ASUHAN KEPERAWATAN NYERI MELAHIRKAN DENGAN INTERVENSI TEKNIK REBOZO SHAKE THE APPLE TREE PADA IBU INTRANATAL KALA I FASE AKTIF

Pradnyasari, Ni Made Dwi (2026) ASUHAN KEPERAWATAN NYERI MELAHIRKAN DENGAN INTERVENSI TEKNIK REBOZO SHAKE THE APPLE TREE PADA IBU INTRANATAL KALA I FASE AKTIF. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

NURSING CARE FOR CHILDBIRTH PAIN WITH REBOZO “SHAKE THE APPLE TREE” TECHNIQUE INTERVENTION IN INTRANATAL MOTHERS DURING THE ACTIVE PHASE OF THE FIRST STAGE AT INDEPENDENT MIDWIFE PRACTICE ABSTRACT First-stage labor is a physiological process often accompanied by intense pain due to uterine contractions and cervical dilation during the active phase. Unmanaged pain can lead to increased anxiety, high blood pressure, and the risk of prolonged labor. This clinical paper aims to implement nursing care for childbirth pain using the rebozo “shake the apple tree” technique intervention on two primigravida respondents at an Independent Midwife Practice in 2026. The method employed is a case study using a nursing process approach covering assessment to evaluation. The shake the apple tree technique is performed by wrapping a rebozo cloth around the mother's pelvis, followed by continuous gentle rhythmic shaking movements for 10–15 minutes, adjusted to the mother's comfort and contraction patterns. The results showed that after the intervention, both subjects experienced a decrease in pain intensity by 2 points on the Numerical Rating Scale (NRS), appeared more relaxed, were able to control their breathing, and labor progress became more effective. In conclusion, the rebozo “shake the apple tree” technique is effective in reducing the perception of childbirth pain through pelvic muscle relaxation mechanisms and the gate control theory. This intervention is recommended to be integrated into maternity nursing care as a safe and holistic non-pharmacological pain management. Keywords: First stage of labor, childbirth pain, rebozo shake the apple tree technique. ASUHAN KEPERAWATAN NYERI MELAHIRKAN DENGAN INTERVENSI TEKNIK REBOZO SHAKE THE APPLE TREE PADA IBU INTRANATAL KALA I FASE AKTIF Studi Dilakukan di Praktik Mandiri Bidan Ni Made Dwi Pradnyasari Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email : [email protected] ABSTRAK Persalinan merupakan proses fisiologis yang sering disertai nyeri intens akibat kontraksi uterus dan dilatasi serviks pada kala I fase aktif. Nyeri yang tidak tertangani dapat meningkatkan kecemasan, tekanan darah, hingga risiko persalinan lama. Karya ilmiah ini bertujuan untuk melaksanakan asuhan keperawatan nyeri melahirkan dengan intervensi inovasi teknik rebozo “shake the apple tree” pada dua responden primigravida di Praktik Mandiri Bidan. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan yang meliputi pengkajian hingga evaluasi. Teknik shake the apple tree dilakukan dengan melilitkan kain rebozo pada panggul ibu, kemudian diberikan gerakan goyangan ritmis yang lembut secara terus-menerus selama 10–15 menit menyesuaikan kenyamanan ibu dan pola kontraksi. Hasil studi menunjukkan bahwa setelah diberikan intervensi, kedua subjek mengalami penurunan intensitas nyeri sebesar 2 poin pada skala Numerical Rating Scale (NRS), subjek tampak lebih rileks, mampu mengontrol napas, dan kemajuan persalinan menjadi lebih efektif. Simpulannya, teknik rebozo “shake the apple tree” efektif dalam menurunkan persepsi nyeri melahirkan melalui mekanisme relaksasi otot panggul dan teori gate control. Intervensi ini disarankan untuk diintegrasikan dalam asuhan keperawatan maternitas sebagai manajemen nyeri non-farmakologis yang aman dan holistik. Kata Kunci: Persalinan Kala I, nyeri melahirkan, teknik rebozo shake the apple tree.

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