Published date: Mar 15 2021

Journal Title: KnE Life Sciences

Issue title: The 4th International Virtual Conference on Nursing

Pages: 475-489

DOI: 10.18502/kls.v6i1.8638

Ernawati Umarernawatiumar08@gmail.comProdi Keperawatan FK Universitas Sultan Ageng Tirtayasa

In women who give birth normally, about 90% of mothers feel labor pain Stage 1. Medically, the pain is categorized as sharp and hot or somatic-sharp and burning. The pain typically starts when the head appears in the vagina. The tissue between the vagina and the anus (perineum) is stretched tight due to the head pushing it open. The mother feels pain due to the tearing of the tissue. Labor pain causes anxiety and fear so that the need for oxygen increases, blood pressure increases, muscles become tense, this condition will lead to prolonged labor, and can be a contributing cause in the death of mothers and babies. To determine the factors that contribute to pain during the first stage of labor in the delivery room dr. Derajat Prawiranegara Hospital Serang in 2019. The research design used was descriptive observational research, to see the factors that contribute to the management of Stage 1 labor pain. The statistical analysis indicates a significant relationship between education, family support, and coping mechanisms with the management of period 1 intrapartum pain, with p-value < 0,05%, while the factors that were not related were age, and parity, for the Stage 1 of labor pain, because the P-value > 0.05%.

[1] Arikunto, S. (2006). The Research Procedure is a Practical Approach. Jakarta: Rineka Cipta.


[2] Bobak, IM, Lowdermilk, DL, Jensen MD,. (2004). Textbook of Maternity Nursing (4th ed.). Jakarta: EGC.


[3] Judha, M., et al. (2012). The Theory of Measurement of Labor Pain and Pain. Medical Book Yogyakarta


[4] Mander, R. (2004). Labor Pain. Jakarta: EGC.


[5] Mirzanie, M. (2005). Pediatricia. Jakarta: Tosca Enterprise.


[6] Notoatmodjo, S. (2010). Health Research Methods. Jakarta: PT Rineka Cipta.


[7] Nursalam. M (2008). Concept and Application of Professional Nursing Research Methodology. Salemba Medika. jakarta


[8] Rosemary. M. (2004). Labor Pain. Jakarta: EGC.


[9] Adam, J. (2015). The Relationship between Age, Parietas and Assistance with the Intensity of the Stage 1 Labor Pain in the Active Phase of Deceleration in the Delivery Room of Prof. Dr. H. Aloel Saboe Gorontalo City. Journal Ilmu Kesehatan Masyarakat Unsrat (JIKMU) , vol. 5, (4).pp 406-41


[10] Afritayeni, A. (2017). Relationship of Uur, Parity and Childbirth Assistance with the Intensity of Stage 1 Labor Pain. Journal of Endurance, vol. 2, issue 2, pp. 178-185.


[11] Astuti, H. P. (2012). The Relationship between Characteristics of Pregnant Women and Level of Knowledge about Hazard Signs in Pregnancy at Puskesmas Sidoharjo, Sragen Regency. Kusuma Husada Health Journal. Surakarta. Vol. 3. Issue 4. pp.1-13


[12] Ayu, N. G. and Supliyani, E. (2017). Maternal Characteristics related to the Intensity of 1st Stagelabor Pain in Bogor City. Malahayati Journal of Midwifery, vol. 3, issue 4.pp 116-122


[13] Baiti. B (2007). Childbirth Pain. Retrieved March 26, 2018 from http://rumahkusorgaku.multiply.com/ journal/item/105.


[14] Camann, W. (2005) Pain relief during labor. New England Journal Of Medicine 352 (7): 718-720.


[15] Chang, M. and Chen, S. (2002). Factors Related to Perceived Labor Pain in Primiparas. Kaohsiung. Journal Medical Science (J.Med Sei), vol. 602, issue 4.pp 604-609


[16] Emi, JP. Vidya S (2015) The effect of selected antenatal exercises in reduction of labor pain among primigravid. Journal South Asian Feder Obstetric Gynecolog ( JSAFOG) 7 (3) pp: 185-190


[17] Farida, S. (2016). The Effectiveness of Deep Breath Relaxation on First Stage Labor Pain at BPM Fajar Endrowati Boyolali. Journal of Maternity, vol. 3, issue 3.pp 89-97


[18] Magfuroh, A. (2012). Factors Associated with Active Phase 1 Childbirth Pain in the Maternity Room of the Tangerang District General Hospital in. Journal UIN Syarif Hidayatullah Jakarta. 2012.


[19] Nurbaeti, I. (2015). The Effectiveness of Toward Decreasing Anxiety and Labor Pain During Active Phase of First Stage Among Primigravida. The Nursing Departement, Journal of Ners, UIN Syarif Hidayatullah. vol. 10, issue 1, pp. 30-37.


[20] Nurhayati, S. M. and Nurjanah, S. U. (2020). Decreased Intensity of Labor Pain during the 1st Phase of Active with Terafi Murotal. Journal of Telenursing (JOTING), vol. 2, issue 1, pp. 21-30.


[21] Nuryanti, Y., Nisman, W. A. and Siswosudarmo, R. (2017). Benefits of Hypnobirthing Relaxation Exercise in the 1st Stage of Labor Process. Indonesian National Nursing Journal (JPPNI), vol. 1, issue 3, pp. 200-206.


[22] Palupi, F. H. (2014). Differences in the Anxiety Level of Primigravida and Multigravida in Facing the 1st Stage of Labor at the Ngudi Saras Jaten Karanganyar Maternity Home in 2014. Jurnal Kesehatan Kusuma Husada Surakarta, January 2014.vol.5 issue 4.pp 9-13


[23] Pirdel, M. (2009). Perceived Environmental Stressors and Pain Perception During Labor Among Primiparous and Multi Parous Women. Journal Reproduction and Infertility vol. 10, issue 3, pp. 217-223.


[24] Rahmawati, A., Hartati, H. and Sumarni, S. (2016). Analysis of the Relationship between the Levels of Anxiety and Pain at the 1st Stage of Primipara Delivery in the Work Area of the Pekalongan City Health Center. Pekalongan City R&D Journal. vol.10.issue 5.pp 43-49.


[25] Sulistiyawati, I. (2012). The Relationship Between Work, Income, Knowledge of Elderly Attitudes and Visits to Elderly Posyandu. STRADA Health Scientific Journal, vol. 1, issue 2, pp. 14-20.


[26] Titisari, I., Setiani, C. D. and Antono, S. D. (2020). The Relationship between Mother’s Anxiety Level and Prolonged Labor in Pregnant Women during 1st Stage of Primigravida Active Phase at Aura Syifa Hospital, Kediri Regency, 2019. Journal of Health Sciences, vol. 8, issue 2, pp. 168-173.


[27] Wahyuni, S. and Wahyuningsih, E. (2016). The Effect of Massage Effleurage on the Level of Active Phase I Labor Pain in Maternal Delivery at PKU Muhammadiyah Delanggu Klaten Hospital 2015. Involution, Journal of Midwifery Science, vol. 5, issue 10.pp 44-53


[28] Yuliastanti, T. and Nurhidayati, N. (2013). Husband Assistance and Pain Scale during Active Phase 1 Childbirth. Bidan Prada: Journal of Midwifery Publications Akbid YLPP Purwokerto, vol. 4, issue 01.pp 1-14.


[29] Anggorowati, A. and Nanda, D. N. Effect of Counter Pressure to Sacrum on Labour Pain of Active the Phase First Stage in Primipara. Presented at 3 rd International Nursing Conference Health and the Impact of Global Warming. Depart of Nursing, University of Dipanegoro, Semarang. December 13,2019 e_Journal University of Dipanegoro (ePrinth)


[30] Jones, L., et al. Pain Management for Women in Labor. An Overview of Systematic Reviews. The Cochrane Collaboration, issue 3. E-Journal Cochrane Library, March 14, 2012


[31] Erin, A. (2014). The Relationship between Husband’s Support and Anxiety Levels of Pregnant Women Facing Childbirth at Puskesmas Turi Sleman. (Doctoral Dissertation, Alma Ata University, 2014).


[32] Kartini, F. (2017). The Effectiveness of Birt Ball Exercise on the Reduction of Stage 1 Labor Pain in the Active Phase in Primigravidas. (Doctoral Dessertation, University Alma Alta, 2017).


[33] Pasaribu, W. R. K. (2018). Relationship between Husband Support and Smooth Delivery at the Clinic Midwife Dongsina Sitinjak, Tebing Tinggi City in 2018. (Doctoral Dissertation, Helvetia Institute of Health, 2018).


[34] Puspita, A. D. (2013). Analysis of Factors that Affect Labor Pain in Stage 1 Childbirth Active Phase at Stimulating Puskesmas in 2013. (Doctoral Dissertation, Universitas Aisyiyah Yogyakarta, 2013).


[35] Sarwinanti, S. (2015). The Relationship between Childbirth Assistance and the Length of Time of Childbirth when Mother gave birth at PKU Muhammadiyah Yogyakarta Hospital. (Doctoral Dissertation, Universitas Aisyiyah Yogyakarta, 2015).