The Effectiveness Of PC6 Point Acupressure In Overcoming First Trimester Degree Ii Hyperemesis Gravidarum

Authors

  • Indah Gasela Insitut Nalanda, Jakarta
  • Ratna Dewi Putri Insitut Nalanda, Jakarta
  • Stella Maris Bakara Insitut Nalanda, Jakarta

DOI:

https://doi.org/10.37160/mijournal.v22i3.1053

Keywords:

Acupressure Hyperemesis Gravidarum Maternal health PC6 Point Pregnancy Nausea

Abstract

Hyperemesis gravidarum is a severe complication in early pregnancy marked by excessive nausea and vomiting, often leading to dehydration, weight loss, and reduced maternal quality of life. Despite being frequently underestimated, this condition requires timely and effective management. One non-pharmacological intervention that has gained attention is acupressure at the PC6 (Nei Guan) point. This study aimed to evaluate the effectiveness of PC6 acupressure in reducing the frequency and intensity of hyperemesis gravidarum among first-trimester pregnant women. A quasi-experimental pretest-posttest design without a control group was conducted on 20 respondents at the Rahmawati Midwifery Clinic, Pangkalpinang. Participants performed acupressure therapy for five minutes, three times daily for seven consecutive days. Data on nausea intensity and vomiting frequency were collected before and after the intervention using a standardized scale and logbook. Results showed a significant decrease in nausea and vomiting symptoms, with the average score dropping from 8 (range 7–9) before therapy to 3 (range 2–4) after therapy. Statistical analysis using paired t-test yielded a p-value of 0.000, indicating a highly significant difference. These findings suggest that PC6 acupressure is an effective, simple, and low-cost complementary therapy for managing hyperemesis gravidarum in antenatal care services, particularly at the community level.

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References

Abbasi, M., Maleki, A., Ebrahimi, L., & Molaei, B. (2022). Effects of supportive counseling using a positive psychology approach on coping patterns among pregnant women with nausea and vomiting. BMC Pregnancy and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-04603-4

Aprilasari, M., Sunarto, S., & Sumasto, H. (2021). Hubungan Usia Ibu Hamil Dan Paritas Dengan Kejadian Hiperemesis Gravidarum Di Wilayah Kerja Puskesmas Padas Kabupaten Ngawi. Gema Bidan Indonesia, 10(2). https://doi.org/10.36568/gebindo.v10i2.8

Bidary, N., Aulya, Y., & WidowatI, R. (2022). Analysis Of The Event Of Hyperemesis Gravidarum In Pregnant Women. Jurnal Kebidanan Malahayati, 8(4), 651–661. https://doi.org/10.33024/jkm.v8i4.5015

Bulut, A., & Özdemir, F. (2019). Hiperemezis Gravidarum Tanısı Alan Gebelerin Gebeliğe Uyum ve Stresle Başa Çıkma Tarzlarının Belirlenmesi. Journal of Anatolia Nursing and Health Sciences, 277–283. https://doi.org/10.17049/ataunihem.547213

Butu, Y. O., Rottie, J., & Bataha, Y. (2019). Faktor – Faktor Yang Berhubungan Dengan Kejadian Hyperemesis Gravidarum Pada Ibu Hamil Trimester I. Jurnal Keperawatan, 7(2). https://doi.org/10.35790/jkp.v7i2.24476

Elmas, B., Vatansever, M., Civan Kahve, A., Salman Özgü, B., Asut, G., Çakmak, I. B., Bestel, A., & Erkaya, S. (2021). Evaluation of psychological resilience and anxiety levels of patients with hyperemesis gravidarum diagnosis and comparison with healthy pregnant women. Journal of Turkish Society of Obstetric and Gynecology, 18(2), 115–123. https://doi.org/10.4274/tjod.galenos.2021.05994

Hoo, J. J. (1997). Acupressure for hyperemesis gravidarum. American Journal of Obstetrics & Gynecology, 176(6), 1395–1396. https://doi.org/10.1016/S0002-9378(97)70369-7

Lee_et_al-2015-Cochrane_Database_of_Systematic_Reviews. (n.d.).

Li J, Li J, Chen Z, Liang F, Wu S, Wang H. (2012) The Influence of Pc6 on Cardiovascular Disorders: A Review of Central Neural Mechanisms. Acupuncture in Medicine, 30(1):47-50

London, V., Grube, S., Sherer, D. M., & Abulafia, O. (2017). Hyperemesis gravidarum: A review of recent literature. Pharmacology, 100(3–4), 161–171. Scopus. https://doi.org/10.1159/000477853

MacGibbon, K. W. (2020). Hyperemesis Gravidarum: Strategies to Improve Outcomes. Journal of Infusion Nursing, 43(2), 78–96. Scopus. https://doi.org/10.1097/NAN.0000000000000363

Mansour, S. E., Emam, M. A., Elghory, A. M., & Shebl, A. M. (n.d.). Effect of Nurses Using for P6 Acupressure on Nausea, Vomiting and Retching in Women with Hyperemesis Gravidarum.

Megasari, M., & Sari, A. P. (2024). Efektivitas Akupresur Titik P6 Pada Ibu Hamil Dengan Emesis Gravidarum Di Klinik Pratama Afiyah Tahun 2023. 9(1).

Mohammed Seid, A., Mehari, E. A., Bekalu, A. F., Dula Sema, F., Limenh, L. W., Geremew, D. T., Tessema, T. A., Anagaw, Y. K., Mitku, M. L., Worku, M. C., Bizuneh, G. K., Ayenew, W., & Simegn, W. (2024). Prevalence of hyperemesis gravidarum and associated factors among pregnant women at comprehensive specialized hospitals in northwest Ethiopia: Multicenter cross-sectional study. SAGE Open Medicine, 12, 20503121241257163. https://doi.org/10.1177/20503121241257163

Mohd Nafiah, N. A., Chieng, W. K., Zainuddin, A. A., Chew, K. T., Kalok, A., Abu, M. A., Ng, B. K., Mohamed Ismail, N. A., & Nur Azurah, A. G. (2022). Effect of Acupressure at P6 on Nausea and Vomiting in Women with Hyperemesis Gravidarum: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 19(17), 10886. https://doi.org/10.3390/ijerph191710886

Mutia, F., & Harahap, M. (2024). Gambaran Pengetahuan Ibu Hamil Tentang Hyperemesis Gravidarum Di Wilayah Kerja Puskesmas Batangtoru Tahun 2024. Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal), 9(1), 138–144. https://doi.org/10.51933/health.v9i1.1340

Rath, W., Maul, H., Abele, H., & Pauluschke, J. (2024). Hyperemesis Gravidarum—An Interprofessional and Interdisciplinary Challenge. Zeitschrift Fur Geburtshilfe Und Neonatologie, 228(3), 218–231. Scopus. https://doi.org/10.1055/a-2200-9686

Rorrong, J. F., Wantania, J. J. E., & Lumentut, A. M. (2021). Hubungan Psikologis Ibu Hamil dengan Kejadian Hiperemesis Gravidarum. e-CliniC, 9(1). https://doi.org/10.35790/ecl.v9i1.32419

Solt Kirca, A., & Kanza Gul, D. (2020). Effects of Acupressure Applied to P6 Point on Nausea Vomiting in Pregnancy: A Double-Blind Randomized Controlled. Alternative therapies in health and medicine, 26(6), 12–17

Sulistiani, A. (2024). Pengaruh Akupresur Pada Titik Pc6 Dan St36 Terhadap Penurunan Frekuensi Emesis Gravidarum Pada Ibu Hamil Trimester I. Jurnal Kesehatan Masyarakat.

Syamsuddin, S., Lestari, H., & Fachlevy, A. F. (2018). Hubungan Antara Gastritis, Stres, dan Dukungan Suami Pasien dengan Sindrom Hiperemesis Gravidarum di Wilayah Kerja Puskesmas Poasia Kota Kendari. Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan, 102–107. https://doi.org/10.22435/jpppk.v2i2.136

Tan, P. C., Zaidi, S. N., Azmi, N., Omar, S. Z., & Khong, S. Y. (2014). Depression, Anxiety, Stress and Hyperemesis Gravidarum: Temporal and Case Controlled Correlates. PLoS ONE, 9(3), e92036. https://doi.org/10.1371/journal.pone.0092036

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Published

2025-10-31

How to Cite

Gasela, I., Putri, R. D. ., & Bakara, S. M. . (2025). The Effectiveness Of PC6 Point Acupressure In Overcoming First Trimester Degree Ii Hyperemesis Gravidarum . Media Informasi, 21(3), 157–162. https://doi.org/10.37160/mijournal.v22i3.1053

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