IMPLEMENTATION OF ENDORPHIN MASSAGE IN LABOR : A COMPREHENSIVE MIDWIFERY CASE REPORT
DOI:
https://doi.org/10.34011/icihcce.v7i2.386Keywords:
Endorphin Massage, Labor Pain, Comprehensive Midwifery Care, Maternal Comfort, Case Report, Non-Pharmacological InterventionAbstract
Background: Labor pain and maternal anxiety may interfere with the physiological childbirth process and negatively affect maternal comfort and labor progress. Endorphin massage is a non-pharmacological intervention that stimulates endogenous endorphin release, promotes relaxation, and provides continuous support during labor. Integrating this intervention into comprehensive midwifery care may improve maternal outcomes throughout the maternity continuum.
Objectives: This case report aimed to describe the implementation of endorphin massage during labor as part of comprehensive midwifery care for a pregnant woman receiving maternity services at the Cilawu Community Health Center, Garut.
Methods: This study employed a descriptive case report design involving one pregnant woman Mrs. S at 39 weeks and 4 days of gestation. Comprehensive midwifery care was provided from pregnancy, childbirth, postpartum, neonatal care, to family planning between January and March 2024. Data were obtained through interviews, physical examinations, direct observations, and documentation based on the midwifery management approach.
Results: During labor, the patient experienced anxiety and labor pain. Endorphin massage, combined with continuous emotional support, promoted relaxation, reduced maternal anxiety, improved comfort, and contributed to the progression of physiological labor without complications. During the postpartum period, the mother experienced breastfeeding difficulties related to flat nipples and breast engorgement. Breast care education, breastfeeding counseling, emotional support, and continued postpartum care successfully improved breastfeeding practices and maternal comfort. Both maternal and neonatal conditions remained stable throughout the continuum of care.
Conclusion: The implementation of endorphin massage during labor as part of comprehensive midwifery care contributed to improved maternal comfort, emotional stability, and physiological labor progression while supporting positive postpartum adaptation and maternal well-being.
References
Putri RD, Novianti N, Maryani D. Ketidaknyamanan Pada Ibu Hamil, Bersalin, Dan Nifas. J Midwifery. 2021;9(1):38–43.
Ulfah M, Wirakhmi IN. Perbedaan Manfaat Sebelum Dan Sesudah Latihan Pelvic Tilt Terhadap Nyeri Punggung Ibu Hamil Trimester III. J Ilm Ilmu-ilmu Kesehat. 2019;15(2):80–3.
Saftri F, Maita L. Asuhan Kebidanan Pada Ibu Hamil Trimester III Dengan Endorphin Massage Untuk Mengurangi Nyeri Punggung Di Pmb Deliana Saragih Kot Pekan Baru Tahun 2020. J Kebidanan Terkini (Current Midwifery Journal). 2021;1(1):22–31.
Febbyola, Jessica Vera, Eva Inayatul Faiza LW. Faktor -Faktor Yang Berhubungan Dengan Kecemasan Ibu Hamil Trimester III Dalam Menghadapi Persalinan Di Era Pandemi Covid -19 Di PMB Sumidjah Ipung Kota Malang.
Dewi MK. Pengaruh Pijat Endorphin Terhadap Penurunan Intensitas Nyeri Persalinan KALA I Fase Aktif Studi Kasus Pada Ibu Bersalin di PMB M Kota Bekasi. SENTRI J Ris Ilm. 2023;2(8):3069–77.
Tanjung WW, Antoni A. Efektifitas Endorphin Massage Terhadap Intensitas Nyeri Persalinan Kala I pada Ibu Bersalin. J Kesehat Ilm Indones … [Internet]. 2019;4(2):48–53. Available from: http://jurnal.stikes-aufa.ac.id/index.php/health/article/view/65
Richter LE, Carlos A, Beber DM. Buku Asuhan Kehamilan. 2018.
Astuti EW, Murwati, Fitriani N. The Effect of Endorphin Massage on Reducing The Intensity of Back Pain in Third Trimester Pregnant Women: A Systematic Review. J Matern Child Heal. 2022;2(7):148–58.
Who/Mps. Standards for Maternal and Neonatal Care. WHO Libr. 2007;1–72.
Rodiyah D, Rachmawati AP budhi. Pengaruh Pijat Endorphin Terhadap Intensitas Nyeripada Ibu Bersalin Kala I Fase Aktif Di Pmb Sri Budhi Rahayu Sst Depok. Progr Stud Ilmu Kebidanan Progr Sarj STIKes Bhakti Pertiwi Indones [Internet]. 2021;1–8. Available from: file:///C:/Users/A C E R/Downloads/66-Article Text-179-2-10-20220816.pdf
Sari FS. Dukungan Keluarga Dengan Kecemasan Primigravida Menjelang Persalinan Trisemester III. J Ipteks Terap. 2017;11(2):55.
Kemenkes RI. Pedoman Pelayanan Antenatal Terpadu 2020 Ed.3 [Internet]. Vol. III, Kementerian Kesehatan Republik Indonesia. 2020. 4–6 p. Available from: https://repository.kemkes.go.id/book/147
Irene M. Bobak DLL. Buku ajar keperawatan maternitas. Jakarta: EGC, 2005; 2016.
Yongky Y, Hardinsyah H, Gulardi G, Marhamah M. Status Gizi Awal Kehamilan Dan Pertambahan Berat Badan Ibu Hamil Kaitannya Dengan Bblr. J Gizi dan Pangan. 2009;4(1):8.
Kartikasari RI, Nuryanti A. Pengaruh Endorphin Massage Terhadap Penurunan Intensitas Nyeri Punggung Ibu Hamil. Rekernas Aipkema Temu Ilm Has Penelit dan Pengabdi Masy. 2016;(1):297–304.
Syarif KR, Mustafa M, Poltekkes E, Makassar K. Studi Literatur Delayed Cord Clamping (DCC) Dalam Mencegah Anemia Neonatal The Research Literature on Delayed Cord Clamping (DCC) between Anemia Neonatal. Politek Kesehat Makassar. 2022;13(1):2087–122.
Nurul Maulani, M. Tr. Keb Erli Zainal MK. Modul Ajar Asuhan Kebidanan Persalinan dan BBL Edisi 2. 2020.
World Health Organization. Intrapartum care for a positive childbirth experience [Internet]. 2018. 212 p. Available from: http://apps.who.int/iris/bitstream/10665/260178/1/9789241550215-eng.pdf?ua=1%0Ahttp://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/
Wahyuni O. Antibiotika Profilaksis Pada Seksio Sesarea. Vol. 16, Ebers Papyrus. 2010. p. 211–9.
Keemer F. Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: An Australian observational study. Int Breastfeed J. 2013;8(1).
Djogo MHA, Wuladari TM, Letor YMK. Pengaruh Konseling Asi Eksklusif Terhadap Motivasi Ibu Menyusui Di Ruang Nifas Rsud S.K. Lerik Di Kota Kupang. J Ilm Obs. 2022;14(2):77–85.
Sutarni, Pertiwi HW. Hubungan Post Natal Breast Care Dengan Terjadinya Bendungan ASI. J Kebidanan [Internet]. 2014;6(01):43–56. Available from: https://ejurnal.stikeseub.ac.id/index.php/jkeb/article/view/130
Kurniati ID, Setiawan R, Rohmani A, Lahdji A, Tajally A, Ratnaningrum K, et al. Buku Ajar Asuhan Nifas & Menyusui. 2015;
Karyati S, Indanah I, Siswanti H. Pijat Oksitosin Dan Pijat Endorphin Untuk Meningkatkan Kualitas Tidur Ibu Nifas. J Ilmu Keperawatan dan Kebidanan. 2023;14(1):307–14.
Andriani, Feni. Asuhan Kebidanan pada BBL, Neonatus dan Balita. Buku Asuhan Kebidanan pada BBL, Neonat dan Balita. 2019;23–6.
Niar A, Dinengsih S, Siauta J. Factors Affecting the Production of Breast Milk Breastfeeding Mother at Harifa RSB, Kolaka District Southeast Sulawesi Province. J Kebidanan Midwiferia. 2021;7(2):10–9.
Araafi NN, Krisnarto E, Ratnaningrum K. Hubungan Pengetahuan Ibu Terhadap Kejadian Miliaria Pada Bayi Usia 0-12 Bulan. Pros Semin Kesehat Masy. 2023;1(Oktober):94–9.
Sammantha B dkk. Kesembuhan Miliaria Pada Bayi Usia 0 -12 Bulan Dengan Pemberian Vco (Virgin Coconut Oil) Di Desa Purwoasri Kecamatan Singosari Kabupaten Malang. J Ilmu Kebidanan dan Kesehat. 2019;7(2):62–72.
Erlinawati1, Hennyda Fitri Amir2 ADP. Hubungan Frekuensi Pemberian ASI Pada Ibu Menyusui Dengan Peningkatan Berat Badan Bayi.
Rachmawati A, Agustin ER. Hubungan Antara Rasa Takut Ibu Terhadap Efek Samping Pemasangan Kontrasepsi IUD. IJMT Indones J Midwifery Today. 2022;2(1):20–6.
Enggar dkk. Penggunaan Alat Kontrasepsi dan Frekuensi Menyusui di Wilayah Kerja Puskesmas Sangurara Kota Palu Enggar. J Penelit Kesehat Suara Forikes [Internet]. 2022;13:234–8. Available from: doi: http://dx.doi.org/10.33846/sf13145%0APenggunaan
