Main Article Content
Abstract
Purpose: This study aimed to determine the effect of effleurage massage on the intensity of labor pain during the first active phase among mothers giving birth at Sunan Kudus Islamic Hospital. It was hypothesized that the application of effleurage massage would significantly reduce the intensity of labor pain.
Research Method: This study used a pre-experimental one-group pretest-posttest design. A total of 46 mothers in the first active phase of labor were selected using purposive sampling. Pain intensity was measured before and after the intervention using the Numeric Rating Scale (NRS). Data were analyzed using univariate analysis and the Wilcoxon test after the Shapiro-Wilk normality test indicated a non-normal distribution.
Results and Discussion: The mean pain score decreased from 3.59 before the intervention to 2.74 after the intervention. The Wilcoxon test result showed p = 0.000 (p < 0.05), indicating a significant effect of effleurage massage on reducing labor pain intensity. These findings suggest that effleurage massage is an effective, safe, and simple non-pharmacological intervention for improving maternal comfort during labor.
Implications: The findings support integrating effleurage massage into routine midwifery care. Further studies with control groups and larger sample sizes are recommended to strengthen evidence of its clinical effectiveness.
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References
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- Febriyanti, S. P., Widaningsih, N., & Fatimah, Y. U. (2025). Application of Effleurage Massage Technique in Reducing Labor Pain in the First Active Phase: Evidence Based Case Report. 4(1), 61–68.
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- Heni Frilasari, & Heri Triwibowo. (2020). Application of Progressive Relaxation Techniques to the Degree of Labor Pain During the 1st Active Phase. Journal of Nursing, 13(1 SE-Articles), 7. https://e-journal.lppmdianhusada.ac.id/index.php/jk/article/view/27
- Ibu, P., Di, B., Halmahera, P., & Semarang, K. (2020). No Title. 13 (November 2019), 78–84.
- Indah, P., & Dwi, A. (2017). Back massage techniques to reduce pain. Journal of Nursing and Midwifery, 8(2), 100–106.
- Kamelia Sinaga, Citra Anugerah, & Azri Yani. (2023). The Effect of Respiratory Relaxation on Pain Intensity in Phase I Childbirth at PMB Erlina Herawati in 2023. Journal of General Health and Pharmaceutical Sciences Research (JRIKUF), 1(4), 102–116. https://doi.org/10.57213/jrikuf.v1i4.193
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- McCabe, C. (2017). Effective pain management in patients in hospital. Nursing Standard (Royal College of Nursing (Great Britain) : 1987), 31(29), 42–46. https://doi.org/10.7748/ns.2017.e10736
- Nor Aisyah, Irawati Indrianingrum, Ning Nabila, F. N. K. N. (2023). Efforts to lower the head of the fetus during childbirth with dance labor or rebozo. Indonesian Journal of Midwifery, 7, 29–41.
- Online, J., Indonesia, K., Karlinah, N., Hakameri, C. S., Kesehatan, F., Hang, U., Pekanbaru, T., Kesehatan, F., Hang, U., & Pekanbaru, T. (2022). THE EFFECT OF EFFLEURAGE MASSAGE ON. 5(2), 94–97.
- Pinzon, R. T. (2016). Pain Management. In Pain Assessment Books.
- Puspitasari, I., & Astuti, D. (2017). T EHNIK M ASSAGE P UNGGUNG U NG NG N YERI. 8(2), 100–106.
- Putri, E., Altika, S., & Hastuji, P. (2022). The Effect of Massage Effleurage on Labor Pain. Journal of Bina Cipta Husada, 18(2), 74–88. http://jurnal.stikesbch.ac.id/index.php/jurnal/article/view/73
- Ratna, D., Mulyandari, A., Midwifery, A., & Bintan, A. (2025). Back massage care for Mrs. R to reduce the feeling. 16(01), 14–20.
- Rejeki, S. (2020). Textbook Pain Management in the Labor Process (Non-Pharmaceutical) i Textbook for Pain Management in the Labor Process (Non-Farmaka).
- Rohmah, A. N., Irawan, D. D., Primindari, R. S., & Rahmawati, S. A. (2025). Obstetric Maternity Care: Deep Back Massage Intervention Using Frangipani Essential Oil on the Reduction of Labor Pain During the 1st Active Phase. https://repository.nuansafajarcemerlang.com/publications/592926/asuhan-kebidanan-persalinan-intervensi-deep-back-massage-menggunakan-frangipani
- Soleha, U. M., & Puspitasari, A. I. (2025). The Effect of Massage Effluerage on Pain Reduction at Time I Active at PMB Babelan II Bekasi Work Area. MAHESA: Malahayati Health Student Journal, 5(3), 1268–1277. https://doi.org/10.33024/mahesa.v5i3.16793
- Soraya, S. (2021). The Effect of Lemon Citrus Aromatherapy Inhalation on Reducing Labor Pain During the First Active Phase. Health Scientific Journal, 13(2), 184–191. https://doi.org/10.37012/jik.v13i2.653
- Waruwu, M., Pu'at, S. N., Utami, P. R., Yanti, E., & Rusydiana, M. (2025). Quantitative Research Methods: Concepts, Types, Stages and Advantages. Scientific Journal of the Education Profession, 10(1), 917–932. https://doi.org/10.29303/jipp.v10i1.3057
References
Almanika, D., Ludiana, & Dewi, T. K. (2022). Application of Massage Effleurage for Back Pain in the Third Trimester of Pregnant Women in the Working Area of the Yosomulyo Health Center, Metro City. Journal of Young Scholars, 2(1), 50–58. http://husadamahakam.poltekkes-kaltim.ac.id/ojs/index.php/Home/article/view/218%0Ahttps://madaniya.biz.id/journals/contents/article/view/635
Ambarita, H. F. R., & Ulfah, K. (2022). The Effect of the Deep Back Massage Method on Pain Intensity in Period I. Siliwangi Health Journal, 2(3), 1041–1048. https://doi.org/10.34011/jks.v2i3.792
Analisa, Sulastri, M., & Rossita, T. (2024). The Effect of Massage Effleurage on the Reduction of Pain in Maternity Mothers at Pratama Citra Aadida Clinic. Journal of Health Experts, 1(1), 10–11.
Bohari, N. H., Khatimah, H., Sumarni, S., Erniawati, E., & Ramadan, N. (2023). The effect of massage effleurage in reducing labor pain during the first period in the Ponre Health Center Working Area. Journal of Nursing Practice and Education, 4(1), 93–101. https://doi.org/10.34305/jnpe.v4i1.902
BPS. (2018). In numbers in numbers. Kediri City in numbers, 1–68.
Effendi, P. I., Oktaviyana, C., & Sartika, D. (2023). Pengaruh Massage Effleurage Terhadap Pengurangan Nyeri Persalinan Kala 1 Fase Aktif Pada Ibu Bersalin The Effect Of Effleurage Massage On Reducing Labor Pain In The First Phase Of Active Labor In Pregnant Women. 9(2), 1364–1371.
Fandi, N. F., & Haryanto. (2025). Comparison of the Effectiveness of Non-Steroidal Analgesic and Anti-Inflammatory Drugs (NSAIDBs) on Pain and Inflammation Reduction. Quantum Wellness: Journal of Health Sciences, 2(2), 22–27.
Fania, E., Khoirunnisa, N., Andriani, D., & Kudus, S. M. (2017). K ATERNAL CHARACTERISTICS D AN R ESPON T ERHAFACE N YERI. 1(2), 93–99.
Febriyanti, S. P., Widaningsih, N., & Fatimah, Y. U. (2025). Application of Effleurage Massage Technique in Reducing Labor Pain in the First Active Phase: Evidence Based Case Report. 4(1), 61–68.
Health Office. (2023). Health Profile of Kudus Regency in 2023. Kudus Regency Health Office, 15.
Heni Frilasari, & Heri Triwibowo. (2020). Application of Progressive Relaxation Techniques to the Degree of Labor Pain During the 1st Active Phase. Journal of Nursing, 13(1 SE-Articles), 7. https://e-journal.lppmdianhusada.ac.id/index.php/jk/article/view/27
Ibu, P., Di, B., Halmahera, P., & Semarang, K. (2020). No Title. 13 (November 2019), 78–84.
Indah, P., & Dwi, A. (2017). Back massage techniques to reduce pain. Journal of Nursing and Midwifery, 8(2), 100–106.
Kamelia Sinaga, Citra Anugerah, & Azri Yani. (2023). The Effect of Respiratory Relaxation on Pain Intensity in Phase I Childbirth at PMB Erlina Herawati in 2023. Journal of General Health and Pharmaceutical Sciences Research (JRIKUF), 1(4), 102–116. https://doi.org/10.57213/jrikuf.v1i4.193
Keb, S., & Kgmailcom, E. (2023). AT THE TIME OF CHILDBIRTH PHASE I ACTIVE AT PMB ANI SRI MULYANI AKADEMI Kemidanan Kemidanan Bakti Indonesia Bogor Jl . Fort No. 32 , Fort , Kec . Ciampea , Bogor , West Java 16620 P-ISSN : 2828-0679 Scientific Journal of Health and Midwifery. 2(1), 14–23.
Khoirun Nisa', & Kamidah Kamidah. (2023). The Effect of Giving Warm Compresses on the Reduction of Dysminore Pain in Adolescent Girls at Takhasus Alquran Wonosobo Junior High School. In Detector: Journal of Health Sciences Research Innovation (Vol. 1, Issue 4). https://doi.org/10.55606/detector.v1i4.2512
Kumamoto, E. (2022). Inhibitory Actions of Clinical Analgesics, Analgesic Adjuvants, and Plant-Derived Analgesics on Nerve Action Potential Conduction. Encyclopedia, 2(4), 1902–1934. https://doi.org/10.3390/encyclopedia2040132
Lubis, D. R., Maryuni, & Anggraeni, L. (2020). The Effectiveness of Back Massage in Reducing Labor Pain During the First Active Phase of Childbirth in Primigravida & Multigravida. Scientific Journal of Midwives, 5(1), 22–28. https://repository.binawan.ac.id/1070/1/JIB Legina Anggraeni.pdf
McCabe, C. (2017). Effective pain management in patients in hospital. Nursing Standard (Royal College of Nursing (Great Britain) : 1987), 31(29), 42–46. https://doi.org/10.7748/ns.2017.e10736
Nor Aisyah, Irawati Indrianingrum, Ning Nabila, F. N. K. N. (2023). Efforts to lower the head of the fetus during childbirth with dance labor or rebozo. Indonesian Journal of Midwifery, 7, 29–41.
Online, J., Indonesia, K., Karlinah, N., Hakameri, C. S., Kesehatan, F., Hang, U., Pekanbaru, T., Kesehatan, F., Hang, U., & Pekanbaru, T. (2022). THE EFFECT OF EFFLEURAGE MASSAGE ON. 5(2), 94–97.
Pinzon, R. T. (2016). Pain Management. In Pain Assessment Books.
Puspitasari, I., & Astuti, D. (2017). T EHNIK M ASSAGE P UNGGUNG U NG NG N YERI. 8(2), 100–106.
Putri, E., Altika, S., & Hastuji, P. (2022). The Effect of Massage Effleurage on Labor Pain. Journal of Bina Cipta Husada, 18(2), 74–88. http://jurnal.stikesbch.ac.id/index.php/jurnal/article/view/73
Ratna, D., Mulyandari, A., Midwifery, A., & Bintan, A. (2025). Back massage care for Mrs. R to reduce the feeling. 16(01), 14–20.
Rejeki, S. (2020). Textbook Pain Management in the Labor Process (Non-Pharmaceutical) i Textbook for Pain Management in the Labor Process (Non-Farmaka).
Rohmah, A. N., Irawan, D. D., Primindari, R. S., & Rahmawati, S. A. (2025). Obstetric Maternity Care: Deep Back Massage Intervention Using Frangipani Essential Oil on the Reduction of Labor Pain During the 1st Active Phase. https://repository.nuansafajarcemerlang.com/publications/592926/asuhan-kebidanan-persalinan-intervensi-deep-back-massage-menggunakan-frangipani
Soleha, U. M., & Puspitasari, A. I. (2025). The Effect of Massage Effluerage on Pain Reduction at Time I Active at PMB Babelan II Bekasi Work Area. MAHESA: Malahayati Health Student Journal, 5(3), 1268–1277. https://doi.org/10.33024/mahesa.v5i3.16793
Soraya, S. (2021). The Effect of Lemon Citrus Aromatherapy Inhalation on Reducing Labor Pain During the First Active Phase. Health Scientific Journal, 13(2), 184–191. https://doi.org/10.37012/jik.v13i2.653
Waruwu, M., Pu'at, S. N., Utami, P. R., Yanti, E., & Rusydiana, M. (2025). Quantitative Research Methods: Concepts, Types, Stages and Advantages. Scientific Journal of the Education Profession, 10(1), 917–932. https://doi.org/10.29303/jipp.v10i1.3057