Nyeri persalinan merupakan hal fisiologis, akan tetapi jika tidak diatasi dengan manajemen nyeri yang baik, akan mengakibatkan partus lama. Nyeri persalinan dapat dikurangi dengan metode non-farmakologi dan farmakologi. Tujuan dari penelitian ini adalah menerapkan intervensi inovasi Birthing Ball dan terapi musik pada ibu primigravida kala I fase aktif persalinan normal. Penulis menggunakan metode case report, dengan jumlah tiga klien, semua mendapatkan terapi Birthing Ball dan terapi musik pada kala I fase aktif. Terapi musik dilakukan bersamaan dengan Birthing Ball. Intervensi dilakukan 20 menit selang 1 jam, intervensi ini berakhir bila pecah ketuban dan pembukaan lengkap. Hasil yang didapat yaitu, klien yang mendapatkan intervensi inovasi terapi Birthing Ball dan terapi musik pada kala I fase aktif sampai empat kali terapi yaitu klien pertama dan kedua, didapatkan penurunan skala nyeri 4 menjadi skala 3, adanya perkembangan dilatasi servik, memperpendek durasi persalinan menjadi 5 jam 21 menit, dan APGAR skor bayi didapatkan 8-9. Sedangkan klien ketiga yang hanya mengikuti dua kali terapi, didapatkan penurunan skala nyeri 6 menjadi skala nyeri 5, perkembangan dilatasi servik, APGAR skor bayi didapatkan 8-9, dan durasi persalinan lebih lama dibandingkan pasien yang mengikuti terapi lengkap yaitu 7 jam 1 menit. Disimpulkan bahwa modifikasi Birthing Ball yang disertai terapi musik dapat mengurangi nyeri persalinan pada primigravida.

Kata Kunci: Birthing Ball, Kala I, Nyeri Persalinan, Primigravida, Terapi Musik

Although labor pain is a natural part of the labor process, it can prolong the process if it is not adequately managed. Both pharmaceutical and non-pharmacological techniques can lessen labor discomfort. The purpose of this study was to treat primigravida mothers who were in the initial stage of the active phase of normal labor by using music therapy and the Birthing Ball innovative intervention. During the first active phase, all three clients got music therapy and Birthing Ball therapy, as per the researcher's usage of the case report technique. The Birthing Ball was used in conjunction with music therapy. The intervention was carried out 20 minutes after 1 hour, this intervention ended when the membranes ruptured and complete dilatation. The first and second clients who received the novel intervention of Birthing Ball therapy and music therapy during the first phase of the active phase up to four times of therapy reported a decrease in pain from a scale of four to three, the development of cervical dilatation, which reduced the duration of labor to five hours and twenty-one minutes, and an APGAR score of eight to nine for the baby. The third client, who received only two treatments, experienced a reduction in pain from a pain scale of six to five, cervical dilatation, an APGAR score of eight or nine for the baby, and a longer labor than the patient who received the full course of therapy seven hours and one minute. It was determined that primigravidae's labor pain might be decreased by using music therapy in conjunction with the Birthing Ball modification. Keywords: Birthing Ball, First Stage, Labor Pain, Primigravida, Music Therapy