Maternal interleukin-6 and prostaglandin levels post-regiosacral counter-pressure as pain therapy due to uterine contractions

S. Rejeki, A. Solichan, Fitri Nuroini
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Abstract

Pain is a physiological condition that is generally experienced by almost all mothers in labor or pain during menstruation (dysmenorrhea). Pain causes tachycardia in the mother, increased oxygen consumption, lactic (lactic) acid production, hyperventilation with a risk of respiratory alkalosis, and increased skeletal muscle tension. Regiosarcal Counter Pressure is an effective therapy to reduce pain due to uterine contractions. Based on research that has been done, Regiosarcal counter-pressure therapy can reduce pain levels and has also been shown to slightly reduce prostaglandin (PGE-2) levels in an insignificant amount. Changes in PGE-2 are suspected to have an impact on the stimulant hormone Interleukin-6 (IL-6). This study aims to determine the levels of IL-6 and prostaglandins in the first stage of labor. The research method used quasi-experimental, with inclusion criteria of first-stage labor, no pelvic abnormalities and other abnormalities that hindered the process of vaginal delivery, primiparas, singleton pregnancies, the location of the head did not receive painkillers. The results obtained 25 respondents with an average age of 23.72 (± 2.89) years, the average concentration of IL-6 before therapy was 185.159 (± 3.76) pg/ml and the mean after therapy was 180.782 (± 22.05) pg. /ml, the mean concentration of PGE2 before treatment was 223.521 (± 72.73) pg/ml and the mean after treatment was 179.873 (± 110.61) pg/ml. Administration of regiosacral counter-pressure therapy did not significantly reduce the levels of the hormone IL-6 and prostaglandins in women who experienced uterine contractions.
子宫收缩引起的疼痛治疗中骶区域反压后母体白细胞介素-6和前列腺素水平的变化
疼痛是一种生理状况,几乎所有母亲在分娩或经期疼痛(痛经)时都会经历。疼痛引起母亲心动过速、耗氧量增加、乳酸产生、呼吸性碱中毒风险的过度通气和骨骼肌紧张增加。区域反压是一种有效的治疗方法,以减少疼痛,由于子宫收缩。根据已经完成的研究,区域反压疗法可以减轻疼痛水平,也被证明可以轻微降低前列腺素(PGE-2)水平,但数量微不足道。PGE-2的变化被怀疑对刺激激素白介素-6 (IL-6)有影响。本研究旨在确定IL-6和前列腺素在产程第一阶段的水平。研究方法采用准实验,纳入标准为初产、无盆腔异常等阻碍阴道分娩过程的异常、初产妇、单胎妊娠、头部位置未接受止痛药。结果获得25例应答者,平均年龄23.72(±2.89)岁,治疗前平均IL-6浓度为185.159(±3.76)pg/ml,治疗后平均为180.782(±22.05)pg/ml,治疗前平均PGE2浓度为223.521(±72.73)pg/ml,治疗后平均为179.873(±110.61)pg/ml。在经历子宫收缩的妇女中,骶区域反压治疗并没有显著降低激素IL-6和前列腺素的水平。
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