelitian kuantitatif dengan design cross sectional. Jumlah sampel 81 responden direkruit dari RSUD dr Slamet dan RSAD Guntur Garut. Hasil penelitian menunjukkan karakteristik responden pada ibu yang mendapat akupresur dan tidak mendapat akupresur adalah homogen (p > alpha, α: 0,05) dan Akupresur berpengaruh secara signifikan terhadap nyeri dan lama persalinan dengan P<0,05. Sehingga akupresur efektif digunakan untuk mengurangi tingkat nyeri dan lama persalinan kala I. ......Acupressure is able to stimulate the release of oxytocin for delivery induction and manage the pain during delivery term. The research is aimed to identify the influence of acupressure toward the delivery pain and its duration of Primiparaous mother. This research used quantitative with cross-sectional design method. Meanwhile, the eighty one- respondent sample of this research were collected from RSUD dr.Slamet and RSAD Guntur Garut. The result showed that the respondent?s characteristic of mother who treated with and non-acupressure was homogeny (p>alpha, α: 0, 05) and acupressure influenced toward delivery pain and duration with p<0, 05 significantly. Hence, Acupressure is effectively used in reducing delivery pain level and its duration on the first stage.

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ABSTRAK
Kesiapan meningkatkan proses melahirkan merupakan suatu hal yang harus diperhatikan pada periode kehamilan. Hal tersebut dapat dilakukan dengan memberikan edukasi kepada ibu hamil dan pasangannya mengenai fisiologi persalinan, edukasi tanda dan gejala persalinan, edukasi pentingnya keterlibatan pasangan atau keluarga saat persalinan, dan edukasi manajemen nyeri persalinan. Materi edukasi manajemen nyeri persalinan yang dapat perawat berikan antara lain cara untuk menghadapi nyeri persalinan. Kesiapan meningkatkan proses melahirkan menjadi masalah keperawatan utama pada Ny. M berkaitan dengan persiapan ibu menghadapi nyeri persalinan. Implementasi yang dilakukan untuk masalah tersebut adalah dengan melakukan manajemen nyeri nonfarmakologis dengan teknik counterpressure. Evaluasi dari tindakan tersebut adalah skala nyeri klien berkurang dan klien mampu beradaptasi terhadap nyeri dengan menerapkan teknik tersebut. Hasil karya ilmiah ini merekomendasikan pelayanan kesehatan dapat membuka kelas edukasi bagi ibu hamil dan pasangannya, yang menekankan pada adaptasi proses melahirkan.

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ABSTRACT
Readiness for enhanced childbearing process is a matter of concern for the period of pregnancy. This can be done by providing education to pregnant women and their partners about the physiology of labor, signs and symptoms of labor, the importance of the involvement of spouses or families during childbirth, and management of labor pain. Maternity management education materials that nurses can be provided is ways to deal with labor pain. Readiness for enhanced childbearing process becomes a major nursing problem in Mrs. M which is related to the preparation of the mother to deal with labor pain. Implementation carried out for the problem is to perform nonpharmacologic pain management with counterpressure techniques. Evaluation of the intervension is reduce client pain scale and able to adapt the pain by applying the technique. The results of this scientific work recommends that health care can open an education class for pregnant women and their partners, emphasizing the adaptation of the childbearing process.

Abstrak :
ABSTRAK
Nyeri, cemas dan takut merupakan sumber stres psikologis pada ibu bersalin. Salah satu tekhnik yang sedang berkembang di Indonesia saat ini untuk menurunkan kecemasan dan nyeri pada proses melahirkan adalah metode nonfarmakologis tekhnik relaksasi hipnosis diri. Tujuan penelitian ini adalah mengidentifikasi pengaruh tekhnik relaksasi hipnosis diri terhadap tingkat nyeri dan lama persalinan ibu primipara. Penelitian dilakukan di RS Ananda Bekasi menggunakan rancangan cross sectional. Pengambilan sampel pada penelitian ini menggunakan non probability sampling dengan quota sampling. Tingkat nyeri dan lama persalinan diukur pada 29 primipara pada kelompok yang menggunakan dan tidak menggunakan. Hasil uji homogenitas karakteristik responden didapatkan nilai p lebih besar dari nilai alpha (p > alpha, α: 0,05). Hasil penelitian menunjukkan tingkat nyeri pada kelompok yang menggunakan tekhnik relaksasi hipnosis diri lebih rendah dibandingkan yang tidak menggunakan tekhnik relaksasi hipnosis diri (p value 0,001 skala FPRS dan p value 0,000 skala VAS), lama persalinan pada kelompok yang menggunakan tekhnik relaksasi hipnosis diri lebih pendek daripada kelompok yang tidak menggunakan tekhnik relaksasi hipnosis diri (p value 0,000). Tekhnik relaksasi hipnosis diri dapat diaplikasikan dalam intervensi keperawatan maternitas untuk menurunkan tingkat nyeri persalinan dan mengurangi resiko persalinan lama.

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ABSTRACT
Pain, anxiety and fear are the source of psychological stressors on intrapartum primiparous women. The psychological stress particulary pain can also influence the duration of labour. It is needed a method to help the woman to reduce it. One of the method is known as self-hypnosis relaxation technique. The purpose of this study is to identify the influence of self-hypnosis relaxation technique on primiparous toward the level of labour pain and the labour duration. The research method used is a cross sectional. The samples are taken with non probability sampling and quota sampling approach. The samples consisted of 29 women in each that are groups that are using and not using the self-hypnosis relaxation technic on their chilbirth. Result showed that each groups are equal or homogen (p > alpha, α 0,05). The group that are using self-hypnosis relaxation technique has less level of the labour pain than the group that are not using self-hypnosis relaxation technique (p value 0,001 with FPRS scale and p value 0,000 with VAS scale), and labour duration in group that are using self-hypnosis relaxation technicque are shorter than labour duration in the group that are not using self-hypnosis relaxation technique ((p value 0,000). Self-hypnosis relaxation technique can be applied as nursing intervention to reduce pain in labor and to decrease the risk of prolonged labor.