duration of labor
APGAR score

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Theresia Patty, F. I., Suhartono, S., Ngadiyono, N., & Mardiyono, M. (2017). EFFECT OF ACUPRESSURE THERAPY POINT LI 4, SP 6, AND BL 60 ON DURATION OF THE FIRST STAGE OF LABOR IN PRIMIGRAVIDA AND NEWBORN’S APGAR SCORE. Belitung Nursing Journal, 3(6), 697–701. https://doi.org/10.33546/bnj.294
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Accepted for publication: 2017-12-27
Peer reviewed: Yes

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Background: The prolonged partus is one of the causes of maternal deaths marked by the slow progress of labor. Induction of labor and caesarean section is a common procedure performed on long-term partus events to end pregnancy. The birth acupressure technique is a complementary method to activate the hormone oxytocin at a certain point to use to soften the cervix and increase contraction.

Objective: To examine the effect of acupressure point LI4, SP6 and BL60 on the duration of the first stage of labor and APGAR score of newborns in primigravida.

Methods: This research employed a quasi-experimental study with posttest control group design. It was conducted at the Public Health Center of Trauma and Public Health Center of Palaran Samarinda, East Kalimantan, Indonesia. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in the experiment and control group. The duration of the first stage of labor was assessed using partograph and APGAR score was assessed using APGAR score assessment sheets. Mann Whitney test was used for data analysis

Results: Findings showed that the duration of the first stage of labor in the experiment group was 187 minutes and in the control group was 307 minutes. Mann Whitney test obtained p-value 0.001 (<0.05), which indicated that there was a statistically significant difference of the duration of the first stage of labor between both groups. However, Mann Whitney test for APGAR score showed p-value 0.114 (>0.05), which indicated that there was no significant difference of APGAR score in the experiment and control group.

Conclusion: There was a significant effect of acupressure on the duration of the first stage of labor, but no effect of the APGAR score. Therefore, acupressure may be recommended to shorten the duration of the first stage of delivery in primigravida.


Supporting Agencies

Postgraduate Midwifery Program, Semarang Health Polytechnic, Semarang, Indonesia


Copyright (c) 2017 Fara Imelda Theresia Patty, Suhartono, Ngadiyono, Mardiyono

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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Akbarzadeh, M., Masoudi, Z., Zare, N., & Kasraeian, M. (2016). Comparison of the effects of maternal supportive care and acupressure (at BL32 Acupoint) on labor length and infant's Apgar score. Global Journal of Health Science, 8(3), 236.

Apgar, V. (2015). A proposal for a new method of evaluation of the newborn infant. Anesthesia & Analgesia, 120(5), 1056-1059.

Cunningham, F., Leveno, K., Bloom, S., Spong, C. Y., & Dashe, J. (2014). Williams obstetrics (24th ed.) New York: McGraw-Hill.

Gregson, S., Tiran, D., Absalom, J., Older, L., & Bassett, P. (2015). Acupressure for inducing labour for nulliparous women with post-dates pregnancy. Complementary Therapies in ClinicalPpractice, 21(4), 257-261.

Khomsah, Y. S. b., Suwandono, A., & Ariyanti, I. (2017). The effect of acupressure and effleurage on pain relief in the active phase of the first stage of labor in the Community Health Center Of Kawunganten, Cilacap, Indonesia. Belitung Nursing Journal, 3(5), 508-514.

Kuswaningrum, O., Suwandono, A., Ariyanti, I., Hadisaputro, S., & Suhartono, S. (2017). The impact of consuming amaranthus spinosus l extract on prolactin level and breast milk production in postpartum mothers. Belitung Nursing Journal, 3(5), 541-547.

National Research, C. (2013). Reducing maternal and neonatal mortality in indonesia: Saving lives, saving the future. Washington DC: National Academies Press.

Neri, I., Monari, F., Midwife, C. S., & Facchinetti, F. (2014). Acupuncture in post-date pregnancy: a pilot study. The Journal of Maternal-Fetal & Neonatal Medicine, 27(9), 874-878.

Prawirohardjo, S. (2006). Buku acuan nasional pelayanan kesehatan maternal dan neonatal [National reference book of maternal and neonatal health services]. Jakarta: Yayasan Bina Pustaka.

Say, L., Chou, D., Gemmill, A., Tunçalp, Ö., Moller, A.-B., Daniels, J., . . . Alkema, L. (2014). Global causes of maternal death: a WHO systematic analysis. The Lancet Global Health, 2(6), e323-e333.

Smith, C. A., Crowther, C. A., & Grant, S. J. (2013). Acupuncture for induction of labour. Cochrane Database of Systematic Reviews, 8, 10.1002/14651858

Tigga, R., & Thapa, R. (2016). Effectiveness of acupressure on level of pain and duration of labour among primigravida mothers during first stage of labour. Indian Journal of Applied Research, 6(6), 131-133.

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