The Effect of the BC-MK15 Birth Chair on the Labor Pain Intensity in Multipara

Yetti Purnama, Johanes Cornelius Mose, Herry Herman

Abstract


Labor pain causes worry, anxiety, increases the secretion of the adrenaline, adrenocorticotropic hormone (ACTH), cortisol serum levels, catecholamines and the perception of pain. One method to decrease labor pain is through the mobilization and upright position during labor which is facilitated by the BC-MK15 birth chair to relax, decrease catecholamines, increase the release of β-endorphins and block the transmission of pain stimulus. This study aims was analyze the difference of the effect of using the BC-MK15 birth chair and the conventional bed on the intensity of labor pain in multipara. The design of this study was the posttest-only control group design in 60 samples of the first active phase of multipara at Public Health Centers Garuda, Ibrahim Adjie and Puter of Bandung city in April–May 2017. Each group consisted of 30 for treatment (using BC-MK15 birth chair) and control (using the conventional bed). Assessment of pain scores using the visual analogue scale (VAS) in cervical dilations of 4 cm (post 1), 7–9 cm (post 2) and 10 cm (post 3). The statistical test analysis uses the Mann-Whitney test and the chi-square test. There were significant differences among groups which are obtained by the treatment and control of post 2 and post 3 (p<0.05, RR=0.69 [0.531–0.896]). In conclusion, there is an effect of using the BC-MK15 birth chair and the conventional bed on the intensity of labor pain in multiparous mothers.

 

PENGARUH KURSI PERSALINAN BC-MK15 TERHADAP INTENSITAS NYERI PERSALINAN PADA MULTIPARA

Nyeri persalinan menimbulkan rasa khawatir, kecemasan, meningkatkan sekresi adrenalin, adrenocorticotropic hormone (ACTH), kadar kortisol serum, katekolamin, dan persepsi nyeri. Salah satu metode menurunkan nyeri persalinan adalah mobilisasi dan posisi tegak saat persalinan difasilitasi dengan kursi persalinan BC-MK15 sehingga menimbulkan relaksasi, menurunkan katekolamin, meningkatkan pelepasan β-endorfin, dan mengeblok transmisi stimulus nyeri. Penelitian ini bertujuan menganalisis perbedaan pengaruh penggunaan kursi persalinan BC-MK15 dan tempat tidur konvensional terhadap intensitas nyeri persalinan pada multipara. Desain penelitian eksperimen posttest-only control group design  dengan jumlah sampel 60 multipara kala I fase aktif di Puskesmas Garuda, Ibrahim Adjie, dan Puter Kota Bandung pada bulan April–Mei 2017. Tiap-tiap kelompok berjumlah 30 untuk perlakuan (menggunakan kursi persalinan BC-MK15) dan kontrol (menggunakan tempat tidur konvensional). Penilaian skor nyeri menggunakan visual analogue scale (VAS) pada dilatasi serviks 4 cm (post 1), 7–9 cm (post 2), dan 10 cm (post 3). Pengujian statistik menggunakan analisis Uji Mann-Whitney dan uji chi-square. Didapatkan perbedaan bermakna antara kelompok perlakuan dan kontrol pada post 2 dan post 3 (p<0,05; RR=0,69 [0,531–0,896]). Simpulan, terdapat pengaruh penggunaan kursi persalinan BC-MK15 dan tempat tidur konvensional terhadap intensitas nyeri persalinan pada ibu multipara.


Keywords


BC-MK15 birth chair; conventional bed; kursi persalinan BC-MK15; labor pain; nyeri persalinan; tempat tidur konvensional

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References


Lowdermilk D, Perry S, Chasion KM. Keperawatan maternitas. 8th Edition. Singapore: Elsevier Mosby; 2013.

Labor S, Maguire S. The pain of labour. Rev Pain. 2008;2(2):15–9.

Angel Rajakumari G, Soli TK, Malathy D. Evaluation of the effectiveness of selected intervention in reducing level of pain perception and birth experience among primi gravida mothers. IJASR. 2015;1(4):182–5.

Krecow A, Zerbel J, Herbst P, Kupfermann A, Brophy JT. Maternity bed foot support and abduction assembly. Kalamazoo, Michigan: Stryker Corporation; 2006.

Berghella V, Baxter JK, Chauhan SP. Evidence-based labor and delivery management. Am J Obstet Gynecol. 2008;199(5):445–54.

Janssen PA, Desmarais SL. Development and psychometric properties of the Early Labour Experience Questionnaire (ELEQ). Midwifery. 2013;29(3):181–9.

Adams ED, Bianchi AL. A practical approach to labor support. J Obstet Gynecol Neonatal Nurs. 2008;37(1):106–15.

Uryč M. BORCAD Medical, member of LINET Group SE, wins prestigious design award for innovative birthing bed [press release] (3 April 2017) [cited 2017 June 4]. Available from: http://www.linet.com/-/media/Files/Website/linet/news/20170403-Pressrelease-AVE2-wins-prestigious-designaward.ashx.

Thies-Lagergren L. The Swedish birth seat trial. Stockholm, Sweden: Karolinska Institute; 2013.

BORCAD. Birthing bed AVE. 2015 [cited 2017 June 4]. Available from: http://www.alplermedikal.com/wp-content/uploads/2015/12/Ave-Birthing-Bed.pdf.

Yap BL. The ergodesign of childbirth. In: Roozenburg NFM, Chen LL, Stappers PJ, editors. Proceedings of IASDR 2011: the 4th World Conference on Design Research; 31 October–4 November 2011. Delft, Netherlands: Faculty of Industrial Design Engineering, Delft University of Technology; 2011. p. 1–14.

Gizzo S, Di Gangi S, Noventa M, Bacile V, Zambon A, Nardelli GB. Women’s choice of positions during labour: return to the past or a modern way to give birth? A cohort study in Italy. Biomed Res Int. 2014;2014:638093.

Rana D. The relationship between a woman’s position during labor and the level of feeling pain in the active phase of labor. Life Sci J. 2012;9(4):422–5.

Khaskheli M, Baloch S. Subjective pain perceptions during labour and its management. J Pak Med Assoc. 2010;60(6):473–6.

Shrestha I, Pradhan N, Sharma J. Factors influencing perception of labor pain among parturient women at Tribhuvan University Teaching Hospital. NJOG. 2013;8(1):26–30.

Charles C. Labour and normal birth. In: Chapman V, Charles C, editors. The midwife's labour and birth handbook. 3rd Edition. Chicester, West Sussex: Wiley-Blackwell; 2013. p. 1–48.

Pratiwi IG, Husin F, Ganiem AR, Susiarno H, Arifin A, Wirakusuma F. The effect of virtual reality on pain in primiparity women. IJNHS. 2017;4(4):46–50.

Rosdahl CB, Kowalski MT. Buku ajar keperawatan dasar. Volume 3. 10th Edition. Jakarta: EGC; 2014.

Smith CA, Levett KM, Collins CT, Armour M, Dahlen HG, Suganuma M. Relaxation techniques for pain management in labour. Cochrane Database Syst Rev. 2018;3:CD009514.

Fitriani, Mose JC, Herman H. Difference duration of labor at BC-MK15 birth chair with conventional bed in multiparous. GMHC. 2018;6(2):105–12.




DOI: https://doi.org/10.29313/gmhc.v6i3.2841

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