The Pengaruh Pemberian Kompres Dingin Perineum terhadap Intensitas Nyeri pada Ibu Postpartum Pervaginam dengan Episiotomi
DOI:
https://doi.org/10.55606/jig.v4i3.9190Keywords:
cold compress, episiotomy, ice pack, perineal pain, postpartum mothersAbstract
Background: Perineal pain due to episiotomy is a common complaint experienced by postpartum mothers and can affect patient comfort, mobility, and recovery. Nonpharmacological pain management is needed to help reduce discomfort with minimal risk of side effects. Objective: This study aimed to determine the effectiveness of applying cold compresses using ice packs in reducing perineal pain intensity in postpartum mothers with episiotomy. Methods: The study used a descriptive case study design in three vaginal postpartum patients with episiotomy who were treated in the postpartum ward. The intervention involved applying cold compresses using ice packs to the perineal area for 10–15 minutes, as per nursing procedures. Pain was measured using the Numeric Rating Scale (NRS) before and after the intervention. Findings: The results showed a decrease in pain intensity in all patients after the application of cold compresses. Patient P1 experienced a decrease in pain score from 5 to 4, patient P2 from 6 to 5, and patient P3 from 5 to 4, with an average decrease of 1 point. Implications: Cold compresses using ice packs have the potential to be an effective non-pharmacological nursing intervention to help reduce perineal pain and improve the comfort of postpartum mothers with episiotomies during the care period.
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References
Aboyunis, A. S., Rashad, W., & Alghamdi, S. A. (2025). Assessment of non-pharmacological methods for puerperal women: A narrative review. International Journal of Advanced and Applied Sciences, 12(7), 221–229.
Augustino, J., Moshi, F., & Joho, A. (2024). The effectiveness of perineal cold pack application on postpartum perineal pain and timely breastfeeding initiation among women after spontaneous vaginal delivery in Dodoma region: A randomized control clinical trial (RCCT) research protocol. Medicine: Case Reports and Study Protocols.
Augustino, J., Moshi, F., Joho, A., Faustine, J., & Mageda, K. (2023). Dataset comparing the effectiveness of perineal cold pack application over oral paracetamol 1000 mg on postpartum perineal pain among women after spontaneous vaginal delivery in Dodoma region. Data in Brief, 51. https://doi.org/10.1016/j.dib.2023.109766
Dewi, A. T. A., Nurchasanah, Y., & Widayani, W. (2023). Cold compress for reducing perineal wound pain: Evidence-based case report. Proceedings of the International Conference on Interprofessional Health Collaboration, 22–23. https://doi.org/10.34011/icihcce.v5i1.256
Ginting, A. Y., Purwaningsing, & Nisrina. (2025). Penerapan kompres dingin terhadap pengurangan nyeri perineum pada ibu nifas di Klinik Bidan Suhesti Mabar. SINERGI: Jurnal Riset Ilmiah, 2(12), 5381–5390. https://doi.org/10.62335/sinergi.v2i12.2063
Jantik, L. G. A., & Sulastri. (2025). Implementasi terapi kompres dingin menggunakan ice pack dalam mengurangi nyeri perineum pada ibu postpartum. Jurnal Ners, 9(1), 502–507. https://doi.org/10.31004/jn.v9i1.31664
Jumatrin, N. F., Herman, & Ganing, M. (2025). Perawatan perineum sebagai strategi pencegahan infeksi dan reduksi nyeri pada ibu postpartum: Case study. Jurnal Keperawatan, 8, 1–5. https://doi.org/10.46233/jk.v8i3.1519
Karim, K. K., Gan, F., Hong, J., Hamdan, M., Razali, N., & Tan, P. C. (2024). Cold compared with room temperature compress on the repaired primiparous perineum following injury at normal vaginal delivery: A randomized controlled trial. American Journal of Obstetrics & Gynecology MFM, 6(2). https://doi.org/10.1016/j.ajogmf.2023.101271
Khoerani, F., Widiawati, I., & Resmana, R. (2024). Efektivitas aromaterapi lavender terhadap intensitas nyeri perineum pada ibu postpartum: Evidence-based case report. Jurnal Kesehatan Siliwangi, 5, 530–539.
Kırca, A. Ş., Öksüz, S. K., & Murat, N. (2022). The effect of cold application on episiotomy pain: A systematic review and meta-analysis. Journal of Clinical Nursing, 31, 559–568. https://doi.org/10.1111/jocn.15912
Kurnaz, D., Siyahtaş, G. F., & Bal, M. D. (2025). The effect of postpartum interventions on healing and pain in women with perineal trauma: A systematic review and meta-analysis. International Journal of Nursing Studies, 162. https://doi.org/10.1016/j.ijnurstu.2024.104976
Lasmadasari, N., Sutriyani, Weni, S., Sari, O. R., & Azkiah. (2023). Respon inflamasi robekan perineum ibu postpartum dengan model inovasi perawatan luka perineum. Jurnal Riset Media Keperawatan, 6(2), 113–116. https://doi.org/10.51851/jrmk.v6i2.443
Maghalian, M., Alikamali, M., Nabighadim, M., & Mirghafourvand, M. (2024). The effects of warm perineal compress on perineal trauma and postpartum pain: A systematic review with meta-analysis and trial sequential analysis. Archives of Gynecology and Obstetrics. https://doi.org/10.1007/s00404-023-07195-2
Meilani, M., Anwar, M., & Hidayat, A. (2023). Aplikasi pemberian kompres ice gel terhadap nyeri luka perineum pada ibu 24 jam postpartum. Jurnal Kebidanan Indonesia, 14(1), 36–42. https://doi.org/10.36419/jki.v14i1.759
Mohamed, M. Y. A., Shaban, H. T. E. A. M., & Ramadan, A. G. (2024). Effect of ice gel pad application on early postpartum perineal trauma outcomes: A randomized controlled trial. International Egyptian Journal of Nursing Sciences and Research, 4(2). https://doi.org/10.21608/ejnsr.2024.258873.1346
Nurafita, H., Widadi, S. Y., Puspita, T., & Wahyudin. (2024). Analysis of post episiotomy nursing care with cold compress intervention. Nursing Care and Innovation Journal, 2(1), 29–32.
Rachmatina, M. P., Sofiyanti, S., & Yulinda. (2024). Evidence-based case report: Pengaruh kompres dingin terhadap penurunan nyeri luka perineum. Jurnal Kesehatan Siliwangi, 576–584. https://jurnal.polkesban.ac.id/index.php/jks/article/view/2415
Rahmah, R., Nuryuniarti, R., & Patimah, M. (2022). Efektivitas kompres dingin terhadap nyeri luka perineum pada ibu postpartum. Proceeding Book Seminar Nasional Interaktif dan Publikasi Ilmiah, 1.
Ritasari, A., Agustiani, M. D., & Purnamasari, I. (2025). Pengaruh pemberian kompres dingin daun sirih terhadap penurunan nyeri luka perineum pada ibu postpartum di PMB Kelurahan Sinar Banten. Jurnal Kebidanan, 15(1).
Rodrigues, S., Silva, P., Esperança, M., & Escuriet, R. (2025). Perineal massage and warm compresses – Implementation study of a complex intervention in health. Midwifery, 140, 104208. https://doi.org/10.1016/j.midw.2024.104208
Sandy, A. P., Widaningsih, N., & Sriyanti, C. (2025). Evidence-based case report: Pengaruh terapi kompres dingin terhadap nyeri luka perineum di Puskesmas Rancaekek DTP. Jurnal Ilmiah Ilmu Kebidanan dan Kesehatan, 16(1), 11–19. https://doi.org/10.52299/jks.v16i01.290
Setianingsih, L. Z., & Octavia, R. (2022). Pengaruh kompres dingin terhadap tingkat nyeri luka perineum pada ibu nifas di Klinik Mulyajati Cikole Kabupaten Pandeglang. Jurnal Ilmiah Kesehatan Delima, 5, 13–16. https://doi.org/10.60010/jikd.v5i1.71
Sun, R., Huang, J., Zhu, X., Hou, R., Zang, Y., Li, Y., Pan, J., & Lu, H. (2024). Effects of perineal warm compresses during the second stage of labor on reducing perineal trauma and relieving postpartum perineal pain in primiparous women: A systematic review. Healthcare, 12(7). https://doi.org/10.3390/healthcare12070702
Tias, I. W. N., & Hermawati. (2025). Penerapan kompres dingin untuk menurunkan intensitas nyeri luka perineum ibu postpartum. Jurnal Ilmiah Kesehatan Mandira Cendikia, 4, 214–225. https://doi.org/10.70570/jikmc.v4i7.1770
World Health Organization. (2022). [Title not provided in source].
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