The Effects of Endorphin Massage and Deep Breathing Relaxation Techniques on Labor Pain at the Kiswari Private Obstetric Clinic, Central Metro

Authors

  • Iis Tri Utami Bachelor of Midwifery Study Program, Faculty of Health, Aisyah Pringsewu University https://orcid.org/0000-0001-9448-5501
  • Tiara Suci Peronica Bachelor of Midwifery Study Program, Faculty of Health, Aisyah Pringsewu University
  • Merry Khunchoroyati Bachelor of Midwifery Study Program, Faculty of Health, Aisyah Pringsewu University
  • Elsy Juni Andri Kariny Bachelor of Midwifery Study Program, Faculty of Health, Aisyah Pringsewu University
  • Eka Tri Wulandari Bachelor of Midwifery Study Program, Faculty of Health, Aisyah Pringsewu University https://orcid.org/0000-0002-4434-5188

Keywords:

Endorphin Massage, Deep Breathing Relaxation, Labor Pain, Parturient Mothers.

Abstract

Labor pain is a physiological experience reported by nearly all parturient women. Globally, approximately 93.5% of women in labor experience moderate to severe pain, while in Indonesia, the incidence of labor pain reaches 85–90%. In Lampung Province specifically, 37,264 women (approximately 30%) experience high-intensity labor pain. Unmanaged pain can lead to anxiety, fatigue, and prolonged labor. This study aims to determine the effect of endorphin massage and deep breathing relaxation techniques on labor pain at BPM Kiswari Amd.Keb, Central Metro, in 2025. This research employed a quasi-experimental approach with a two-group pretest-posttest design. The study was conducted in July 2025 with a sample of 28 parturient women (14 in the intervention group and 14 in the control group) selected via consecutive sampling. Data were collected using observation sheets and the Numeric Rating Scale (NRS) to measure pain intensity before and after the intervention. Data analysis was performed using the Mann-Whitney U test. The results indicated that the mean pain level in the intervention group decreased from 7.29 (severe pain) to 5.00 (moderate pain), whereas no significant change was observed in the control group. The Mann-Whitney test yielded a p-value of 0.000, indicating a significant effect of endorphine massage and deep breathing relaxation techniques on reducing labor pain. It is recommended that healthcare providers, particularly midwives, implement these techniques as non-pharmacological methods of labor pain management to improve maternal comfort during the birthing process.

References

Azizah, N., Eka Rahmawati, V., Vitiasari Dessy, F., Ilmu Kesehatan, F., Pesantren Tinggi Darul, U., & Jombang, U. (2021). Teknik Relaksasi dalam Proses Persalinan : Literatur Review. Jurnal EDUNursing, 5(2), 134–141. https://doi.org/10.26594/edunursing.v5i2.2942

Darmayanti, P. A. R., Ariani, N. K. S., & Santhi, W. T. (2022). effect of endorphin massage on reducing the intensity of childbirth pain Kala I in maternity mothers. International Journal of Health Sciences, 6(9), 2038–2045. https://doi.org/10.53730/ijhs.v6nS9.12878

Gunawan, R. H., Widiawati, I., Ulfah, Y., Bidan, P. P., & Bandung, P. K. (2024). Efek Pijat Endorphin Untuk Mengurangi Rasa Nyeri Persalinan (Evidence Based Case Report). Jurnal Kesehatan Siliwangi, 4(3), 1239–1249. https://doi.org/10.34011/jks.v4i3.2058

Haasyimiyah, D. N., Kumalasari, D., & Yulianti, R. (2025). Pengaruh Teknik Pernafasan Dalam Mengurangi Nyeri Persalinan. Jurnal Kebidanan Dan Kesehatan, 3(1), 1–12. https://doi.org/10.70683/jkk.v3i1.33

Imelda, D. M., Yulita, N., & Eva, N. (2023). Pengaruh Pijat Endorphine Terhadap Intensitas Penurunan Nyeri Pada Ibu bersalin kala I Di PMB Ny. N Cileungsi Bogor. Jurnal Ilmiah Kesehatan Dan Kebidanan (JKK), 13(2), 205–224. https://www.e-journal.mrhj.ac.id/Jkk/article/view/277

Katili, D. N. O., Djunaid, U., Arriza Dwi Melani, N., Yunus, Y., Harisa, K., Studi Kebidanan, P., & Ilmu Kesehatan, F. (2023). Pengaruh Teknik Massage Endorphin dan Teknik Relaksasi Nafas dalam Terhadap Nyeri Persalinan The Effect of Endorphin Massage Techniques and Deep Breath Relaxation Techniques on Labor Pain. Health Information : Jurnal Penelitian, 15(2), 2622–5905. https://doi.org/10.36990/hijp.v15i2.1301

Khasanah, N. A., & Sulistyawati, W. (2020). Pengaruh Endorphin Massage Terhadap Intensitas Nyeri Pada Ibu Bersalin. Journal for Quality in Women’s Health, 3(1), 15–21. https://doi.org/10.30994/jqwh.v3i1.43

Maryuni, M. (2020). Hubungan Karakteristik Ibu Bersalin dengan Nyeri Persalinan. Journal of Health Science and Physiotherapy, 2(1), 116–122. https://doi.org/10.35893/jhsp.v2i1.42

Miles, M. B., & Huberman, A. M. (1984). Drawing Valid Meaning from Qualitative Data: Toward a Shared Craft. Educational Researcher, 13(5), 20–30. https://doi.org/10.3102/0013189X013005020

Sartika, S., & Noorlinda, N. (2025). Reducing Labor Pain through Endorphin Massage: Clinical Evidence from Indonesia. Journal of Current Health Sciences, 5(3), 169–176. https://doi.org/10.47679/jchs.2025126

Siregar, A. B. M. O., & Ermiati, E. (2023). Asuhan Keperawatan dengan Terapi Napas Dalam dan Pijat Oksitosin terhadap Penurunan Intensitas Nyeri pada Pasien Post-Sectio Caesarea: Studi Kasus. SENTRI: Jurnal Riset Ilmiah, 2(7), 2656–2664. https://doi.org/10.55681/sentri.v2i7.1177

Sukmasary, F. (2025). Pengaruh teknik relaksasi nafas dalam terhadap nyeri ibu hamil menjelang persalinan. Journal of Midwifery Care, 5(02), 325–333. https://doi.org/10.34305/jmc.v5i02.1642

Sunarsih, T. (2020). Asuhan Kebidanan Continuity of Care di PMB Sukani Edi Munggur Srimartani Piyungan Bantul. Midwifery Journal: Jurnal Kebidanan UM. Mataram, 5(1), 39. https://doi.org/10.31764/mj.v5i1.952

Suyanto, S. R., & Sulistiyah, S. (2025). Pengaruh Massase Effleurage Terhadap Pengurangan Rasa Nyeri Ibu Bersalin Kala I Fase Aktif. Journal of Innovative and Creativity (Joecy), 5(2), 9082–9088. https://doi.org/10.31004/joecy.v5i2.1393

Uluhiyah, W. O. S. S. N., Ni’amah, S., & Suwi’i. (2023). Pengaruh Massage Endorphin Terhadap Tingkat Nyeri Ibu Bersalin Pada Kala I. Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja, 8(2), 265–272. https://doi.org/10.52235/cendekiamedika.v8i2.231

Wilson, C. R., Pacheco, J., & ten Hoope-Bender, P. (2023). Person-centered Women’s Health and Maternity Care. In Person Centered Medicine (pp. 355–365). Springer International Publishing. https://doi.org/10.1007/978-3-031-17650-0_21

World Health Organization. (2019). WHO recommendations: Intrapartum care for a positive childbirth experience. WHO Press.

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Published

2026-01-05

How to Cite

Iis Tri Utami, Tiara Suci Peronica, Merry Khunchoroyati, Elsy Juni Andri Kariny, & Eka Tri Wulandari. (2026). The Effects of Endorphin Massage and Deep Breathing Relaxation Techniques on Labor Pain at the Kiswari Private Obstetric Clinic, Central Metro. Jurnal EduHealth, 17(01), 10–18. Retrieved from https://ejournal.seaninstitute.or.id/index.php/healt/article/view/7870