Mengatasi Kecemasan Ibu Hamil Menjelang Persalinan dengan Terapi Komplementer

Lina Contesa; Tri Restu Handayani

doi:10.61132/natural.v3i3.1623

Authors

Lina Contesa Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang
Tri Restu Handayani Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang

DOI:

https://doi.org/10.61132/natural.v3i3.1623

Keywords:

Anxiety, Childbirth, Complementary therapy, Pregnancy education, Pregnant women

Abstract

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

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References

Budiastuti, S., & Lestari, D. A. (2023). Deep breathing relaxation therapy reduces anxiety in pregnant women during the third trimester. Jurnal Kebidanan dan Kesehatan Tradisional, 7(1), 45–52. https://doi.org/10.37341/jkkt.v7i1.579

Chlan, L., Heiderscheit, A., Skaar, D., Neidecker, M., & Nordby, K. (2013). Music intervention alleviates anxiety and improves sedation during mechanical ventilation: A randomized controlled trial. American Journal of Critical Care, 22(6), 517–525.

Kementerian Kesehatan RI. (2018). Hasil Utama Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

https://www.litbang.kemkes.go.id/laporan-rkd-2018

Koulivand, P. H., Ghadiri, M. K., & Gorji, A. (2013). Lavender and the nervous system. Evidence-Based Complementary and Alternative Medicine, 2013, Article ID 681304

Kurniasari, A., & Widodo, H. (2020). The effectiveness of classical music therapy in reducing anxiety levels among pregnant women in the third trimester. Jurnal Kesehatan Reproduksi, 11(2), 103–109. https://doi.org/10.22435/kespro.v11i2.1234

Ma, X., Yue, Z. Q., Gong, Z. Q., Zhang, H., Duan, N. Y., Shi, Y. T., ... & Li, Y. F. (2017). The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults. Frontiers in Psychology, 8, 874. https://doi.org/10.3389/fpsyg.2017.00874

Muliadi, F., Handayani, T., & Suryani, A. (2022). Pengaruh Aromaterapi Lavender Terhadap Tingkat Kecemasan Menjelang Persalinan Kala I. Jurnal Kebidanan Malahayati, 8(1), 45–52.

Nguyen, T. T., Doan, H. T., & Pham, Q. A. (2020). Music intervention and breathing techniques in managing anxiety among pregnant women: A randomized controlled trial. BMC Pregnancy and Childbirth, 20(1), 684. https://doi.org/10.1186/s12884-020-03336-1

Putri, R. A., Dewi, A. P., & Puspitasari, N. (2021). Hubungan Antara Dukungan Suami dan Tingkat Kecemasan Ibu Hamil Trimester Ketiga. Jurnal Ilmiah Kesehatan, 15(2), 105–112.

Rahmawati, E., & Hartati, A. (2020). Kecemasan Menjelang Persalinan dan Faktor yang Mempengaruhinya. Jurnal Keperawatan dan Kebidanan Indonesia, 6(1), 22–28.

Rahmawati, I., Fatimah, S., & Sari, M. (2022). Penerapan teknik relaksasi napas dalam untuk mengurangi kecemasan ibu hamil trimester akhir. Jurnal Ilmu Kebidanan, 13(3), 75–81. https://doi.org/10.31289/jik.v13i3.6789

Sharma, R., & Tripathi, S. (2021). Effectiveness of breathing and music therapy on prenatal anxiety: A comparative study. Indian Journal of Psychological Medicine, 43(5), 432–437. https://doi.org/10.4103/IJPM.IJPM_106_21

WHO. (2018). Maternal mental health. Retrieved from: https://www.who.int/mental_health/maternal-child/maternal_mental_health/en

Wulandari, D., Nurhidayah, R., & Lestari, I. (2021). Terapi Musik Klasik Sebagai Upaya Penurunan Tingkat Kecemasan Ibu Hamil Menjelang Persalinan. Jurnal Kebidanan dan Keperawatan Aisyiyah, 17(1), 89–96.

Zhang, Y., Zhou, Y., & Wang, Y. (2021). Classical music intervention for prenatal stress: An experimental study in China. Journal of Obstetrics and Gynaecology Research, 47(4), 1278–1285. https://doi.org/10.1111/jog.14632

Zhao, X., Li, W., & Chen, Q. (2023). Combined relaxation and music therapy reduces maternal anxiety: Evidence from a randomized controlled trial. International Journal of Nursing Sciences, 10(2), 255–261. https://doi.org/10.1016/j.ijnss.2023.02.004