Efektivitas Latihan Birth Ball Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Primigravida

Ade Kurniawati, Djaswadi Dasuki, Farida Kartini


Some problems may appear due to childbirth, such as discomfort, fear and pain. Particularly for pain in the first stage of labor, it can be severe and takes place a longer time, thus, pain management is necessary. Birth ball exercise is one of nonpharmacological methods to reduce labor pain.This was a quasi-experimental study to determine the effectiveness of birth ball exercise isone of nonpharmacological methodstowards the reduction of labor pain in the active phase of the first stage of labor in primigravida. Thirty eight women were recruited with consecutive sampling technique, divided into 2 groups, the treatment group given ball birth exercise in active phase of the first stage for 30 minutes for two times and the control group not given the exercise. The bivariable analysis was conducted with correlation and t-test, while the multivariable analysis used linear regression. The results showed that the mean labor pain in the group given birth ball exercise was lower 4.5 than that in the control group at 5.4 with a p-value of 0.01. The extraneous variables that influenced labor pain were anxiety, husband and family support with a p-value of <0.05. The multivariate analysis using Model 4 obtained an R² value of 0.49, which means that the birth ball exercise and husband and family support contributed to labor pain equal to 49%.There were significant differences in pain intensity in active phase of the first stage of labor between primigravida who practiced birth ball exercise and those who did not. The pain intensity was lower in women practicing birth ball exercise than that in those who did not.


birth ball; labor pain; the first stage; the active phase; primigravida

Full Text:



Sarwono. Buku Acuan Nasional Pelayanan Maternal dan Neonatal. Jakarta: PT. Bina Pustaka; 2009.

Gau M-L, Chang C-Y, Tian S-H, Lin K-C. Effects of birth ball exercise on pain and self-efficacy during childbirth: A randomised controlled trial in Taiwan. Midwifery [Internet]. 2011 Dec;27(6):e293–300. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0266613811000192

Tournaire M, Theau-Yonneau A. Complementary and Alternative Approaches to Pain Relief during Labor. Evidence-Based Complement Altern Med [Internet]. 2007;4(4):409–17. Available from: http://www.hindawi.com/journals/ecam/2007/256475/abs/

Kennedy BB, Ruth DJ, Martin EJ. Modul Manajemen Intrapartum. Jakarta: EGC; 2013.

Mathew A, Nayak S, Vandana K. A Comparative Study On Effect Of Ambulation and Birthing Ball On Maternal And Newborn Outcome Among Primigravida Mothers In Selected Hospitals In Mangalore. NUJHS. 2012;2(2):2–5.

Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong CY. Williams Obstetrics. 23rd ed. New York: Mc. Graw Hill Medical; 2010.

Wiknjosastro. Buku Panduan Praktis Pelayanan Kesehatan Maternal dan Neonatal. Jakarta: Bina Pustaka; 2010.

Henderson C, Jones K. Buku Ajar Konsep Kebidanan. Jakarta: EGC; 2006.

Baston H, Hall J. Persalinan (Midwifery Essential: Labour). Jakarta: EGC; 2011.

Kwan WS, Chan S, Li W. The Birth Ball Experience: Outcome Evaluation of the Intrapartum Use of Birth Ball. Hong Kong J Gynaecol Obs Midwifery. 2011;11:59–64.

Hau W-L, Tsang S-L, Kwan W, Man LS-K, Lam K-Y, Ho L-F, et al. The use of birth ball as a method of pain management in labour. Hong Kong J Gynaecol Obs Midwifery. 2012;12:63–8.

Leung RW, Li JF, Leung MK, Fung BK, Fung LC, Tai S, et al. Efficacy of birth ball exercises on labour pain management. Hong Kong Med J [Internet]. 2013 Jul 22; Available from: http://www.hkmj.org/abstracts/v19n5/393.htm

Rumbin P. Studi Tentang Nyeri Persalinan Berdasarkan Umur dan Paritas di RSUD Dr. Soewanhdie Surabaya. Surabaya: Depkes RI; 2008.

Silva LM e, Oliveira SMJV de, Silva FMB da, Alvarenga MB. Using the Swiss ball in labor. Acta Paul Enferm [Internet]. Escola Paulista de Enfermagem, Universidade Federal de São Paulo; [cited 2016 Oct 12];24(5):656–62. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002011000500010&lng=en&nrm=iso&tlng=pt

Widyaswara P. Pengaruh Terapi Birth Ball Terhadap Nyeri Persalinan Kala I. 2012.

Potter PA, Perry AG. Buku Ajar Fundamental Keperawatan. 4th ed. Jakarta: EGC; 2006.

Pillitteri A. Maternal and Child Health Nursing: Care of Childbearing and Childbearing Family. Philadelphia, USA: Lippincot Williams & Wilkins; 2010.

Alehagen S, Wijma B, Wijma K. Fear of childbirth before, during, and after childbirth. Acta Obstet Gynecol Scand [Internet]. 2006 Jan;85(1):56–62. Available from: http://doi.wiley.com/10.1080/00016340500334844

Sriwenda D, Yulinda. Efektifitas Latihan Birth Ball Terhadap Efikasi Diri Primipara dengan Persalinan Normal. J Ners dan Kebidanan Indones. 2016;4(3):25–31.

Judha M, Sudarti, Fauziah A. Teori Pengukuran Nyeri dan Nyeri Persalinan. Yogyakarta: Nuha Medika; 2012.

Taavoni S, Abdolahian S, Haghani H, Neysani L. Effect of birth ball usage on pain in the active phase of labor: a randomized controlled trial. J Midwifery Womens Health [Internet]. 56(2):137–40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21429078

Batbual B. Hypnobirthing dan Hypnosis. Yogyakarta: Gosyen Publising; 2010.

DOI: http://dx.doi.org/10.21927/jnki.2017.5(1).1-10


  • There are currently no refbacks.

Jurnal Ners dan Kebidanan Indonesia (JNKI) indexed by:


Lisensi Creative Commons

  View My Stats