The Relationship Between Midwives' Knowledge and Attitudes Toward The Provision of Acupressure to Reduce Pain During Labor



Henni Fitria (Faculty of Medicine, Andalas University)
Yulizawati Yulizawati (Faculty of Medicine, Andalas University)
Sisca Bradinda (Faculty of Medicine, Andalas University,)
Radhiyatan Mardiyah (Faculty of Medicine, Andalas University)


Myometrial contractions, which cause labor pain, are a physiological process that varies in intensity depending on the individual. Most women who go through labor feel pain, but not all of them deal with it well. Anxiety and irregular labor might result from improper management of labor pain. It is possible to lessen labor pain by using both pharmaceutical and non-pharmacological interventions. In order to prepare moms and lower maternal anxiety during labor, non-pharmacological therapies like acupressure are thought to lessen the severity of labor pain. From August to October 2023, research using a cross-sectional study design was carried out at the Independent Midwife Practice in Padang City. Up to 40 midwives who worked or had their own independent midwifery practice in Padang City made up the research sample. Systematic random sampling was used to collect the samples. Chi square analysis test (p≤0.05) was used for both univariate and bivariate data analysis. The findings demonstrated that 47.5% of respondents had strong knowledge, and 72.5% had a positive attitude. The bivariate test results, with p values of 0.018 and 0.044, indicated a link between respondents' knowledge and attitude toward the supply of acupressure. When it comes to the providing of labor acupressure, knowledge and attitude are significantly correlated.


Acupressure, Labour pain, Knowledge, Attitudes

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Ariesty, Ghina Ayu et al. “Akupresur Sp6 Terhadap Nyeri Persalinan Kala I Fase Aktif”. Midwifery Journal, Vol 1, No 2, 2021, pp. 42-49. ISSN 2746-7953

Bahall M, Legall G. “Knowledge, attitudes, and practices among health care providers regarding complementary and alternative medicine in Trinidad and Tobago”. BMC Complement Altern Med. 2017, Vol 17, No 1, pp 144-150. doi:10.1186/s12906-017-1654-y

Baljon, K. J., Romli, M. H., Ismail, A. H., Khuan, L., & Chew, B. H. (2020). “Effectiveness of breathing exercises, foot reflexology and back massage (BRM) on labour pain, anxiety, duration, satisfaction, stress hormones and newborn outcomes among primigravidae during the first stage of labour in Saudi Arabia: a study protocol for a randomised controlled trial”. BMJ open, Vol 10, No 6, e033844.

Bauer BA, Townsend KM, Cutshall SM, et al. “Advanced Practice Providers' Knowledge, Attitudes, and Utilization of Complementary and Integrative Medicine at an Academic Medical Center”. Altern Ther Health Med. 2020, Vol 26 No 5, pp 8-16.

Bolsoy, N., Bozhan-Tayhan, E., Köken-Durgun, S., Damar, E., Kayıp, E. “The knowledge and attitudes of health professionals working in mother-friendly hospitals about complementary therapy and supportive care methods”. European Journal of Midwifery, 2022.

Chomaria, N. Panduan Terlengkap Kehamilan Melahirkan Tanpa Rasa Sakit. Jakarta: Elex Media Komputindo. 2019.

Effendi, F., Makhfudli, Keperawatan Kesehatan Komunitas: Teori dan Praktek Dalam Keperawatan. Jakarta: Salemba Medika. 2009

Haryanto. Konsep Dasar Keperawatan dengan Pemetaan Konsep. Jakarta: Salemba Medika, 2009.

Lafçı D, Kara Kasıkçı M. “The Knowledge Level and Using of Complementary And Alternative Therapies Of The Health Personal Who Working At Hospitals”. Article in Turkish. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2014.

Notoatmodjo S. Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: PT. Rineka Cipta, 2012.

Şahin N, Aydın D, Akay B. “The Attitudes of Nursing Students Towards Holistic Complementary and Alternative Medicine”. Article in Turkish, 2022, Vol 8, No 1, pp 21-26.

Samuels N, Zisk-Rony RY, Singer SR, et al. “Use of and attitudes toward complementary and alternative medicine among nurse-midwives in Israel”. Am J Obstet Gynecol. 2010, Vol 203, No 4, pp 341-347. doi:10. 1016/j.ajog.2010.05.001

Selvia, A, Amru DE. “Hubungan Pengetahuan dan Sikap Remaja Putri Dalam Mengatasi Nyeri Haid Dengan Teknik Akupresur”. Edunursing Jurnal Ilmu Keperawatan. 2021, Vol 5, No 2.

Simkin P. P., & O'hara M. “Nonpharmacologic relief of pain during labor: Systematic reviews of five methods”. American Journal of Obstetrics and Gynecology, 2002, Vol 186, No 5, pp 131–159.

Simkin, Penny. “The Birth Partner: a Complete Guide to Child birth for Dads, Doulas, and All Other Labor companions- Fourth Edition”. USA:The Hardvard Common Press, 2013.

Smith, C. A., Collins, C. T., Levett, K. M., Armour, M., Dahlen, H. G., Tan, A. L., & Mesgarpour, B. “Acupuncture or acupressure for pain management during labour”. The Cochrane database of systematic reviews, 2022, CD009232.

Wawan, A., Dewi, M. Teori dan Pengukuran Pengetahuan, Sikap, dan Perilaku manusia. Yogyakarta: Nuha Medika, 2010.

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