Angka kematian ibu ( AKI ) merupakan salah satu indikator utama derajat kesehatan suatu negara. AKI disebabkan karena adanya komplikasi dalam kehamilan, persalinan dan nifas. Jumlah AKI pada tahun 2022 menunjukkan 3.572 kasus di Indonesia. Penyebab kematian ibu terbanyak pada tahun 2022 diakibatkan karena komplikasi dalam kehamilan sebanyak 801 kasus. Semua wanita berharap saat persalinan bebas dari rasa nyeri namun intensitas nyeri persalinan yang dialami seorang ibu sangat bervariasi dalam merespon stimulus nyeri yang dirasakan, itu tergantung pada psikologi pasien, motivasi, dan dukungan sosial dan budaya. BirthBall menjadi salah satu metode non - farmakologis dapat membantu ibu untuk mengurangi rasa nyeri persalinan. Tujuan penelitian untuk mengetahui intensitas nyeri pada ibu bersalin kala I fase aktif sebelum pemberian teknik pelciv rocking dan angka 8 dengan birthball. Metode jenis penelitian kuantitatif dengan menggunakan metode penelitian Pre - eksperimen dengan the one group pre - test post - test disign. Untuk mengetahui intensitas nyeri persalinan kala I fase aktif. Sebelum dan sesudah diberikan teknik birth ball. Instrument yang digunakan adalah bola gym ball, lembar observasi dan skala nyeri NRS ( Numerich Rating Scale ), menggunakan uji non parametric Wilcoxon. Hasil uji non parametric Wilcoxon menunjukkan bahwa rata - rata intensitas nyeri persalinan kala I sebelum diberikan Teknik pelvic rocking dan angka 8 dengan birthball adalah 7.07 dan rata - rata intensitas nyeri persalinan kala I sesudah diberikan Teknik pelvic rocking dan angka 8 dengan birthball adalah 5.13. Hasil uji Wilcoxon diperoleh P value sebesar 0,001 ( p < 0,5 ) Sehingga dapat disimpulkan bahwa ada pengaruh teknik pelvic rocking dan angka 8 dengan birthball terhadap intensitas nyeri persalinan kala I fase aktif di Griya Mom’s Center Bidan Fatimah. Kesimpulan Birthball dapat mempengaruhi penurunan nyeri pada ibu bersalin kala I fase aktif.

Kata Kunci: Persalinan, Nyeri, Kala I, Birthball

Maternal mortality is one of the main indicators of a country's health status. Maternal mortality is caused by complications during pregnancy, childbirth and postpartum. The number of maternal deaths in 2022 showed 3,572 cases in Indonesia. The cause of most maternal deaths in 2022 was due to complications in pregnancy as many as 801 cases. All women expect childbirth to be painless, but the intensity of childbirth pain experienced by a mother varies greatly in response to the perceived pain stimulus, it depends on the patient's psychology, motivation, and social and cultural support. The birth ball is one of the non -pharmacological methods that can help mothers to reduce childbirth pain. The purpose of the research was to determine the intensity of pain in childbirth mothers during active phase I prior to the use of pelvic rocking and number 8 techniques with the birthball. The researcher employed quantitative research with a quasi - experimental approach, utilizing a one - group pretest - posttest design. To determine the intensity of childbirth during the active phase I. Before and after being given the birth ball technique. The instruments used were a gym ball, observation sheet and NRS ( Numerich Rating Scale ) pain scale, using the Wilcoxon non - parametric test. The results of the Wilcoxon non - parametric test showed that the average intensity of labor pain in the first stage before being given the pelvic rocking technique and number 8 with birthball was 7.07 and the average intensity of labor pain in the first stage after being given the pelvic rocking technique and number 8 with birthball was 5.13. The results of the Wilcoxon test obtained a P value of 0.001 ( p < 0.5 ), It showed that there was an effect of pelvic rocking technique and number 8 with birthball on the intensity of childbirth pain during the active phase I at Griya Mom's Center Bidan Fatimah. It concluded that the birthball can affect the reduction of pain during childbirth mothers in the active phase I. Keywords: Childbirth, Pain, Phase I, Birthball