juana linda simbolon(1*)
(1) Poltekkes Kemenkes Medan
(*) Corresponding Author
DOI : 10.30604/jika.v8i4.2448


Giving birth is the highest expression of female sexuality, using the same hormones (oxytocin, prolactin, and endorphin. Childbirth and sex are interrelated, and how she experiences the birthing process. Midwives must understand beneficial and detrimental actions during the birthing process, such as reducing negative emotional reactions, and physical reactions mother to pain so that efforts to create physical and emotional comfort are needed. WHO emphasizes patient satisfaction as a means of secondary prevention of maternal death by preventing and reducing the impact of the birth process. The aim of this research was to analyze the effect of birth ball exercises and aroma therapy on maternal progress and satisfaction in labor. This type of research was experimental pre and post-test with a control group design. The sample size in this study was 34 mothers in labor consisting of 17 mothers in the intervention group and 17 mothers in the control group. Analysis using parametric analysis test T-test. Test with degrees of 95% confidence. The results of this study show that there is a difference in the length of time for the first stage in the control and intervention groups, p-value 0.02 <0.05. The results of this study show that the intervention group generally felt satisfied with their delivery. In developing midwifery care, we can provide birth ball exercises and orange aroma therapy to speed up the first stage and as a non-pharmacological therapy option that supports pharmacological therapy for mothers in labor.


: Birth ball and Aroma therapy; Progress of the first stage of labor; Satisfaction of mothers giving birth


Harvey, S. et al. (2002) ‘Evaluation of satisfaction with midwifery care’, Midwifery, 18(4), pp. 260–267. doi: 10.1054/midw.2002.0317.

Hassan Zaky, N. (2016) ‘Effect of pelvic rocking exercise using sitting position on birth ball during the first stage of labor on its progress’, IOSR Journal of Nursing and Health Science, 05(04), pp. 19–27. doi: 10.9790/1959-0504031927.

Hau, W.-L. et al. (2012) ‘The Use of Birth Ball for Pain Management The Use of Birth Ball as a Method of Pain Management in Labour’, Hong Kong J Gynaecol Obstet MidwiferyMidwifery, Feb 17(E09), pp. 1–6.

Hodnett, E. D. (2002) ‘Pain and women’s satisfaction with the experience of childbirth: A systematic review’, American Journal of Obstetrics and Gynecology, 186(5 SUPPL.), pp. 160–174. doi: 10.1067/mob.2002.121141.

Kamalina Fahria Dina, Sifa Altika and Puji Hastuti (2023) ‘Hubungan Terapi Birth Ball Dengan Kemajuan Persalinan Kala I Fase Aktif Pada Ibu Primigravida Di Klinik Pratama Lidya Sifra Kudus’, Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health), 14(1), pp. 35–41. doi: 10.52299/jks.v14i1.149.

Kurniawati, A., Dasuki, D. and Kartini, F. (2017) ‘Efektivitas Latihan Birth Ball Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Primigravida’, Jurnal Ners dan Kebidanan Indonesia, 5(1), p. 1. doi: 10.21927/jnki.2017.5(1).1-10.

Kwan, W., Kwan, W. S. and Chan, S.-W. (2011) ‘Evaluation of Birth Ball The Birth Ball Experience: Outcome Evaluation of the Intrapartum Use of Birth Ball’, Hong Kong J Gynaecol Obstet Midwifery, 11(1), pp. 59–64.

Lawrence, A. et al. (2013) ‘Maternal positions and mobility during first stage labour’, Cochrane Database of Systematic Reviews, 2013(10). doi: 10.1002/14651858.CD003934.pub4.

Lesawengan, M. and Utami, R. (2019) ‘Pengaruh Pemberian Aromaterapi Lemon Terhadap Penurunan Intensitas Nyeri Persalinan Kala 1 Fase Aktif Pada Ibu Primigravida Di Bidan Praktek Mandiri (Bpm) Wilayah Kerja Puskesmas Batu Aji’, Zona kebidanan, 9(3), pp. 47–52.

Leung, R. W. C. et al. (2013) ‘Efficacy of birth ball exercises on labour pain management’, Hong Kong Medical Journal, 19(5), pp. 393–399. doi: 10.12809/hkmj133921.

Liao, C. C. et al. (2020) ‘Aromatherapy intervention on anxiety and pain during first stage labour in nulliparous women: a systematic review and meta-analysis’, Journal of Obstetrics and Gynaecology, 0(0), pp. 1–11. doi: 10.1080/01443615.2019.1673707.

Linda Rambe, N. (2022) ‘Pengaruh Aromaterapi Lavender Untuk Mengurangi Nyeri Persalinan: a Systematic Review’, Jurnal Ilmiah Kebidanan Imelda, 8(1), pp. 25–34. doi: 10.52943/jikebi.v8i1.741.

Madden, K. et al. (2016) ‘Hypnosis for pain management during labour and childbirth’, Cochrane Database of Systematic Reviews, 2016(5). doi: 10.1002/14651858.CD009356.pub3.

Makvandi, S. et al. (2015) ‘Effect of birth ball on labor pain relief: A systematic review and meta-analysis’, Journal of Obstetrics and Gynaecology Research, 41(11), pp. 1679–1686. doi: 10.1111/jog.12802.

Marawita, D., Soraya, D. and Putri, D. (2023) ‘Pengaruh Penggunaan Birth Ball Terhadap Penurunan Nyeri Persalinan’, 5(1), pp. 12–19.

Megawati, M. (2016) ‘Ekstraksi Minyak Atsiri Kulit Jeruk Manis Dengan Metode Vacuum Microwave Asissted Hydrodistillation.’, Jurnal Bahan Alam Terbarukan, 4(2), pp. 61–67.

Module, C. E. (2013) ‘Supporting Healthy and Normal Physiologic Childbirth: A Consensus Statement by ACNM, MANA, and NACPM’, The Journal of Perinatal Education, 22(1), pp. 14–18. doi: 10.1891/1058-1243.22.1.14.

Mutoharoh, S., Indrayani, E. and Kusumastuti, K. (2020) ‘Pengaruh Latihan Birthball terhadap Proses Persalinan’, Jurnal Ilmiah Kesehatan, 13(1). doi: 10.48144/jiks.v13i1.220.

Perdoman, A. T., Utami, R. and Ramadhaniati, F. (2022) ‘ZONA KEBIDANAN – Vol. 12 No. 3 Agustus 2022’, 12(3), pp. 44–54.

Purwati, A. (2020) ‘Pengaruh Teknik Bola Persalinan (Birthing Ball) Terhadap Penurunan Bagian Bawah Janin Pada Ibu Primigravida Inpartu Kala I Fase Aktif Di PMB Ike Sri Kec. Bululawang Kab. Malang’, Journal of Islamic Medicine, 4(1), pp. 40–45. doi: 10.18860/jim.v4i1.8846.

Rafani Rosyidah, Mohammad Hakimi, ; dr. Shinta Prawitasari (2015) ‘PENGARUH PEMBERIAN AROMATERAPI INHALASI NEROLI (Citrus Aurantium)TERHADAP NYERI PERSALINAN KALA I FASE AKTIF RAFHANI ROSYIDAH, Prof. dr. Mohammad Hakimi, Ph.D., Sp.OG(K); dr. Shinta Prawitasari., M.Kes’, Thesis.

Sawyer, A. et al. (2013) ‘Measures of satisfaction with care during labour and birth: A comparative review’, BMC Pregnancy and Childbirth, 13. doi: 10.1186/1471-2393-13-108.

Soraya, S. (2021) ‘Pengaruh Pemberian Inhalasi Aromaterapi Lemon Citrus Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif’, Jurnal Ilmiah Kesehatan, 13(2), pp. 184–191. doi: 10.37012/jik.v13i2.653.

Suryani, L. and Mufida Dian Hardika (2022) ‘Efektifitas Terapi Birthing Ball Terhadap Lama Kala I Dan Intensitas Nyeri Persalinan Pada Ibu Bersalin Primigravida Di Praktik Mandiri Bidan Mufida Dian Hardika Kabupaten Madiun’, Prima Wiyata Health, III(1), pp. 20–29.

Tabatabaeichehr, M. and Mortazavi, H. (2020) ‘The Effectiveness of Aromatherapy in the Management of Labor Pain and Anxiety: A Systematic Review’, Ethiopian journal of health sciences, 30(3), pp. 449–458. doi: 10.4314/ejhs.v30i3.16.

Wahyuni, S., Wijayanti, I. and Betsy Maran, W. (2021) ‘Efektivitas Birth Ball Exercisepada Ibu Bersalin Kala Iterhadap Lama Kala I Fase Aktif Dan Lama Kala Ii Di Ruang Bersalin Puskesmas Arso 3Kabupaten Keroom Provinsi Papua’, Intan Husada: Jurnal Ilmu Keperawatan, 9(1), pp. 9–20. doi: 10.52236/ih.v9i1.204.

Ware, J. E. et al. (1983) ‘Defining and measuring patient satisfaction with medical care’, Evaluation and Program Planning, 6(3–4), pp. 247–263. doi: 10.1016/0149-7189(83)90005-8.

World Health Organization. (1997) ‘Care in Normal Birth: A Practical Guide. Report of a Technical Working Group.’, Birth, 24(2), pp. 121–123. Available at: http://doi.wiley.com/10.1111/j.1523-536X.1997.00121.pp.x.

Yulyana, M. (2023) ‘Perbandingan Pemberian Aromaterapi Lavender Dan Lemon Terhadap Nyeri Persalinan Kala I Pada Ibu Bersalin Di Wilayah Puskesmas Cimanggu Pandeglang Banten Tahun 2022’, Dohara Publisher Open Access Journal, 02(06), pp. 718–728.

Article Statistic

Abstract view : 67 times
PDF (Bahasa Indonesia) views : 78 times

Dimensions Metrics

How To Cite This :


  • There are currently no refbacks.

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