Effectiveness of Childbirth Education and Hypnobirthing Assistance in Improving Labor Outcome
DOI:
https://doi.org/10.26911/thejmch.2024.09.03.06Abstract
Background: Childbirth education and assistance with hypnobirthing is an autohypnosis technique, namely an effort to instill positive intentions through suggestion into the soul or subconscious mind during pregnancy and preparation for childbirth. This study aims to analyze the effectiveness of childbirth education and assistance with hypnobirthing in improving childbirth outcomes.
Subjects dan Methode: The Randomized Controlled Trial (RCT) study was conducted at the Pratama D'Maryam Clinic, Yogyakarta from August to December 2023. A total of 154 pregnant women were selected for this study. Dependent variables are anxiety, depression, complications, and delivery time. The independent variables are childbirth education and assistance with hypnobirthing. Therapy is given 2 times a week with a duration of 3 hours. The study instrument is a questionnaire. Data analysis used Independent T-Test.
Results: Providing childbirth education accompanied by assistance with hypnobirthing is effective in reducing anxiety levels in pregnant women (Effect Size= 1.22; p<0.001), reducing depression levels (Effect Size= 1.19; p<0.001), and shortening labor time (Effect Size= 0.08; p = 0.016).
Conclusion: Providing childbirth education accompanied by assistance with hypnobirthing is effective in reducing anxiety levels in pregnant women, reducing depression levels, and shortening labor time.
Keywords:
hypnobirthing, anxiety, depression, long labor, pregnant womenReferences
Astuti I, Noviyanti N (2015). The effect of hypnobirthing on the level of pain and progress of labor in mothers giving birth in BPM Cimahi City (Pengaruh hypnobirthing terhadap tingkat nyeri dan kemajuan persalinan pada ibu bersalin di BPM Kota Cimahi). The Southeast Asia Journal of Midwifery, 1(1): 43-47. doi.org/10.36749/seajom.-v1i1.57.
Asrida A, Saad R, Rahayu (2023). The effectiveness of hypnobirthing relaxation in reducing anxiety levels in third trimester primigravida pregnant women (Efektivitas relaksasi hypnobirthing dalam menurunkan tingkat kecemasan pada ibu hamil primigravida trimester III). Jurnal Kesehatan Tambusai, 4(4): 5730 – 5735, doi.org/10.31004/jkt.-v4i4.21271.
Aprilia Y (2019). Gentle Birth. Jakarta: Penerbit Gramedia Widiasarana Indonesia
Andriyani A (2013). Women's Health Guide (Panduan Kesehatan Wanita). Solo: As - salam Publishing Group. file://Hipno/Psikologi Kehamilan
Brugnoli MP, Pesce G, Pasin E, Basile MF, Tamburin S, Polati E (2018). The role of clinical hypnosis and self-hypnosis to relief pain and anxiety in severe chronic diseases in palliative care: A 2-year longterm follow-up of treatment in a nonrandomized clinical trial. Ann. Palliat. Med (1): 17–31. doi.org/10.21037/-apm.2017.10.03
Catsaros S dan Wendland J (2023). Psychological impact of hypnosis for pregnancy and childbirth: A systematic review. Complementary Therapies in Clinical Practice. 5(1): 2-13. doi.org/10.1016/j.ctcp.-2022.101713
Devi TR, Sulastriningsih K, Tiawaningrum E (2018). The influence of prenatal yoga and hypnobirthing on the first stage of labor in women giving birth at BPM Restu Depok for the period January-June 2017 (Pengaruh yoga prenatal dan hypnobirthing terhadap proses persalinan kala I pada ibu bersalin di BPM Restu Depok periode januari-juni tahun 2017). Jurnal bidan. 5(1): 26 – 32.
Fisher J, Mello MC, Patel V, Rahman A, Tran T, Holton S, Holmes W (2012). Prevalence and determina¬nts of common perinatal mental disorders in women in lowand lower-middle-income countries: a systematic review. Bulletin of the World Health Organization, 90: 139 - 149.
Hutabarat NI, Ujung RM, Nainggolan DR (2022). The effectiveness of self-hypnosis health education in reducing anxiety of pregnant women in the working area of the Sitada-Tada Community Health Center in 2021 (Efektivitas pendidikan kesehatan self hipnosis terhadap penurunan kecemasan ibu hamil di wilayah kerja puskesmas sitada-tada tahun 2021). J. Maternitas Kebidanan, 7(2): 59 – 67. doi.org/-10.34012/¬jumkep.v7i2.2885
Hernawati BMAE (2018). Implementation ¬of reducing the risk of maternal anxiety in the first stage of labor using the Hypnobirthing method at the Gegerkalong Maternity Clinic, Bandung City, 2016 (Impleme¬ntasi pengurangan resiko kecemasan ibu bersalin kala I melalui metode Hypnobirthing di Klinik Bersalin Gegerkalong Kota Bandung Tahun 2016). Jurnal Bidan, 4(2):1-26. https://www.-neliti.com.id/¬publications¬267038/implementasi
Khairi S, Bahtiar H, Aqidah F (2023). Implementation of classes for pregnant women with modifications using 2015 guidelines in the working area of the Tanjung Karang Community Health Center, Mataram City (Pelaksanaan kelas ibu hamil dengan modifikasi menggunakan pedoman tahun 2015 di wilayah kerja puskesmas tanjung karang kota mataram). J. Lentera. 1(1): 47–57. doi.org/10.57267/lentera.v1i1.86
Kementerian Kesehatan Republik Indonesia (2016). Midwifery Care ¬¬for Maternal Neonatal Emergencies (Asuhan Kebidanan Kegawat¬¬daruratan Ma-ternal Neonatal). Pusdik SDM Kesehatan.
Kementerian Kesehatan RI (2019). Indonesia Health Profile in 2018 (Profil Kesehatan Indonesia tahun 2018).
Legrand F, Laroche GC, Josse E, Polidori G, Quinart H, Taiar R. (2017). Effects of hypnosis during pregnancy: a psychophysiological study on maternal stress. Med Hypotheses, 10(2): 123–127. doi.org/10.1016/j.mehy.2017.03.026
Miller ER (2020). The lived experience of hypnosis-assisted birth: a hermeneutic phenomenological study. Saybrook University. https://www.proquest.com/open¬vie-w¬/f813a269ccce902344991edef76dee94/1?pqorigsite=gscholar&cbl=18750&diss=y
Marliana, Kuntjoro, Tjahjono, Sri W (2016). The effect of hypnobirthing on reducing levels, anxiety, blood pressure and pulse rate in Primigravida pregnant women in the third trimester (Pengaruh hypnobirthing terhadap penur-unan tingkat, kecemasan, tekanan darah, dan denyut nadi pada ibu hamil Primigravida Trimester III). J. Ilmiah Kesehatan (JIK), 9(1): ISSN 1978-3167
Nurmitasari (2022) The effect of hypnotherapy on the development of labor (Efek hipnoterapi pada perkembangan persalinan). Media publikasi penelitian kebidanan (MPPK), 5(2): 59 – 65.
Nainggolan DR, Ujung RM, Ritonga PR (2021). Influence of hypnobirthing on anxiety levels pregnant women in the siatas barita health center work area in 2020. Jurnal Kebidanan, 13(2): 156-163. doi.org/10.36456/-embrio.v13i2.3513
Ramchandani PG, Richter LM, Stein A, Norris SA (2009). Predictors of postnatal depression in an urban South African cohort. J. Affect. Disord, 13(3): 279 - 284.
Rouhe H, Salmela-Aro K, Toivanen R, Tokola M, Halmesmäki E, Saisto T (2013). Obstetric outcome after intervention for severe fear of childbirth in nulliparous women - Randomised trial. BJOG: J. of International Obstetrics and Gynaecology. 120(1): 75–84. doi.org/10.1111/1471-0528.12011
Radlooff LS (1977). The CES-D Scale: A self-report depression scale for research in general population. Applied Psychology Measurement. 1 (63): 385-401
Rofacky H, fajri, Aini F (2015). The effect of spiritual emotional freedom technique (SEFT) therapy on the blood pressure of hypertension sufferers (Pengaruh terapi spritual emotional freedom technique (seft) terhadap tekanan darah penderita Hipe-rtensi). The Soedirman Jour-nal Of Nursing, 10(1): 41-52. doi.org/10.-20884/1.jks.2015.10.1.591
Salsabila A, Yustikasari (2023). Hypnobirthing as a therapeutic communication method in mother and child hospital Annisa Pekanbaru. Int. J. Humanit. Soc. 1(1):10-28. https://humasjour¬nal.my.id/index.php/HJ/index
SDKI (2018). 2017 Indonesian Demographic and Health Survey (Survei Demografi dan Kesehatan Indonesia 2017). Jakarta.
Septeria IP, Najmah, Syakurah RA (2023). Hypnosis therapy for anxiety in pregnancy (Terapi hipnosis terhadap kecemasan dalam kehamilan). J. keperawatan silampari, 6(2): 1937-1950. doi.org/10.31539/¬jks.¬v6i2.-5050
Sehmawati S, Permatasari AS (2020). Self-Hypnosis on the anxiety level of pregnant women in preparation for childbirth during the Covid-19 pandemic (Self-Hypnosis terhadap tingkat kecemasan ibu hamil dalam persiapan menghadapi persalinan di masa pandemic covid-19). In Call For Paper Seminar Nasional Kebidanan (58 - 65).
Syswianti D, Wahyuni T, Mardiana D (2020). The effect of hypnobirthing on the length of the second stage of labor in Primigravida mothers (Pengaruh hypnobirthing terhadap lama persalinan kala II pada ibu bersalin Primigravida). Jurnal Kebidanan, 6(4): 504-509. doi.10.33024/jkm.v6i4.2937
Wildan M, Jamhariyah, Purwaningrum Y (2013). The influence of relaxation techniques on labor pain adaptation of mothers in the first active phase of labor at the BPS in the Patrang Community Health Center, Jember Regency (Pengaruh teknik relaksasi terhadap adaptasi nyeri persalinan ibu bersalin kala 1 fase aktif di BPS wilayah Puskesmas Patrang Kabupaten Jember). J. Ilmu Kesehatan Masyarakat (IKESMA), 9(1): 65 - 73.
Widiawati I (2019). Give birth comfortably and quickly with hypnobirthing care (Melahirkan nyaman dan cepat dengan hypnobirthing care): J. Ilmiah Ilmu Kesehatan, 7(1): 45-52. https://jurnal.unitri.ac.id/index.php/care
WHO (2018). Maternal Mortality. Word Health Organization
WHO (2019). Maternal mortality rate and infant mortality rate (Angka kematian ibu dan angka kematian bayi). Word Health Organization.