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Pregnancy is a natural physiological process that brings various physical and emotional changes, potentially leading to anxiety, especially among first-time mothers (primigravida). The level of anxiety often varies across trimesters, with higher anxiety levels commonly occurring in the first and third trimesters. Uncontrolled anxiety may negatively affect the labor process by increasing pain perception and disrupting uterine contractions.Previous studies have shown mixed results regarding differences in anxiety levels between primigravida and multigravida mothers, as well as its influence on labor preparedness. A preliminary survey conducted at Bidan Cikmah Lubis Clinic in Tanjungbalai City revealed that most third-trimester pregnant women were not adequately prepared for childbirth, which is suspected to be linked to high anxiety levels. Therefore, this study aims to examine the relationship between maternal anxiety levels and childbirth preparedness. 

Lemon aromatherapy is a type of aromatherapy that can be used to treat pain and anxiety. One of the substances contained in lemon is linalool which is useful for stabilizing the nervous system so that it can have a calming effect on anyone who inhales it. To explore the effects of using lemon aromatherapy in reducing pain in the first stage of labor at the Nurridha Pratama Clinic, Tanjung Selamat Village, Sei Tuan District, Deli Serdang Regency in 2022. The type of quantitative research with a research design using Quasy Experiment with a One Group Pre and Post Test Design. This research was conducted at the Nurridha Pratama Clinic, Tanjung Selamat Village, Sei Tuan District, Deli Serdang Regency in 2022. The population in this study was 15 people, then the sample was part of all the objects studied and was considered to represent the entire population (Notoatmodjo, 2015). The number of samples used was 15 people using the purposive sampling technique. The Data Analysis Technique used calculations with the Paired T Test. The data normality test uses the Shapiro-Wilk value, as a testing criterion, if the significant value is > 0.05 then it can be said that the collected data is normally distributed. The results of the statistical test obtained a significant value with P Value (0.000) <a (0.05) so that Ho is rejected. So it can be concluded that there is an effect of lemon aromatherapy on reducing labor pain in the first stage at the Nurridha Pratama Clinic, Tanjung Selamat Village, Sei Tuan District, Deli Serdang Regency in 2022.

Childbirth is a natural process that every pregnant woman will experience. Most mothers start to feel pain or labor pains during the first active phase. In this phase, most mothers feel severe pain because the uterus begins to become active. In this phase, contractions become stronger and more frequent. One of the duties of a nurse is to assess the condition of pain including the cause of pain, quality of pain, location of pain, how much it interferes with life and the time or duration of pain as well as determining diagnosis, planning, implementation and evaluation. The aim of this study was to determine the effect of counterpreasure techniques and deep breathing relaxation techniques on labor pain in women giving birth during the first active phase at Dr. Hospital. Hafiz Cianjur. This research method uses a pre-experimental research design with a one group pretest-posttest design approach. The sampling technique used was a purposive sampling technique, with a sample of 20 respondents in this study. Data analysis for this study used the Wilcoxon test. The results of the research show that there is an influence of Counterpressure and Deep Breathing Relaxation Techniques before and after on the pain of childbirth, seen from the p-value of 0.000, which means <0.005, so it can be concluded that there is an influence or difference in the level of pain in childbirth in mothers giving birth during the 1st active phase in the delivery room. Dr. Hafiz Cianjur in 2023. The conclusion of this research is that there is an influence of counterpressure and deep breathing relaxation techniques on childbirth pain in women giving birth during the first active phase at Dr Hafiz Cianjur Hospital in 2023.

The problem that most often arises in women giving birth normally is labor pain, this pain occurs due to uterine contractions, dilatation and effacement of the cervix, decreased presentation of the vagina and perineum. If this pain is allowed to persist, the mother feels uncomfortable, anxious, scared and worried, which will help the condition of the mother and fetus. One way to reduce pain is by doing endorphin massage therapy. The aim of this case study is to determine the adaptation of labor pain levels in primigravida mothers after endorphin massage therapy. The method used in this case study was designed using a case study approach with a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using the Numerical Rating Scale (NRS). The results of the case study show that the average pain level of the two patients after being given endorphin massage therapy intervention for ± 2 hours changed from severe pain to moderate pain and the patients looked more comfortable, calm and relaxed. The conclusion of this case study shows that there were changes that occurred after the endorphin massage therapy intervention was given to the two patients and the pain scale decreased so that the two patients were able to adapt to the pain they felt.

This study aims to determine the effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the Independent Midwife Practice of Pertiwi Sengkang, Wajo Regency. This type of research is quantitative research using the Pre-experimental design method "One Group pretest - posttest design". The sampling technique used in this study used total sampling with a total sample of 30 mothers giving birth at the Pertiwi Sengkang Midwife Independent Practice, Wajo Regency, while data analysis used the Wilcoxon Signed Rank test. The results of the study showed a p-value of 0.000 (p <0.05) which means that the alternative hypothesis is accepted. This means that the alternative hypothesis is that there is an effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the independent practice of midwives in Pertiwi Sengkang, Wajo district. By him, it is hoped that health workers, especially midwives as birth attendants, can help mothers in childbirth to meet their needs for comfort in controlling pain and can use classical music therapy in the delivery process which helps mothers in labor to reduce pain during labor.

The trimester III pregnant women at Public Health Care Tempel 2 were anxious while preparing for their delivery, such as the anxiety of giving birth abnormally, the fear of incapability to endure the labor pain, the situation of the pregnant women after giving birth, the unwanted delivery, and the situation of not meeting the babies after the delivery. This research determined the influence of Yoga calisthenics and classic Mozart therapy on the anxiety level of trimester III pregnant women at Public Health Care Tempel 2. This quantitative research applied a pre- experimental model with a one-group-pretest-posttest design. The population consisted of 50 trimester III pregnant women at Public Health Care Tempel 2. The researcher took 33 pregnant women as the samples with a purposive sampling technique. The researcher analyzed the data with Shapiro-Wilk. The result showed a p-value of 0.000, indicating abnormal data distribution. The result of the Wilcoxon test obtained a p-value of 0.000. The result denies Ho and accepts Ha, indicating the influence of Yoga calisthenics and classic Mozart music therapy on the anxiety level while preparing for the delivery of trimester III pregnant women. From the Wilcoxon test, the obtained Z-count is 4.347. From the Wilcoxon test, the researcher found the Z-count was 4.347, indicating Yoga calisthenics and classic Mozart therapy could relieve the anxiety of the respondents by 4.347 while preparing for their delivery. The implementations of Yoga calisthenics and classic Mozat music therapy influence the endocrine hormone to relieve the anxiety while preparing the delivery and make the trimester III pregnant women relax.

Warm water compresses given to a woman's lower back in the area where the fetal head presses on the spine will reduce pain, heat will increase circulation to the area thereby correcting tissue anoxia caused by pressure. This study aims to determine the effect of warm compresses on reducing labor pain during the first active phase. This type of research is Quasi experiment, which is research that is used to determine whether or not there are consequences of "something" imposed on the subject being studied by looking for the effect of certain treatments on others under controlled conditions. A sample is a portion taken from all objects studied and is considered to represent the entire population. The sample in this study was 20 people in one intervention group. The sampling technique was Purposive Sampling, namely taking samples according to the criteria determined by the researcher. Data collection techniques use questionnaire sheets and respondent observation sheets. The data analysis technique uses the Independent T test. Statistical testing uses parametric analysis with the significance of the test results determined based on the p value <0.05. Based on the statistical test results, it is known that the p value is 0.001<0.05 which means that there is an influence on the intensity of pain before and after administration. Warm Compress. This research means that there is a significant relationship between the effect of warm compresses on reducing labor pain during the first active phase at PMB Pera Simalingkar B Medan Tuntungan in 2023

Introduction : Mastoiditis is inflammation that occurs in the mastoid bone located in the temporal bone. Mastoiditis can affect all ages, both children and adults. The most frequent cause of the disease is stressptococcus pneumonia. This disease requires surgery as soon as possible. Mastoiditis can develop into a bezold abscess if left untreated. Case report: This case report is about a 31-year-old male patient complaining of swelling the size of a marble seed on the bone behind the right ear ± 1 week, swelling from the protruding bone behind the right ear to the neck. Swelling is accompanied by pain, redness, fluctuations (+), fever that disappears and decreased hearing function. Conclusion: The patient has a bezold abscess preceded by mastoiditis. The diagnosis in this patient is based on history, physical examination, and supporting examinations in the form of laboratory and mastoid X-rays with stenvers and schuller positions. In patients carried out drainage measures of abscesses as well as pharmacotherapy administration.

Maternal who is difficult to adapt to the pain of labor can cause uncoordinated uterine contractions which can lead to prolongation of the first stage of labor and impaired fetal well-being. The purpose of this study was to see whether there was an effect of respiratory relaxation on the intensity of the first stage labor pain in the maternal love clinic Erlina Herawati, sub-district in 2023. This type of quantitative research used the One Group Pre Test- Post Test Design method with a population of all inpartum mothers in April 2023- June 2023 and a sample of 15 respondents. The results that have been obtained during the study including before the treatment showed mild pain by 2 respondents (13.3%), moderate pain by 6 respondents (40.0%), severe pain by 7 respondents (46.7%). Meanwhile, after treatment of mild pain 8 respondents (53.3%), moderate pain 4 respondents (26.7%), severe pain 3 respondents (20.0%). From the results of the study, it was found that the effect of before being treated and after being treated had a significant change in pain in the mother in labor. Therefore, it is hoped that in the future midwives in clinics will be able to facilitate mothers in giving birth by relaxing breathing it can reduce pain during labor, especially during the first stage of labor.

Labor is the process by which the fetus and amniotic fluid are pushed out through the birth canal. During the birth process the mother will experience pain. Pain that is uncontrolled or excerssive and does not get proper treatment can cause problems with difficulty in childbirth. A non-pharmocological method that is quite safe was to determine the effect of giving warm compresses to labor pain in the active phase of the first stage of labor at Fatimah Banyuwangi Hospital in 2022. The research method used a pre-exsperimental one group pretest posttest on 30 respondents who met the inclusion criteria, namely pregnant women in the first active phase, singleton pregnancies, head presentations, term pregnancies, normal delivery plants, fetal interpretation between 2500-4000 grams, accompanied by their husbands or family. Data collection was carried out using the VAS observation sheet and warm compress SOP. Then the data is processed through the process of editing, coding,scring, tabulating and statistical analysis of the Wilcoxon test. The result showed that the level of labor pain before the intervention was mostly in the severe pain category by 53% and after the warm compress intervention there was a decrease in the pain level, namely in the moderate pain category by 70%. Wilcoxon test reslts Asymp. Sig. (2-tailed) 0,00 < 0,05 means that there is a significant effect of giving warm compresses to labor pain in the active phase I parturition at RSI Fatimah Banyuwangi in 2022. Proper application of warm compresses according to the procedure gives a feeling of warmth and causes vasoconstriction so that labor pain in the first stage can be reduced. This method is safe and can be an alternative choice for midwives in the management of pain care during labor.

Background: Childbirth is a series of events when a baby is released from the mother's womb, followed by the expulsion of the placenta and fetal membranes from the mother's body. The main problem that is usually complained of by labor patients in labor during the first active phase is that pain causes the mother to feel stressed and excessively worried. Respiration and pulse will also increase thereby disrupting the supply of fetal needs from the placenta. The simple way that can be done to reduce labor pain is to give endorphins massage. Objective: Knowing the analysis of differences in pain intensity in the active phase of labor in the first stage of labor before endorphin massage and after endorphin massage. Method: This study used a quasy experimental design. This type of research is pre-experimental design with one group pret test-post test design. Results: The results of the study obtained by the researchers were 20 respondents during the active phase of the first active phase of brenatal mothers who experienced severe pain with a scale of 7-9 and very severe 10 as measured by a numeric rating scale. Before doing the endorphin massage, it was found that those who experienced pain on average had a minimum of 5 and a maximum of 10 after the endorphin massage had an average minimum of 4 pain and a maximum of 9. Conclusion: There is a difference in the decrease in pain intensity in labor in labor during the 1st active phase before and after being given endorphine massage treatment.

Pregnancy is a period when pregnant women experience physiological and psychological changes. Physical changes that occur during pregnancy can cause complaints or discomfort during pregnancy, which include physical discomfort during pregnancy including back pain, low back pain, difficulty sleeping at night/insomnia, and leg cramps. Meanwhile, psychological discomfort that can occur in pregnant women is anxiety and fear of facing the birth process. Anxiety is one of the psychological changes in the third trimester because it is getting closer to the birth process. Resulting in excessive anxiety during pregnancy can trigger abortion, premature birth, low birth weight, fetal defects, fetal growth retardation, and postpartum depression. Three out of five third trimester pregnant women who were encountered experienced anxiety approaching labor, namely sleep disturbances. Practicing yoga during pregnancy is a useful solution as a self-help medium that will reduce discomfort during pregnancy and help with the birthing process. When pregnancy enters the third trimester, the mother will experience increasingly serious and intense anxiety in dealing with the birth process.

Labor pain refers to sensory and emotional experiences since the early phase of laboring. One of the indications is continuous and progressive contraction. This matter causes enormous pain in the first active phase. Pain without management may influence the delivery process. Thus, pain management is important to relieve the pain. The administration of peppermint aromatherapy and acupressure therapy on the L14 point, the hegu point, could relieve the labor pain. This research determined the influence of peppermint aromatherapy and the L14 acupressure point, the high point, toward the labor pain of mothers with the first active phase at SMC Telogorejo. This quasi-experimental research applied a pretest-posttest deign without a control group. The applied sampling technique was consecutive. The obtained samples were 31 respondents. 28 respondents were aged between 20 and 35 years old, 90.3%. Respondents with multipara status were 20 respondents, 64.5%. Most respondents graduated from high educational levels, with 26 respondents (83.9%). the respondents also mostly worked, 17 respondents (54.8%). The Wilcoxon test obtained a p-value of 0.000 ≤ 0.05. The results showed peppermint aromatherapy and L14 acupressure, the hegu, could relieve the pain level of mothers with the first active phase. The researcher expects future researchers to calculate the duration of the managed pain after the intervention.

Erysipelas is an infection of the nonnecrotic superficial skin accompanied by lymphangitis. This infection will cause a clinical picture in the form of well-defined erythematous plaques. Most cases of erysipelas are caused by bacteria, most often the normal skin flora such as Streptococcus bacteria but erysipelas can also be caused by S. aureus and group C or G Streptococcus. Erysipelas can occur at any age. Erysipelas is closely related to the patient’s physical condition and cellular immune status which underlies or facilitates the occurrence of infections, including chronic systemic diseases suffered by these patients, such as diabetes mellitus, immunocompromised states. The lower extremities are the most common predilection for erysipelas. Most erysipelas patients come for treatment with the main complaint of swelling, redness, and pain experienced by the patient accompanied by other complaints such as burning and itching which are predisposing factors to the occurrence of this infection. The diagnosis of erysipelas is based on anamnesis, physical examination and laboratory tests. The management of erysipelas is the administration of antibiotics and wound care.

Introduction : Pain in labor is pain due to uterine contractions which can lead to increased activity of the sympathetic nervous system, changes in blood pressure, heart rate, breathing, and if not treated it will increase feelings of worry, tension, fear and stress. Warm and cold water compress therapy is a non-pharmacological method to meet the need for comfort and to treat pain. Objective : to determine the effectiveness of giving warm and cold compresses to reduce pain in active phase 1 infartu mothers at RSIA Siti Khadidjah Aisyiyah, Gorontalo city. Research Methods : One group of subjects will be used in this study with a pre-experimental research design with a one-group pre-post test strategy to determine cause and effect. Before the intervention, the subject group was monitored, and then after the intervention. Mothers who were in the early phase of the active phase of physiological labor in the VK room of RSIA Siti Khadijah Aisyiyah, Gorontalo City, were used as research subjects. Research Results : The results of this study found acute pain in the four patients, it was found that 2 patients were given warm water compresses, the pain level decreased to a pain scale of 4 (moderate) and in the administration of cold water compresses to 2 patients, the pain level decreased to a pain scale of 6 and 5 (currently). Conclusion : the conclusion of this study is seen from the level of pain that has decreased when given warm water or cold water compresses. Hot and cold compress therapy is a non-pharmacological method to treat pain.

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

The first stage process is accompanied by pain which is a physiological process, a subjective experience of physical sensations associated with uterine contractions, dilatation and effacement of the cervix. Primiparous mothers often worry because they don't understand how to deal with childbirth. Primiparas tend to experience more anxiety, causing tension and fear so that they cannot endure the pain. The aim of this study was to find out the effect of the upright position on pain during the first stage of the active phase of labor for primiparous mothers at the Jumpandang Baru Health Center, Makassar. This type of research is quantitative experimental with a Post Test Only One Group Design approach. The population in this study were all mothers giving birth at the Jumpandang Baru Makassar Community Health Center from April to June 2023. The sample in this study was part of the population of mothers giving birth at the Jumpandang Baru Makassar Community Health Center from April to June 2023, totaling 15 people. with Purposive Sampling sampling technique.

Indicators to measure the quality of health services in an area can be seen from the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). One of the ways that can be done to reduce maternal mortality (MMR) and infant mortality (IMR) is by implementing continuous care. The purpose of this continuous midwifery care is to be able to provide comprehensive midwifery care to Mrs. "S" from pregnancy to family planning in accordance with midwifery care standards. Case study research method. The results of the implementation of midwifery care on an ongoing basis (Continuity of Care) on Mrs. "S" G1P0A0 age 24 years starting from the gestational age of 30 weeks 3 days to the age of 38 weeks. At the first pregnancy visit there was a problem in the mother, namely pregnancy with breech location. At the second visit the baby's position was in a normal position. The delivery process ended by cesarean section because the baby had an Early Rupture of Membranes. The baby was born at Budi Kemuliaan Hospital with a weight of 3000 gr Body Length : 48 cm Head Circumference: 33 cm, Chest Circumference: 32 cm. In the postpartum period, physiological complaints were found such as pain in the suture wound but not accompanied by signs of suture wound infection. Mrs. "S" chose to use 3-month injectable birth control. The conclusion of this assessment is that midwives are expected to be able to provide comprehensive care from pregnancy to family planning services and apply care in accordance with midwifery service standards.

Labor pain is a physiological response that occurs due to an increase in catecholamines that interfere with uterine contractions. Labor pain can be overcome with various alternatives. However, the lack of health promotion related to pain relief strategies causes the majority of pregnant women to lack information literacy on how to deal with pain relief during childbirth. This community service activity was carried out in conjunction with the KKN midwifery undergraduate students at STIKes Mitra Husada Medan in Desa Bangun Rejo, Tanjung Morawa District. The main activity program is to provide education to pregnant women who will give birth with counseling about pain relief strategies during childbirth. This community service method adopts action research steps. Evaluating the program using a questionnaire. The results of the community service which was attended by 10 third trimester pregnant women, it turned out that this activity received a good and positive response from pregnant women. Furthermore, the results of the evaluation of this counseling were obtained, 60% of pregnant women could understand and explain the definition of pain relief strategies and the goals of pain relief strategies, 70% of pregnant women could understand and explain the handling of pain relief strategies. It is hoped that village midwives can also provide health education to birth attendants about pain relief strategies that can be implemented.  

Sectio caesarea delivery is a form of labor process that is carried out by making incisions in the abdominal wall and uterine wall to deliver the fetus from the uterus. Patients who give birth by cesarean section method will usually feel various discomforts. One of the discomforts felt is pain originating from an abdominal incision. So we need a management that can reduce complications and improve quality in post partum mothers, namely by doing foot massage relaxation techniques. The purpose of this case study was to determine the effect of foot massage in reducing pain in post-cesarean section patients. This study used a case study method with a nursing care approach, namely taking 1 patient as a descriptive analysis. Methods of data collection by interviews, observation, pre-test, intervention, and post-test. The research was conducted on March 16-18 2023 at the PKU Gamping Firdaus Ward. The results of the case study showed a decrease in the pain scale in post sectio caesarea patients after foot massage was performed. From the results of the case study, it can be concluded that there is a significant effect of foot massage on changes in pain in post-cesarean section patients.