LITERATURE REVIEW: STUDY OF THE EFFECTIVENESS OF VARIOUS COMPLEMENTARY THERAPIES IN REDUCING THE INTENSITY OF ACTIVE PHASE OF FIRST-STAGE LABOR PAIN
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Laborpainisaphysiologicalprocessexperiencedbywomenduringchildbirth,particularlyinthefirststageoftheactivephase, which may cause both physical and psychological discomfort. Uncontrolled pain intensity can increase anxiety and stress, therebypotentiallyaffectingthelaborprocess.Therefore,effectiveandsafepainmanagementisneeded,oneofwhichisthrough complementary therapies as non-pharmacological approaches. This study aims to analyze the effectiveness of various complementary therapies in reducing labor pain during the first stage of the active phase. The research method used was a literaturereviewbyanalyzing10quantitativeresearcharticlespublishedbetween2017and2025,employingpre-experimental and quasi-experimental designs. The results of the review indicate that all complementary therapies, including lavender and lemonaromatherapy,deepbreathingrelaxationtechniques,warmcompresses,hydrotherapy,oxytocinmassage,andeffleurage massage,wereproventobeeffectiveinreducinglaborpainintensity.Thisisevidencedbyadecreaseinpainscoresbeforeand afterintervention and statistically significant results (p <0.05)in allstudies. Thesetherapies work through mechanisms such asinducingrelaxation,improving blood circulation,stimulating endorphinrelease,andinhibiting painsignaltransmissionto thecentralnervoussystem.Inconclusion,complementarytherapiesareeffectiveasalternativemethodsforreducinglaborpain in the first stage of the active phase and can be used as supportive non-pharmacological pain management strategies during childbirth.
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