Effectiveness of the rebozo technique with kazo in decreasing labor pain intensity and enhancing labor progression

Lastriati Dewi Ayudarista, Ma’mun Sutisna, Teni Nurlatifah, Anita Deborah, Udin Sabarudin, Hidayat Wijayanegara

Abstract

Background: Prolonged labor occurs due to prolonged labor pain, where the mother feels unable to endure the pain, leading to premature pushing before the cervix reaches full dilation. This condition posed a risk of cervical swelling and labor dystocia. The rebozo technique was a non-pharmacological method used to help manage pain during labor without medication.


Objective: This study aimed to analyze the effect of the rebozo technique using kazo cloth on pain intensity and labor progress at Zhafira Zarifa Clinic, Karawang Regency. Methods: This study employed a quasi-experimental design with a pretest–posttest two-group design approach. The study sample consisted of 60 multigravida mothers in the active phase of the first stage of labor, selected using accidental sampling. Inclusion criteria: multigravida mothers in labor, active phase cervical dilation of 4-7 cm, single fetus with occiput posterior presentation, uncomplicated pregnancy, and normal fetal heart rate. The experimental group (30 participants) received the rebozo technique using kazo, while the control group (30 participants) practiced breathing relaxation techniques. Pain intensity was measured using the Numerical Rating Scale (NRS), with a pain range of 7–10 as the sample criteria. Data analysis was conducted using the paired t-test in SPSS.


Results: The study found a significant effect of the rebozo technique using kazo on reducing pain intensity and accelerating labor progress, with a p<0.001.


Conclusion: This technique was proven effective in reducing pain and expediting labor. It was expected that this method could serve as an alternative for non-pharmacological pain management during labor.

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References

1. Wulandari DA, Putri VTA. Aplikasi tekhnik effleurage sebagai penatalaksanaan nyeri persalinan ibu. Univ Res Colloq. 2018;7(1):538-543.
2. World Health Organization. World health statistics 2022. World Health Organization. 2022.
3. Statistik adan P. Badan Kependudukan Dan Keluarga Berencana Nasional (BKKBN).; 2022.
4. Kementrian Kesehatan Indonesia 2023. Kementrian Kesehatan Indonesia.; 2023.
5. Barat DKPJ. Laporan Kesehatan Ibu Dan Anak 2022.; 2022.
6. inas Kesehatan Kabupaten Karawang. Laporan Tahunan Kesehatan Ibu Dan Anak 2022.; 2022.
7. Galuh Pravita Sari Sembiring, Erin Padilla Siregar. Faktor-Faktor yang Berhubungan dengan Kejadian Partus Lama pada Ibu Bersalin di RSUD Djoelham Binjai Tahun 2023. J Ris Ilmu Kesehat Umum dan Farm. 2023;1(4):77-85. doi:10.57213/jrikuf.v1i4.114
8. Hidayat W, Umami N. Pengaruh Pijat Endorphine terhadap Intensitas Nyeri Pada Ibu Bersalin Kala I Fase Aktif di Rumah Sehat Zamzam Kota Palopo. 2021;14(2):1-10.
9. Ahmar H, Suryanti, Sharief suchi acnalurini, Azizah N, Ningshih dewi andariya. Managemen Nyeri Persalinan Nonfarmakologis. Ahlimedia Press; 2021.
10. Solihah E, Sugiarsih U, Warliana W. Pelatihan Penerapan Teknik Eff-Dee Mass Untuk Mengurangi Sakit Persalinan. J Ris Kesehat Poltekkes Depkes Bandung. 2022;14(1):160-166. doi:https://doi.org/10.34011/juriskesbdg.v14i1.1980 160
11. Simbolon GAH, Siburian urhuhe D. Menguji Efektivitas Teknik Rebozo Dalam Persalinan. Media Sains; 2021.
12. Umami DA, Rahmawati DT, Iswari I, Syafrie IR. Hubungan Tingkat Kecemasan Dengan Skala Nyeri Post Operasi Sectio Caesaria Di Ruang Kebidanan Di Rs Ummi Kota Bengkulu. J Midwifery. 2021;9(2):38-47. doi:10.37676/jm.v9i2.1918
13. Tosto V, Ceccobelli M, Lucarini E, et al. Maternity Blues: A Narrative Review. J Pers Med. 2023;13(1). doi:10.3390/jpm13010154
14. Afrilia EM, Suksesty CE. Pengaruh Teknik Rebozo Terhadap Lama Kala I Dalam Persalinan Pervaginam. IMJ (Indonesian Midwifery Journal). 2023;5(1):28. doi:10.31000/imj.v5i1.6010
15. Yusniarita Y, Mahita H, Utario Y. Efektivitas Teknik Jarik Shaking the Apple Tree Terhadap Persepsi Nyeri Pada Ibu Bersalin. Qual J Kesehat. 2021;15(2):105-111. doi:10.36082/qjk.v15i2.274
16. Nurchasanah Y, Mulyati S. Metode Pain Relief di TPMB Bandung Raya: Sebuah Studi Deskriptif. J Ris Kesehat Poltekkes Depkes Bandung. 2025;17(1):331-337. doi:https://doi.org/10.34011/juriskesbdg.v17i1.2506 331
17. Iversen ML, Midtgaard J, Ekelin M, Hegaard HK. Danish women’s experiences of the rebozo technique during labour: A qualitative explorative study. Sex Reprod Healthc. 2017;11:79-85. doi:10.1016/j.srhc.2016.10.005
18. Maria Veronika Widiatrilupi R. The Influence of Rebozo Technique on the Duration of Active Phase of Stage I Labor in Primigravida Mothers. Babali Nurs Res. 2023;4(3):393-400. doi:10.37363/bnr.2023.43259
19. Kusmiyati S, Girsang E, Siswanti R. The Effectiveness of Using the Rebozo Technique in the Active Phase I Stage of Labor in Primigravida Maternity. Int Res J Pharm Med Sci. 2023;6(6):72-74.
20. Munafiah D, Astuti LP, Parada MM, Demu MRM. Manfaat teknik rebozo terhadap kemajuan persalinan. Midwifery Care J. 2020;1(3):23-27. doi:10.31983/micajo.v1i3.5756
21. Fahnawal MT, Yunita P. Manfaat Teknik Rebozo Terhadap Persalinan. Zo Kebidanan. 2022;13(1):112-121.
22. Rahmawati N, Kartika I, Meliyanti M, Hernawati Y, Ediawati I. Pengaruh Teknik Rebozo Terhadap Rasa Nyeri Persalinan Ibu Bersalin Kala I Faseaktif Di Pmb Ny. I Desa Cibulakan Tahun 2023. STIKES Dharma Husada Bandung. Published online 2023:5-24.
23. Tamara S, Rina Aritonang T, Rostianingsih Program Studi Kebidanan dan Profesi bidan D. Efektifitas Metode Rebozo Terhadap Penurunan Kepala Janin Pada Kala I Fase Aktif Persalinan Di Klinik Pratama Rumah Ungu Karawang Tahun 2023. J Ilm Kesehat. 2023;16(1):104-116.
24. Ginting AOB. Gambaran Pelaksanaan Teknik Rebozo Dalam Masa Persalinan Di Klinik Helen Tarigan. J Inov Kesehat Adapt. 2023;5:122-126.
25. Wiladati A, Elok N, Aini SN. Pengaruh Teknik Rebozo Terhadap Timgkat Nyeri Kala I Pada Ibu Bersalin Primipara. Universitas Muhammadiyah Surabaya; 2021.

Authors

Lastriati Dewi Ayudarista
gessyladini@gmail.com (Primary Contact)
Ma’mun Sutisna
Teni Nurlatifah
Anita Deborah
Udin Sabarudin
Hidayat Wijayanegara
Ayudarista, L. D. ., Sutisna, M., Nurlatifah, T., Deborah, A., Sabarudin, U., & Wijayanegara, H. (2026). Effectiveness of the rebozo technique with kazo in decreasing labor pain intensity and enhancing labor progression. JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, 18(1), 14–23. https://doi.org/10.34011/juriskesbdg.v18i1.2753

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