Mother's experience in managing labor pain in Central Java Indonesia

Heni Setyowati Esti Rahayu


Background: Maternal mortality ratio in Indonesia is still high compared to other ASEAN countries. One of the causes of maternal death is obstructed labor associated with anxiety, stress and pain. In some areas of Indonesia have the traditional ways to cope with pain during childbirth. This tradition is inherited from one generation to the next generations. The objective of this study was to explore the experience of mothers on coping with pain which are influenced by culture, values and beliefs of the Java community.

Methods: This study used a phenomenological qualitative approach. A total of five people in Magelang regency, Central Java participated in this study, selected by using purposive sampling and data was analyzed by thematic content analysis,

Results: The result of this study consist of four themes, namely mules (uncomforted feeling in stomach) and stiffness in stomach’s muscle because the baby would be born which is a mother's perception of pain during childbirth, mothers perform actions in the physical, psychological and spiritual for pain, parents teach in eating and drinking, attitudes and actions in reducing labor pain, the parents and provider are source who convinced her to take action to manage labor pain.

Conclusions: Culture affects maternal in managing pain, so nurses need to notice to the cultural aspects of nursing care adjusted to the patient's beliefs and culture.


Central java culture, Labor pain, Mother’s experience

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Statistik BP. National Family Planning Coordinating Board, Ministry of Health and Macro International 2013. Indonesia Demographic and Health Survey 2012. Calverton. Maryland; USA: BPS and Macro International.

Statistik BP. National Family Planning Coordinating Board, Ministry of Health and Macro International 2008. Indonesia Demographic and Health Survey 2007. Calverton. Maryland; USA: BPS and Macro International.

Kemenkes RI. Data and information center. Ministry of Health of the Republic of Indonesia. Jakarta.

Kemenkes RI. Report on the Result of Basic Health Research of Indonesia Year 2010, Ministry of Health Republic of Indonesia, Jakarta.

Kemenkes RI. Indonesia Health Data Profile 2011. Ministry of Health Republic of Indonesia. Jakarta.

Fantu, S, Segni H, Alemseged F. Incidence, Causes and Outcome of Obstructed Labor in Jimma University Specialized Hospital. Ethiop J Health Sci. 2010;20:145-51.

Dolea, C, Abouzahr C. Global Burden of Obstructed of Labor in the Year 2000, WHO, Geneva.

Sercekus P, Dan OH. Fears Associated with Childbirth Among Nulliparous in Turkey, Midwifery. 2009;25(2):155-62.

Adams S, Eberhard-Gran M, Es Klid A. Fear of Childbirth and Duration of Labour; A Study of 2206 Women with Intended Vaginal Delivery. BJOG. 2012;119(10):1238-46.

Begin N, Zigic L, Rados N. Anxiety and Anxiety Sensitivity as Predictors of Fear of Childbirth; Different Pattern for Nulliparous and Parous Woman. J Psychosom Obstet Gynaecol. 2012;35(1):8-22.

Thompson T, Keogh E, French CC, Davis R. Anxiety Sensitivity and Pain: Generalisability Across Noxious Stimuli. J Pain. 2008;134(1):187-96.

Beesdo K, Hoyer J, Jacobi F, Low NC, Höfler M, Wittchen HU. Association between generalized anxiety levels and pain in a community sample: evidence for diagnostic specificity. J Anxiety Disorders. 2009;23(5):684-93.

Lang AJ, Sorrell JT, Rodgers CS, Lebeck MM. Anxiety sensitivity as a predictor of labor pain. European J Pain. 2006;10(3):263-70.

Abushaikha L. dan Oweis A. Labor Pain Experience and Intensity, a Jordanian Perspective. International J Nurs Pract. 2005;11(1):8-33.

Habanananda T. Non-Pharmacological Pain Relief in Labour. J Med Assoc Thailand. 2004;87(3):194-202.

Rusdiatin IE, dan Maulana D. Effect of Acupressure Technique on Pain Level of Labor Kala I at Rajawali Hospital Citra Potorono Banguntapan Bantul 2007, National Technology Seminar (SNT 2007).

Jones L. Pain Management for Women in Labour: An Overview of Systematic Review. J Evid Based Med. 2012;5(2):101-2.

Ward SL, Hisley SM. 2009, Maternal Child Nursing Care Optizing Outcomes for Mother, Children And Families, Philadelphia:FA Davis Company.

Alehagen S, Wijma B, Lundberg, U, Wijma K. Fear, Pain and Stress Hormones During Childbirth. J Psychosomat Obstet Gynecol. 2005;26(3);133-65.

Rosmary MD, Persalinan N. Jakarta, EGC. 2003.

Mondal S, Chaudhuri A, Kamilya G, Santra D. Fetomaternal outcome in obstructed labor in a peripheral tertiary care hospital. Med J. 2013;6(2):146.

Heni SER. Maternal Requirement to Overcome Pain During Labor. J Materni Nurs. 2013;1(2):102-8.

Streubert HJ, Carpenter DR. 2003, Qualitative Research in Nursing Advancing the Humanistic Imperative Third Edition, Philadelphia, New York: Lippincott.

Hungler PD. 2001, Essentials of Nursing Research Methods, Appraisal and Utilization Fifth Edition, Philadelphia New York:Lippincott.

Muhammed A, Danlami S. Perception of Pain in Labour among Parturients in Hajia Gambo Sawaba General Hospital, Zaria. J Nurs Health Sci. 2015;4(5):113-7.

Brown ST, Douglas C, Flood LAP. Women’s Evaluation of Intrapartum Nonpharmacological Pain Relief Methods Used during Labor. J Perinat Educ. 2001;10(3):1-8.

Manizheh P, Leila P. Perceived environmental stressors and pain perception during labor among primiparous and multiparous women. J Reprod Infertil. 2009;10(3):217-23.

Saisto T. 2001, Obstetric, Psychosocial and Pain Related background and Treatment, Departement of Obstetrics and Gynaecology, University Helsinki, Finland.

Reeder, Martin, Griffin. 2011, Maternity Nursing: Family, Newborn and Women’s Health Care. 18 thEd. Alih Bahasa: Yati Afianti, Imami Nur Rachmawati, Sri Djuwitaningsih. Jakarta: EGC.

Murray SS, Kinney ES. 2007, Foundation of Maternal-Newborn Nursing, Singapore, Elsevier.

Hosmandi S, Dolation M, kamalifard M, Gojazadeh, M. 2010, Comparison of labor pain and factors Affecting the Pain Perception Among Primiparaous And Multiparaous Women Referring to Women’s private And State Hospitals in Tabriz. Med J Tabriz University Med Sci. 2010;34:3.

Weatherspoon D. Easing Discomfort from Labor and Delivery: Alternative and Medical Practices. Int J Childbirth Educ. 2011;26:4.

Pilliteri, A. 2010, Maternal and Child Health Nursing, Care of the Childbearing and Childrearing Family, 6th ed. Philadelphia, Lippincott Williams and Wilkins.

Budin WC. Birth and Death: Opportunities for Self-Transendence. J Perinat Educ. 2001;10(2):38-42.

Delgado C. A Discussion of the Concept of Spirituality. Nurs Sci Q. 2005;18(2):157-62.

Bobgi AA. Pain Coping Behaviour of Saudi Patients Suffering from Advanced Cancer: A Revisited Experience. Asian Pac J Cancer Prov. 2010;1:103-6.

Sloan E. 2004, Anatomy and Physiology, Issue 1, Jakarta, EGC.

Madden K, Middleton P, Cyna AM, Matthewson, M, Jones L. Hypnosis for Pain Management during Labour and Childbirth. Cochrane Database Syst Rev. 2012;14:11.

Benfield RD, Hortobagyi T, Tanner CJ, Swanson M, Heitkemper MM, Newton ER. The Effect of Hydrotherapy on Anxiety, Pain, Neuroendocrine Responses and Contraction Dynamic during Labour. Biol Res Nurs. 2010;12(1):28-36.

Sujana T, Barnes M, Rowe J, Reed R. (2016), Decision Making towards Maternal Health Services in Central Java, Indonesia. Nurse Media J Nurs. 2016;6(2).