Teknik Pengurangan Rasa

Nyeri Pada Persalinan

Kelompok 2
1. Annisa Nur Fadilla
2. Charisa Eka Kartika
3. Devisca Vita Novalanda
4. Hafifa Asiah NA
5. Ine Hardianti
6. Meily Anggraini
7. Renitha Amalia
8. Tri Wulandari
Dosen Pengampu : Rohaya, SPd, SKM, M.Kes
 Ada beberapa cara untuk
Pengurangan Rasa Nyeri mengurangi rasa nyeri
secara non farmakologi,
yaitu :

01 Relaksasi
Pengurangan rasa nyeri pada
persalinan adalah 02 Stimulasi Cutaneus
mengurangi rasa sakit
langsung dari sumbernya, 03 Stimulasi mental
memberikan rangsangan
alternatif yang kuat, 04 Teknik Pernafasan
mengurangi reaksi fisik dan 05 Hydroterapi
mental negatif, serta
emosional ibu terhadap rasa 06 Acupunture
sakit.
07 Acupresure
Relaksasi adalah suatu kegiatan positif yang
dapat memberikan rasa nyaman dan puas.
Relaksasi adalah cara untuk melupakan
sejenak kecemasan-kecemasan atau
mengistirahatkan fikiran dengan cara
menyalurkan kelebihan energi atau
ketegangan (psikis).
3. Relaksasi Pikiran
Langkah ini diwakili oleh indra mata.
Indra mata digunakan sebagai fiksasi
pandangan. Buka mata perlahan-lahan, lalu
pandanglah satu titik tepat diatas mata, makin
lamakelopak mata makin rileks, berkedip, lalu
hitungan ke 5 mata akan menutup.
4. Relaksasi dengan Fiksualisasi
Relaksasi fiksulisasi dapat
menggunakan imajinasi untuk mencapai
kondisi rileks.
Relaksasi
Metode relaksasi bisa dilakukan dengan:
1. Relaksasi otot
Berbaring dengan santai, lengan disamping
kiri dan kanan, telapak tangan menghadap ke
atas, pejamkan mata dan posisi tubuh dibuat
senyaman mungkin, biarkan seluruh aliran darah
mengalir lancar, kendurkan seluruh otot tubuh.
2. Relaksasi dengan pernafasan
mendeteksi cara bernafas
a. Pejamkan dan baringkan tubuh
b. Letakan tangan kanan pada perut, dekat
pinggang.
c. Letakkan tangan kiri pada dada, tepat
ditengah
d. Selagi bernafas, rasakan tangan sebelah
mana yang lebih terangkat.
 Stimulasi Cutaneus
(Slow stroke back
massage)

Teknik Stimulasi Cutaneus:

Usap pada punggung dengan jari-jari

dan telapak tangan dilakukan selama 3-
10 menit, gerakan dimulai pada bagian
tengah punggung bawah kemudian ke
arah atas area belahan bahu kiri dan
kanan.
 Stimulasi mental
(hypobirthing)

Sebuah metode yang menggunakan

self-hypnosis atau hipnotis diri sendiri
untuk membantu calon ibu merasa siap
serta mengurangi persepsi akan
ketakukan, kecemasan atau tegang dan
rasa saat kontraksi sampai melahirkan.
Yaitu dengan cara memberikan afirmasi
positif kepada ibu dengan diiringi musik
yang tenang.
 MASSAGE

Melakukan tekanan tangan pada jaringan lunak, biasanya otot, tendon atau
ligamentum, tanpa menyebabkan gerakan atau perubahan posisi

1. Effleurage (pijatan abdomen)

Adalah teknik pemijatan berupa usapan
lembut, lambat, dan panjang atau tidak
terputus-putus. Lakukan usapan dengan
ringan dan tanpa tekanan kuat, tetapi
usahakan ujung jari tidak lepas dari
permukaan kulit, digerakkan melingkar ke
arah pusat ke symphisis atau dapat juga
menggunakan satu telapak tangan
dengan gerakan melingkar atau satu
arah.
2. Deep Back Massage
memperlakukan pasien
berbaring miring, kemudian bidan
atau keluarga pasien menekan
daerah secrum secara mantap
dengan telapak tangan, lepaskan
dan tekan lagi, begitu seterusnya.
3. Firm Counter Pressure
Metode ini memperlakukan
pasien dalam kondisi duduk
kemudian bidan atau keluarga
pasien menekan secrum secara
bergantian dengan tangan yang
dikepalkan secara mantap dan
beraturan.
4. Abdominal Lifting
Meperlakukan pasien dengancara
membaringkan pasien pada
posisi terlentang dengan posisi
kepala agak tinggi. Letakkan
kedua telapak tangan pada
pinggang belakang pasien,
kemudian secara bersamaan
lakukan usapan yang berlawanan
kearah puncak perut tanpa
menekan kearah dalam,
kemudian ulangi lagi dan kemudia
seterusnya.
 Hydroterapi

Metode non farmakologis pertama yang dipertimbangkan disini yang melibatkan komponen bukan
manusia, bak mandi atau kolam dan air yang ada didalamnya.

Cara melakukan Hydroterapi

1. Wanita diminta berdiri atau duduk
disebuah kursi dibawah shower
2. Bak mandi yang memungkinkan terisi air
yang dalam dan memberikan ruang bagi
pasangan dan wanita untuk bergerak.
3. Suhu air didalam bak sebaiknya tidak
melebihi 98-200 Celcius Fahrenheit atau
37-37,5 Celcius, karena air yang lebih
hangan dapat meningkatkan suhu tubuh
wanita dan meningkatkan takikardia janin.
 Acupressure

Merupakan olmu penyembuhan yang berasal dari Tionghoa sejak lebih dari 500 th yang lalu. Akupresure
sebagai seni dan ilmu penyembuhan yang berlandaskan pada teori keseimbangan yang bersumber dari
ajaran taoisme.

Titik Cien Cing

Teknik :
1. Lakukan penekanan kebawah pada titik
cien cing tersebut menggunakan ibu jari,
atau siku. Ketika menggunakan ibu jari,
berikan tekanan yang berasal dari lengan
bukan ekanan yang berasal dari sendi ibu
jari. Pada titik ini sebaiknya dilakukan pada
kedua bahunya, namun dapat juga
dilakukan sendiri pada satu bahu.
Titik Bl 32 (Pang Kuang Su)
Teknik:
1. Tempatkan jari pada titik akupresure dan lakukan
tekanan yang lembut. Tekanan dapat ditingkatkan
dengan melakukan kearah belakang pada awal
kontraksi.
2. Titik ini lebih banyak digunakan karena
menimbulkan efek anestesi pada kontraksi yang
kua, terlihat jelas efek ini saat penekanan
dihentikan.
3. Penekanan pada titik ini akan menimbulkan rasa
hangat, geli, dan agak sakit. Jika terasa sangat
sakit, lakukan penekanan pada sekitar tulang.
4. Titik ini sering digunakan pada wanita dengan
posisi menunduk atau berlutut pada lantai, meja,
tempat tidur, dl. Teknik ini dapat juga efektif
digunakan dalam air, namun kurang fleksibel
pada sebagian orang.
5. Penekanan kuat pada titik BI 32 dapat dilakukan
pada wanita bersalin yang selalu ingin mengdan
sedangkan serviks belum cukup bedilaktasi.
Titik Pantat
Teknik:
1. Tempatkan tangan pada pinggul pasien dan
lakukan dorongan kedalam titik ini dengan
menggunakan ibu jari dan bantu ibu untuk
bergerak saat kontraksi. 2-3 hari sebelum tanggal
persalinan, BL 32 dan titik pantat dapat digunakan
bersamaan dengan massage pda sakral, lakukan
penekanan kebawah dan mengililingi pantat.
Tujuannya adalah memberikan energi pada serviks
agar persalinan berjalan secara optimals.
Titik Pada Tangan
Teknik:
1. Pegang sisir kecil dengan kencang. Pasien dapat
menggenggam sisir terssebut saat kontraksi dan
anjurkan pada pasien untuk melakukan tindakan
ini bila terasa bermanfaat. Titik ini sangat
membantu untuk menurunkan nyeri saat
kontraksi.
Titik K1
Teknik:
1. Lakukan penekanan yang kuat kedaam dan
kedepan kearah jempol kaki. Titik ini mempunyai
efek relaksasi dan dapat digunakan kapan saja
saat persalinan dan sangat efektif dilakukan
selama fase kedua persalinan. Penekanan pada
titik ini juga dapat berguna saat pasien panik
(misal mempunyai pengalaman tidak
mengenakkan pada persalinan sebelumnya). Titik
ini berguna untuk memba tu perineum. Relaksasi
selama fase kdua persalinan.
Titik CO4 (He Kuk)
Teknik:
Berikan penekanan pada titik ini menggunakan ibu
jari. Penekanan pada titik ini berguna untuk
mengintensifkan kontraksi, saat kontraksi ireguler.
Titik CO4 dapat digunakan selama fae kedua
persalinan. Hal ini bertujuan agar tubuh berusaha
menggerakkan bayi turun melewati jalan lahir.
Penakanan ni sangat berguna pada saat ibu
kelelahan dan mengedan tidak efektif.
Titik Sp6 (San Yin Ciao)
Teknik:
1. Lakukan tekanan langsug pada titik ini dengan
telunjuk atau ibu jari.
2. Gunakan titik ini pada satu kaki kira-kira satu
menit kemudian gunakan titik ini pada kaki lain
setelah 20-30 menit.
3. Setelah dilakukan penekanan pada titik ini,
beberapa wanita akan merasakan serviks
meregang dan kontraksi semakin kuat.
4. Teknik ini sebaiknya tidak digunakan saat
persalinan berjalan normal, persalinan bukan
berapa jam dapat melahirkan, namun bagaimana
menikmati proses melahirkan.
5. Ketika ketuban telah pecah dan persalinan tidak
mengalami kemajuan dapat dilakukan penekanan
pada BL 32 dan Sp6 untuk membantu persalinan.
Titik P6
Teknik:
1. Titik ini dapat digunakan pada mual ringan
sampai muntah. Lakukan penekanan pada titik ini
dan pertahankan sampai terasa efektif, biasanya
selama 5 menit. Penekanan ini dapat dilakukan
pada satu pergelangan tangan atau keduanya.
 Acupunture

Metode pengobatan tradisional dari China yang sejak lama sudah

dikenal. Acupunture saat hamil dipercaya dapat membantu melancarkan
aliran darah dan terbukti dapat memberi banyak manfaat.
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LOREM IPSUM DOLOR SIT AMET,
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 Thank You
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 Fully Editable Icon Sets: B
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 Fully Editable Icon Sets: C
You can Resize without
losing quality
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Line Color

FREE
PPT
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www.allppt.com