Phoenix Dactylifera Accelerates Duration The Active Phase of The First Stage of Labor: A Quasi Experiment

Authors

  • Finta Isti Kundarti Department of Midwifery, Politeknik Kesehatan Kemenkes Malang, Malang, East Java, Indonesia
  • Ira Titisari Department of Midwifery, Politeknik Kesehatan Kemenkes Malang, Malang, East Java, Indonesia
  • Dwi Estuning Rahayu Department of Midwifery, Politeknik Kesehatan Kemenkes Malang, Malang, East Java, Indonesia
  • Budi Susatia Department of Blood Bank, Politeknik Kesehatan Kemenkes Malang, Malang, East Java, Indonesia
  • Anis Nurlaili Department of Midwifery, Politeknik Kesehatan Kemenkes Surabaya, Surabaya, East Java, Indonesia

DOI:

https://doi.org/10.31965/infokes.Vol23.Iss3.1670

Keywords:

Phoenix Dactylifera , Duration, Labor

Abstract

Cases of prolonged labor in women in the world are still quite high. Inadequate uterine contractions are the main cause of complications in women's deaths worldwide. The aim of this study was to determine the effect of Phoenix Dactylifera on the length of labor in the active phase of the first stage. This research was carried out through a Quasi-Experimental design Quasi-Experimental. The 60 participants were divided into 2 groups, the intervention group (30 participants) and control (30 participants) at the Kediri Regency Health Center. Sampling uses simple random sampling. The intervention group was given 70 grams of phoenix dactylifera fruit daily from 37 weeks of gestation until labor, while the control group was given standard care. The results of the Paired t-test, the average length of labor in the first stage of the active phase in the intervension group (m=90.57, SD=56.507) p-value 0.000, and the control group (m= 271.33, SD=151.361) p-value 0.100. The difference in the average of the two groups is tested using an independent t-test. The difference in mean length of labor in the first stage of the active phase posttest in the intervention vs. the control group (m=90.57, SD=56.507vs m=271.33, SD=151.361) p-value 0.000. The difference in length of labor in the first stage of the active phase in the two groups was 180.76 minutes/ (3 hours 36 minutes). The Phoenix Dactylifera can shorten duration of the active phase of labor in the first stage of labor. It is recommended for health workers to give phoenix Dactylifera at the right dose to pregnant women in the third trimester to increase stamina during pregnancy and good uterine contractions.             

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References

Abbasi, P., Mohammad-Alizadeh Charandabi, S., & Mirghafourvand, M. (2021). Comparison of the effect of educational software and booklet on anxiety and pain during labour: a randomised controlled clinical trial. Journal of Obstetrics and Gynaecology, 41(2), 234–241. https://doi.org/10.1080/01443615.2020.1736017

Ahmed, I. E., Mirghani, H. O., Mesaik, M. A., Ibrahim, Y. M., & Amin, T. Q. (2018). Effects of date fruit consumption on labour and vaginal delivery in Tabuk, KSA. Journal of Taibah University Medical Sciences, 13(6), 557–563. https://doi.org/10.1016/j.jtumed.2018.11.003

Al-Dossari, R. A., Ahmad, E. R., & Qahtani, N. Al. (2020). Effect of eating dates and drinking water versus IV fluids during labor on labor and neonatal outcomes. IOSR Journal of Nursing and Health Science, 6(4), 86–94. https://doi.org/10.9790/1959-0604038694

Ashagrie, H. E., Fentie, D. Y., & Kassahun, H. G. (2020). A review article on epidural analgesia for labor pain management: A systematic review. International Journal of Surgery Open, 24, 100–104. https://doi.org/10.1016/j.ijso.2020.04.007

Ashwal, E., Livne, M. Y., Benichou, J. I. C., Unger, R., Hiersch, L., Aviram, A., Mani, A., & Yogev, Y. (2020). Contemporary patterns of labor in nulliparous and multiparous women. American Journal of Obstetrics and Gynecology, 222(3), 267.e1-267.e9. https://doi.org/10.1016/j.ajog.2019.09.035

Bante, A., Mersha, A., Zerdo, Z., Wassihun, B., & Yeheyis, T. (2021). Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia. PLoS ONE, 16(3 March), 1–15. https://doi.org/10.1371/journal.pone.0248331

Barbour, V., Bhui, K., Chescheir, N., Clavien, P. A., Diener, M. K., Glasziou, P., Golub, R. M., Grimshaw, J. M., Groves, T., Hopewell, S., Lamb, S. E., McCulloch, P., Mulrow, C., Riddle, D., Ross, J. S., Schnurr, P. P., Schriger, D., Shamseer, L., Torgerson, D., … Ravaud, P. (2017). CONSORT Statement for randomized Trials of nonpharmacologic treatments: A 2017 update and a CONSORT extension for nonpharmacologic Trial Abstracts. Annals of Internal Medicine, 167(1), 40–47. https://doi.org/10.7326/M17-0046

Begley, C. M., Gyte, G. M. L., Devane, D., McGuire, W., Weeks, A., & Biesty, L. M. (2019). Active versus expectant management for women in the third stage of labour. Cochrane Database of Systematic Reviews, 2019(2). https://doi.org/10.1002/14651858.CD007412.pub5

Berta, M., Lindgren, H., Christensson, K., Mekonnen, S., & Adefris, M. (2019). Effect of maternal birth positions on duration of second stage of labor: Systematic review and meta-analysis. BMC Pregnancy and Childbirth, 19(1), 1–8. https://doi.org/10.1186/s12884-019-2620-0

Blankenship, S. A., Raghuraman, N., Delhi, A., Woolfolk, C. L., Wang, Y., Macones, G. A., & Cahill, A. G. (2020). Association of abnormal first stage of labor duration and maternal and neonatal morbidity. American Journal of Obstetrics and Gynecology, 223(3), 445.e1-445.e15. https://doi.org/10.1016/j.ajog.2020.06.053

Blankenship, S. A., Woolfolk, C. L., Raghuraman, N., Stout, M. J., Macones, G. A., & Cahill, A. G. (2019). First stage of labor progression in women with large-for-gestational age infants. American Journal of Obstetrics and Gynecology, 221(6), 640.e1-640.e11. https://doi.org/10.1016/j.ajog.2019.06.042

Brunton, R., Simpson, N., & Dryer, R. (2020). Pregnancy-related anxiety, perceived parental self-efficacy and the influence of parity and age. International Journal of Environmental Research and Public Health, 17(18), 1–17. https://doi.org/10.3390/ijerph17186709

Carlhäll, S., Källén, K., & Blomberg, M. (2020). The effect of maternal body mass index on duration of induced labor. Acta Obstetricia et Gynecologica Scandinavica, 99(5), 669–678. https://doi.org/10.1111/aogs.13795

Caughey, A. B. (2020). Is Zhang the new Friedman: How should we evaluate the first stage of labor? Seminars in Perinatology, 44(2), 151215. https://doi.org/10.1016/j.semperi.2019.151215

Chor, C. M., Poon, L. C. Y., & Leung, T. Y. (2019). Prediction of labor outcome using serial transperineal ultrasound in the first stage of labor. Journal of Maternal-Fetal and Neonatal Medicine, 32(1), 31–37. https://doi.org/10.1080/14767058.2017.1369946

Deng, C., Xie, Y., Liu, Y., Li, Y., & Xiao, Y. (2022). Aromatherapy Plus Music Therapy Improve Pain Intensity and Anxiety Scores in Patients With Breast Cancer During Perioperative Periods: A Randomized Controlled Trial: Aromatherapy plus Music Therapy on Pain and Anxiety. Clinical Breast Cancer, 22(2), 115–120. https://doi.org/10.1016/j.clbc.2021.05.006

Dokmak, F., Michalek, I. M., Boulvain, M., & Desseauve, D. (2020). Squatting position in the second stage of labor: A systematic review and meta-analysis. European Journal of Obstetrics and Gynecology and Reproductive Biology, 254(2020), 147–152. https://doi.org/10.1016/j.ejogrb.2020.09.015

Ghiasi, A., Bagheri, L., & Haseli, A. (2019). A Systematic Review on the Anxiolytic Effect of Aromatherapy during the First Stage of Labor. Journal of Caring Sciences, 8(1), 51–60. https://doi.org/10.15171/jcs.2019.008

Goswami, S., Jelly, P., Sharma, S. K., Negi, R., & Sharma, R. (2022). The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis. European Journal of Midwifery, 6(November), 1–9. https://doi.org/10.18332/ejm/156487

Grenvik, J. M., Rosenthal, E., Wey, S., Saccone, G., De Vivo, V., De Prisco LCP, A., Delgado García, B. E., & Berghella, V. (2022). Birthing ball for reducing labor pain: a systematic review and meta-analysis of randomized controlled trials. Journal of Maternal-Fetal and Neonatal Medicine, 35(25), 5184–5193. https://doi.org/10.1080/14767058.2021.1875439

Henderson, J., & Redshaw, M. (2019). Worries About Labor and Birth: A Population-Based Study of Outcomes for Young Primiparous Women. Birth, 43(2), 151–158. https://doi.org/10.1111/birt.12219

Henrique, A. J., Gabrielloni, M. C., Rodney, P., & Barbieri, M. (2018). Non-pharmacological interventions during childbirth for pain relief, anxiety, and neuroendocrine stress parameters: A randomized controlled trial. International Journal of Nursing Practice, 24(3), 1–8. https://doi.org/10.1111/ijn.12642

Hiba, N., Nisar, S., Mirza, Z. A., & Nisar, S. (2022). Effect of Date Fruit Consumption in Later Pregnancy on Length of Gestation, Labour and Delivery of Nulliparous Women. 72(6), 2082–2086. Retrieved from: https://pafmj.org/index.php/PAFMJ/article/download/8122/4565

Huang, J., Zang, Y., Ren, L. H., Li, F. J., & Lu, H. (2019). A review and comparison of common maternal positions during the second-stage of labor. International Journal of Nursing Sciences, 6(4), 460–467. https://doi.org/10.1016/j.ijnss.2019.06.007

Kementerian Kesehatan Republik Indonesia. (2021). Profil Kesehatan Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia. Retrieved from: https://kemkes.go.id/id/profil-kesehatan-indonesia-2021

Kinnunen, M., Kokki, H., Hautajärvi, H., Tuovinen, K., & Kokki, M. (2020). Oxycodone for pain management in the latent phase of labour – A pragmatic trial. Acta Anaesthesiologica Scandinavica, 64(5), 685–690. https://doi.org/10.1111/aas.13550

Kordi, M., Meybodi, F. A., Tara, F. R., Fakari, F., Nemati, M., & Shakeri, M. (2017). Effect of dates in late pregnancy on the duration of labor in nulliparous women. Iranian Journal of Nursing and Midwifery Research, 22(5), 383–387. https://doi.org/10.4103/ijnmr.IJNMR_213_15

Levy, I., Attias, S., Stern Lavee, T., Avneri, O., Cohen, G., Balachsan, S., Sagi, S., & Schiff, E. (2020). The effectiveness of foot reflexology in reducing anxiety and duration of labor in primiparas: An open-label randomized controlled trial. Complementary Therapies in Clinical Practice, 38(June 2019), 101085. https://doi.org/10.1016/j.ctcp.2019.101085

Lubis, E., Sugiarti, W., & Patriot. (2021). Hubungan Umur Dan Paritas Dengan Kejadian Partus Lama Di Rsb Permata Hati Metro Tahun 2019. Bemj, Bunda Edu-Midwifery Journal, 4(1), 18–30.

Michalina, I., Anna, B. S., Anna, K. Z., Ewa, B., Hanna, G., & Wojciech, C. (2021). Factors associated with fear of childbirth among Polish pregnant women. Scientific Reports, 11(1), 1–8. https://doi.org/10.1038/s41598-021-83915-5

Moghani, S. S. (2023). Investigating the effect of edible pineapple on the ripening of the cervix and the onset of labor. Research Square. https://doi.org/10.21203/rs.3.rs-2915312/v1

Movahedi, M., Ebrahimian, M., Saeedy, M., & Tavoosi, N. (2022). Comparative study of transcutaneous electrical nerve stimulation, the aromatherapy of Lavandula and physiologic delivery without medication on the neonatal and maternal outcome of patients. International Journal of Physiology, Pathophysiology and Pharmacology, 14(3), 206–210.

Nasiri, M., Gheibi, Z., Miri, A., Rahmani, J., Asadi, M., Sadeghi, O., Maleki, V., & Khodadost, M. (2019). Effects of consuming date fruits (Phoenix dactylifera Linn) on gestation, labor, and delivery: An updated systematic review and meta-analysis of clinical trials. Complementary Therapies in Medicine, 45, 71–84. https://doi.org/10.1016/j.ctim.2019.05.017

Ohorella, T. N., Azis, M., Alza, N., Sudirman, J., & Kamaruddin, M. (2021). Giving Date Juice and Tea to Accelerate First Stage of Labor in Primigravida. Jurnal Kebidanan Malahayati, 7(3), 528–532. https://doi.org/10.33024/jkm.v7i3.3627

Orey, F., Ndeezi, G., Mugalu, J., Mohamud, L., & Nabukeera-Barungi, N. (2023). Early perinatal outcomes of babies born to adolescent mothers at two maternity hospitals in Mogadishu, Somalia. African Health Sciences, 23(2), 715–725. https://doi.org/10.4314/ahs.v23i2.82

Sagi-Dain, L., & Sagi, S. (2021). The effect of late pregnancy date fruit consumption on delivery progress – A meta-analysis. Explore, 17(6), 569–573. https://doi.org/10.1016/j.explore.2020.05.014

Sargunam, P. N., Bak, L. L. M., Tan, P. C., Vallikkannu, N., Noor Azmi, M. A., Zaidi, S. N., Win, S. T., & Omar, S. Z. (2019). Induction of labor compared to expectant management in term nulliparas with a latent phase of labor of more than 8 hours: A randomized trial. BMC Pregnancy and Childbirth, 19(1), 1–8. https://doi.org/10.1186/s12884-019-2602-2

Sheishaa, D. M. R., El-Mashad, H. A. M., & Khedr, N. F. H. (2019). Effect of Birthing Ball Exercises during Pregnancy on the First Stage Progress of Labor. International Journal of Nursing, 7(2), 47–67. https://doi.org/10.15640/ijn.v6n2a6

Sohrabi, H., Shamsalizadeh, N., Moradpoor, F., & Shahoei, R. (2022). Comparison of the effects of date syrup with saffron-honey syrup on the progress of labor in nulliparous women: A single blind randomized clinical trial. Iranian Journal of Nursing and Midwifery Research, 27(4), 301–307. https://doi.org/10.4103/ijnmr.ijnmr-282-22

Stewart, R. C., Umar, E., Gleadow-Ware, S., Creed, F., & Bristow, K. (2019). Perinatal distress and depression in Malawi: an exploratory qualitative study of stressors, supports and symptoms. Archives of Women’s Mental Health, 18(2), 177–185. https://doi.org/10.1007/s00737-014-0431-x

Świa̧der, K., & Isleten Hosoglu, M. (2020). Varieties of Date Palm Fruits (Phoenix Dactylifera L.), Their Characteristics And Cultivation. Analitical Review Articles Technological Progress in Food Processing, 1, 173–179.

Talebi, F., Malchi, F., Abedi, P., & Jahanfar, S. (2020). Effect of dill (Anethum Graveolens Linn) seed on the duration of labor: A systematic review. Complementary Therapies in Clinical Practice, 41(September), 101251. https://doi.org/10.1016/j.ctcp.2020.101251

Tian, Q., Chen, S., & Jiang, D. (2022). Effects of anemia during the third trimester of pregnancy on postpartum depression and pregnancy outcomes in pregnant women older than 35 years: a retrospective cohort study. Annals of Palliative Medicine, 11(3), 1048–1057. https://doi.org/10.21037/apm-22-165

Wang, L., Wang, H., Jia, L., Qing, W., Li, F., & Zhou, J. (2020). The impact of stage of labor on adverse maternal and neonatal outcomes in multiparous women: A retrospective cohort study. BMC Pregnancy and Childbirth, 20(1), 1–11. https://doi.org/10.1186/s12884-020-03286-z

WHO. (2020). Word Health Organisation recommendations for augmentation of labour. Geneva: WHO.

Wong, C. L., & Choi, K. C. (2023). Effects of an Immersive Virtual Reality Intervention on Pain and Anxiety among Pediatric Patients Undergoing Venipuncture: A Randomized Clinical Trial. JAMA Network Open, 6(2), E230001. https://doi.org/10.1001/jamanetworkopen.2023.0001

Xu, E. H., Mandel, V., Huet, C., Rampakakis, E., Brown, R. N., & Wintermark, P. (2021). Maternal risk factors for adverse outcome in asphyxiated newborns treated with hypothermia: parity and labor duration matter. Journal of Maternal-Fetal and Neonatal Medicine, 34(24), 4123–4131. https://doi.org/10.1080/14767058.2019.1706472

Youssef, A., Montaguti, E., Dodaro, M. G., Kamel, R., Rizzo, N., & Pilu, G. (2019). Levator ani muscle coactivation at term is associated with longer second stage of labor in nulliparous women. Ultrasound in Obstetrics and Gynecology, 53(5), 686–692. https://doi.org/10.1002/uog.20159

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Published

2025-09-16

How to Cite

Kundarti, F. I., Titisari, I., Rahayu, D. E., Susatia, B., & Nurlaili, A. (2025). Phoenix Dactylifera Accelerates Duration The Active Phase of The First Stage of Labor: A Quasi Experiment . JURNAL INFO KESEHATAN, 23(3), 451–463. https://doi.org/10.31965/infokes.Vol23.Iss3.1670

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