Differences in pain intensity changes in postpartum nursing care 2 hours post-partum between mother nifas using effleurage massage and relaxation technique study in independent midwife practice work area in East Java

Background: Uterine involution in the puerperium causes pain that interferes with maternal comfort. In East Java, non-pharmacological therapy management has been carried out to reduce pain with effleurage massage and relaxation techniques. This technique helps provide a sense of comfort so that the puerperium goes well. Aim: This study was to determine the difference in changes in pain intensity in maternal care for 2 hours post-partum between postpartum mothers who use effleurage massage and relaxation techniques Methods: Quasy experimental research design with non-equivalent control group design. The population is maternity mothers of 36 at east java region. Data analysis used the Mann Whitney average comparison test with the SPSS and the basis for drawing conclusions if the Asymp. Sig (two-tailed) value was less than (0.05). Result: The analysis concluded there was a significant effect of effluerage massage treatment on the reduction in pain level 2 hours post-partum. Where the average before treatment pain level felt at 6.5 then after the treatment effleurage massage to 2.5. Furthermore. Where the average before treatment pain level felt at 7.0 then after the treatment of relaxation techniques to 4.2. Where the average value of the effect of effleurage massages can reduce the level of pain by 4.05 units, while relaxation techniques by 2.76 units. Conclusion: Pain management in the puerperium needs to be improved through non-pharmacological efforts.