Abstract

Childbirth is a physiological thing where there is a series of processes that ended with the
expenditure of the POC. The first stage is the stage that took place since the onset of regular
uterine contractions until full cervical dilatation. Labor uterine contractions cause pain. First
stage of labor pain management were not precise cause women experience severe pain. Massage
counter pressure is one of the non-pharmacological approaches that can be used to reduce labor
pain.
The purpose of this study was to determine differences in the first stage of labor pain scale
before and after the massage counter pressure on women giving birth in Puskesmas Pekuncen
Banyumas 2013. The method used is pre experimental with one group pretest posttest design.
This study uses primary data were taken in June 2013 in Puskesmas Pekuncen Banyumas. The
sample in this study as many as 11 respondents drawn using accidental sampling technique.
Based on the results of the first stage of labor pain scale before the massage counter
pressure on the most severe pain that is 8 respondents (72.7%), while the first stage of labor
pain scale after the massage counter highest pressure at moderate pain that is 10 respondents
(90.9%). Statistical test results using Wilcoxon Signed Ranks Test Z table values obtained are
smaller than the Z count (1.96 <3.000), which means that there are differences in the first stage
of labor pain scale before and after the massage counter pressure. The conclusion from this
research that there are differences in the first stage of labor pain scale before and after the
massage counter pressure on women giving birth in Puskesmas Pekuncen Banyumas in 2013.


Keywords: massage counter pressure, pain scale, first stage of labor