Efektivitas Penggunaan Gym Ball dan Teknik Rebozo Terhadap Intensitas Nyeri dan Lama Persalinan pada Ibu Bersalin Kala 1 Fase Aktif di TPMB Ota Kabupaten Lampung Selatan Lampung Tahun 2025

Abstract

Labor pain is one of the factors that can hinder the progress of the labor process. The mother's inability to manage pain during labor has the potential to cause uterine contractions to become uncoordinated, which has an impact on prolonging the duration of the first stage and increasing the risk of disruption to the fetal condition. Various nonpharmacological methods have been applied to accelerate labor and reduce pain intensity, including the use of gym ball and rebozo (pelvic rocking) techniques. This study aims to evaluate the effectiveness of using gym ball and rebozo techniques on pain intensity and duration of active phase I in laboring women at the Ota Independent Midwife Practice Site (TPMB), South Lampung, in 2025. The research used a case study approach to two participants who were in the active phase of labor. Primary data were obtained through direct observation of the interventions provided, namely the use of gym ball and rebozo techniques. The results showed that laboring women who received the gym ball intervention experienced a decrease in pain intensity from the moderate category to mild, with a duration of labor of 5 hours. Meanwhile, mothers who received the rebozo technique showed no change in pain intensity, with a duration of labor of 6 hours. It can be concluded that the use of gym ball is more effective in reducing pain intensity and shortening labor time in active phase I compared to the rebozo technique. Therefore, the use of gym ball can be recommended as an alternative nonpharmacological method to support a more comfortable and efficient labor process.