Combination of Effleurage Massage, Bitter Orange Aromatherapy and Beethoven Music as An Alternative Solution to Reduce Back Pain in Pregnant Women in the Third Trimester
DOI:
https://doi.org/10.37287/ijghr.v7i6.404Keywords:
back pain, beethoven's music, bitter orange, effleurage massage, pregnant women in the third trimesterAbstract
Back pain is a common complaint in pregnant women during the third trimester due to physiological changes affecting the connective tissue and spinal structure. This study aimed to evaluate the effectiveness of a combination of effleurage massage, bitter orange aromatherapy, and Beethoven's music on reducing back pain and physiological responses in pregnant women during the third trimester. The study design used a quasi-experimental approach with a pre-post test control group approach. Sixty respondents were divided into two groups: the intervention and the control. The intervention group received the combination therapy three times a week for four weeks, while the control group received no intervention. The results showed a significant decrease in blood pressure, pulse rate, respiratory rate, and pain scores after the intervention. Most respondents in the intervention group experienced a shift in pain category from moderate and severe to mild pain. In contrast, the control group showed no significant changes. This combination therapy proved to be physiologically and psychologically effective, consistent with the gate control pain theory and supported by previous literature. The combination of touch through massage, the aroma of bitter orange oil, and classical music stimulation provided a comprehensive relaxation effect. This intervention is safe, non-invasive, and easy to implement both independently and in midwifery practice. Therefore, this combination therapy is recommended as a complementary approach in antenatal care services to address back pain in pregnant women in the third trimester.
References
Alvin Alvani Tresna Ambari (2025) “Systemetic Literature Review : Pengaruh Effleurage Massage terhadap Nyeri Persalinan,” Sehat Rakyat: Jurnal Kesehatan Masyarakat, 4(2), pp. 278–286. Available at: https://doi.org/10.54259/sehatrakyat.v4i2.4334.
Anggita, E.D. and Fitriahadi, E. (2024) “Penatalaksanaan nyeri punggung pada ibu hamil trimester III melalui Pendidikan dan KIE penanganan nyeri Management of back pain in pregnant women in the third trimester through education and KIE pain management,” 2(September), pp. 1102–1106.
Aulya, Y. et al. (2023) Pelayanan Kebidanan Komplementer, Media Sains Indonesia. Available at: https://www.researchgate.net/profile/Ni-Sudaryati/publication/374418641_Pelayanan_Kebidanan_Komplementer/Links/651cd9b4b0df2f20a20e841f/Pelayanan-Kebidanan-Komplementer.pdf#page=168.
CHOIRIYAH, H. (2024) “Pengaruh Terapi Musik Klasik Terhadap Tingkat Kecemasan Pasien Pre Sectio Caesarea: Literature Review,” Universitas Muhamadiyah magelang, 15(1), pp. 37–48.
Collins, S.P. et al. (2021) “Pengaruh Pemberian Terapi Musik Klasik Beethoven Terhadap Tingkat,” 7(7), pp. 167–186.
Dumiri, R., Kep, M.S. and Biomed, M. (2024) Editor : La Ode Alifariki , S . Kep ., Ns ., M . Kes.
Fajrin, D.H. and Simbolon, T.L. (2024) “Case Study: Application Of Endorphine Massage In Reducing Back Pain Scale In Third Trimester Pregnant Women.,” Jurnal Medicare, 3((1)), p. pp.64-70.
Farah Nisa Kusnadi, S., Syarah Mardiyah, M. and Hidayani (2025) “Efektivitas Aromaterapi Lavender dan Teknik Deep Breathing dalam Mengurangi Kecemasan Pada Ibu Hamil Menjelang Persalinan SC di RSU Nurhayati Garut Tahun 2025,” Innovative: Journal Of Social Science Research, 5(3), pp. 64–72.
Hanifah, R.M., Nurdianti, D. and Kurniawati, A. (2022) “Penerapan Kompres Hangat Untuk Mengurangi Nyeri Punggung Pada Ibu Hamil Trimester Iii Fisiologis,” Jurnal BIMTAS: Jurnal Kebidanan Umtas, 6(2), pp. 79–85. Available at: https://doi.org/10.35568/bimtas.v6i2.2918.
Kasih, N.S. and Hamdani, I. (2023) “Perbandingan Efektivitas Penilaian Skala Nyeri berdasarkan Visual Analog Scale (VAS), Verbal Rating Scale (VRS), dan Numeric Rating Scale (NRS) pada Pasien Pasca Operasi Sectio Caesarea (SC) di RSU Muhammadiyah Medan,” Jurnal Implementa Husada, 4(4), pp. 272–282. Available at: https://jurnal.umsu.ac.id/index.php/JIH/article/view/16741.
Khoirun Nisa’ and Kamidah Kamidah (2023) Pengaruh Pemberian Kompres Hangat Terhadap Penurunan Nyeri Disminore Remaja Putri Di SMP Takhasus Alquran Wonosobo, Detector: Jurnal Inovasi Riset Ilmu Kesehatan. Available at: https://doi.org/10.55606/detector.v1i4.2512.
Meilinda, D. et al. (2025) “Literature Review : Foot Massage and Warm Water Bath Against Lower,” 14(2), pp. 38–55.
Naibaho, A.E., Fadhila, F. and Daulay, W. (2024) “Pengaruh Terapi Musik Terhadap Penurunan Kecemasan: Tinjauan Literatur,” Jurnal Kesehatan, 13(1), pp. 154–160. Available at: https://doi.org/10.46815/jk.v13i1.239.
Prasetia, D.S. (2020) “Pengaruh Terapi Musik Klasik (Beethoven) Terhadap Tingkat Nyeri Haid (Dismenorea) Pada Remaja Putri Kelas Ii Di Mts Ngemplak Sleman Yogyakarta,” pp. 1–11.
Prasojo, H. (2016) Pengaruh Mu & Ik Relaksasi Terhadap Perubahan Kadar Kortisol Pada Penderita Dengan Ventilasi Mekanik Di Icu Rsud Dr. Soetomo. Available at: https://repository.unair.ac.id/120538.
Primihastuti, D. and Intiyaswati, I. (2024) “Efektivitas Aromatherapi Lavender Terhadap Kecemasan Ibu Inpartu Kala I Fase Aktif,” Jurnal Kebidanan, 13(1), pp. 67–72. Available at: https://doi.org/10.47560/keb.v13i1.614.
Rhomadona, S.W. and Primihastuti, D. (2021) “Combination of Prenatal Gentle Yoga Exercises and Lavender Aromaterapy Inhalation To Improving Sleep Quality in Trimester Iii Pregnant Women,” Journal of Midwifery, 5(1), p. 42. Available at: https://doi.org/10.25077/jom.5.1.42-49.2020.
Rhomadona, S.W. and Primihastuti, D. (2022) “Kombinasi Herbal Steam Bath Dan Pijat Endorphin Terhadap Peningkatan Produksi Asi Pada Ibu Nifas Di Wilayah Surabaya,” Jurnal Keperawatan, 11(2), pp. 9–21. Available at: https://doi.org/10.47560/kep.v11i2.373.
Rokhima, V. and Yazid, B. (2023) “Pengaruh Aromaterapi Bitter Orange Terhadap Penurunan Intensitas Nyeri Pada Pasien Fraktur Post Operasi ORIF Di RSUD Dr. Pringadi Medan,” Journal Of Vocational Health Science, 2(2), pp. 87–96. Available at: https://jovas.polindra.ac.id/index.php/jovas/article/view/23.
Sari, L. P., Pratama, M. C., & Kuswati, K. (2020) “Perbandingan Antara Kompres Hangat dan Akupressure untuk Menurunkan Nyeri Punggung Bawah Ibu Hamil Trimester III,” Jurnal Kebidanan Dan Kesehatan Tradisional, 5((2)), pp. 117–125.
Saryani, W. (2025) “Efektivitas Massage Endorphin Untuk Mengurangi Kecemasan Pada Ibu Hamil Menjelang Persalinan,” Jurnal Fisioterapi Terapan Indonesia, 4(1). Available at: https://doi.org/10.7454/jfti.v4i1.1110.
Taqqiyah, R. et al. (2024) “Asuhan kehamilan pada ny. a dengan teknik rebozo untuk mengatasi ketidaknyamanan sakit pinggang,” 15(02), pp. 64–69.
Usakli, H. (2020) “Comparison of single and two parents children in terms of behavioral tendencies. International Journal of Humanities and Social Science,” 3(8), pp. 256-270.
Wilayah, D.I. et al. (2025) “Medic nutricia 2025,” 11(5), pp. 25–31. Available at: https://doi.org/10.5455/mnj.v1i2.644.
Yuliana, A. and Amalya Putri Handayani, A. (2024) “Terapi Effleurage Massage Terhadap Nyeri Backpain Pada Ibu Hamil Trimester III,” Prosiding Seminar Informasi Kesehatan Nasional (SIKesNas), p. 2024.
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