PENERAPAN TEKNIK VOCALIZATION DAN DEEP BREATHING UNTUK MENGATASI NYERI KALA I PERSALINAN PARTUS MATURUS: STUDI KASUS
Abstract
Background: Normal labor is characterized by uterine contractions that increase as cervical dilation increases. Increasingly frequent and strong contractions are perceived as labor pain that affects the comfort and psychology of the mother giving birth. One intervention that can be given is the application of deep breathing-vocalization techniques. The purpose of this study was to analyze the application of deep breathing-vocalization techniques in patients with labor pain. Method: This type of research is qualitative with a case study approach. Data collection techniques through interviews, observations, physical examinations, and documentation studies. The sample consisted of 2 mothers giving birth in the active phase of the first stage, namely Mrs. A (G2P1A0) and Mrs. D (G1P0A0). Labor pain was perceived using the Numeric Rating Scale (NRS). Result: Before intervention, Mrs. A and Mrs. D both reported severe labor pain with an NRS score of 8. After the application of deep breathing and vocalization, Mrs. A showed a decrease in pain from 8 to 7, while Mrs. D decreased from 8 to 6. Both clients appeared more relaxed, were better able to regulate breathing, and showed improved behavioral control during contractions. Conclusion: Deep breathing and vocalization may help reduce first-stage labor pain and improve maternal comfort. These techniques can be considered as independent nursing interventions and may be combined with other non-pharmacological strategies based on maternal needs.
References
Antari, G. Y., & Aini, D. M. (2025). Teknik relaksasi pernapasan dalam: Solusi pengurangan nyeri persalinan kala I fase aktif. JOMIS (Journal of Midwifery Science), 9(2). https://doi.org/10.36341/jomis.v9i2.5776
Chandraloka, D., Ningrum, W. M., & Sastraprawira, T. (2024). Gambaran teknik relaksasi nafas dalam untuk mengurangi tingkat nyeri kala I fase aktif persalinan di PONED Puskesmas Cipaku tahun 2023. Journal of Midwifery and Public Health, 4(1), 34-41. https://jurnal.unigal.ac.id/index.php/mj/article/view/14707
Huang, J., Liu, Y., Wang, X., Zhang, Y., Li, H., & Chen, Q. (2024). The current status of primipara’s childbirth experience and its correlation with their reproductive intention: A cross-sectional survey study. BMC Pregnancy and Childbirth, 24, 630. https://doi.org/10.1186/s12884-024-06843-y
Lowdermilk, D. L., Perry, S. E., Cashion, M. C., & Alden, K. R. (2020). Maternity & women’s health care (12th ed.). Elsevier.
Mulyati, N. H., Afrina, R., & Kamilah, S. (2024). Pengaruh counterpressure dan tehnik relaksasi nafas dalam terhadap nyeri melahirkan pada ibu bersalin kala 1 fase aktif di Rumah Sakit Dr Hafiz Cianjur tahun 2023. Edukasi Elita: Jurnal Inovasi Pendidikan, 1(3), 26-41. https://journal.lpkd.or.id/index.php/Edukasi/article/view/173
National Institute for Health and Care Excellence. (2023). Intrapartum care (NICE Guideline NG235). https://www.nice.org.uk/guidance/ng235
Pereira, I., Correia, M., Sim-Sim, M., Ferrão, A. C., & Zangão, M. O. (2024). Women’s vocalization in the first and second stages of labour: A scoping review protocol. Women, 4(3), 332-339. https://doi.org/10.3390/women4030025
Purnama, E. A. D., & Azizah, N. (2025). Efektivitas peanut ball dan teknik relaksasi nafas dalam terhadap nyeri persalinan kala I fase aktif. Indonesian Journal of Midwifery, 8(2), 188-195. https://jurnal.unw.ac.id/index.php/ijm/article/view/4342
Rejeki, S. (2020). Buku ajar manajemen nyeri dalam proses persalinan (non farmaka). Unimus Press.
Smith, C. A., Levett, K. M., Collins, C. T., Armour, M., Dahlen, H. G., & Suganuma, M. (2018). Massage, reflexology and other manual methods for pain management in labour. Cochrane Database of Systematic Reviews, 2018(3), CD009290. https://doi.org/10.1002/14651858.CD009290.pub3
Tim Pokja SDKI DPP PPNI. (2017). Standar diagnosis keperawatan Indonesia: Definisi dan indikator diagnostik (Edisi 1). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Tim Pokja SIKI DPP PPNI. (2018). Standar intervensi keperawatan Indonesia: Definisi dan tindakan keperawatan (Edisi 1). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Tim Pokja SLKI DPP PPNI. (2019). Standar luaran keperawatan Indonesia: Definisi dan kriteria hasil keperawatan (Edisi 1). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Wahyuni, R. S., Sari, H., Mulyani, S., & Lestari, E. P. (2023). Pengaruh teknik relaksasi nafas dalam terhadap intensitas nyeri pada pasien inpartu kala I. Ahmar Metastasis Health Journal, 3(1), 33-36. https://doi.org/10.53770/amhj.v3i1.192
Whitburn, L. Y., Jones, L. E., Davey, M. A., & Small, R. (2019). The meaning of labour pain: How the social environment and other contextual factors shape women’s experiences. BMC Pregnancy and Childbirth, 19, 157. https://doi.org/10.1186/s12884-019-2290-2
World Health Organization. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience. World Health Organization. https://www.who.int/publications/i/item/9789241550215

This work is licensed under a Creative Commons Attribution 4.0 International License.
