BACK MASSAGE USING FRANGIPANI AROMATHERAPY OIL TO REDUCE THE LEVEL OF TUMOR NECROSIS FACTOR ALPHA AND THE INTENSITY OF LABOR PAIN

Abstract

Spontaneous labor is characterized by simultaneous uterine contractions that can cause labor pain complaint as an
inflammatory reaction that triggers the release of cytokines. The more severe labor pain, the more stress that can
reduce immunity, so that the increasingly heavy inflammatory reaction is characterized by increase in expression
of TNFα. The purpose of this study was to prove that back massage using frangipani aromatherapy oil reduced
levels of tumor necrosis factor alpha (TNFα) and labor pain intensity. Method: True Experiment (Randomized
Clinical Trial/RCT) with Pretest Posttest Control Group design. The research was carried out in inpatient public
health centers in Badung Regency and Denpasar City. The research subject is nulliparous, cervical dilatation is 6-
8 cm. The sample sizes are 40 people, the number of samples are 2 group, namely control (C) and intervention (I).
Sample selected with simple random sampling technique. The pain intensity observed using numeric rating scale
(NRS). Data analysis includes Univariate, Bivariate (Paired T Test and Independent T Test), and Multivariate
(Manova). Data analysis with the help of the SPSS program. Ethical clearance from the Ethic Commission of the
Sanglah Central General Hospital. Results: the average pain intensity and TNFα levels before treatment in both
groups were p>0.05. After had been given the intervention, the mean difference between the two groups were
p<0.05. The contribution of the intervention to pain intensity was 16.3%; TNFα levels 23%. Conclusion: there is
an effect of back massage using Frangipani aromatherapy oil on decreasing labor pain intensity and TNFα levels