HYPNOANXIETY AS AN ALTERNATIVE THERAPY TO REDUCE ANXIETY IN PRIMIGRAVIDA MOTHERS

Nurul Jannah, Hadi Hadi, Sri Rahayu, Soeharyo Hadisaputro, Diyah Fatmasari, Imam Djamaluddin Mashoedi


DOI: https://doi.org/10.33546/bnj.68

Abstract


Background: Anxiety among primigravida mothers should be handled to avoid the risks during pregnancy. Hypnotherapy is considered to be a solution; however, there are limited studies to determine its effect on anxiety, especially in primipara mothers.

Objective: To examine the effect of hypnoanxiety on the level of anxiety in primigravida.

Methods: This was a Randomized Controlled Trials (RCTs) with pretest-posttest design, conducted between September – October 2016 in the working area of the Health Center of Bergas Semarang, Indonesia. There were 40 respondents recruited using simple random sampling, which divided into intervention and control group. Hypnoanxiety was performed 8 times for 4 weeks. The Zung Self-Rating Anxiety Scale (ZSAS) was used to measure anxiety in pregnant women. Data were analyzed using Mann Whitney test and Kruskal Wallis test.

Results: Findings showed that after four weeks intervention, there was a decrease of the level of anxiety in the intervention group, consisted of 25% of moderate anxiety, 40% of mild anxiety, and 35 % of respondents with no anxiety. The p-value was 0.05, which indicated that there was mean difference of anxiety level between intervention and control group.

Conclusions: There was a significant effect of hypnoanxiety on the level of anxiety in pregnant women. It is suggested that hypnoanxiety could be one of the alternative therapies to reduce the anxiety among pregnant women. This could be considered to be included in the standard of midwifery care in Indonesia.


Keywords


pregnancy, anxiety, hypnoanxiety

Full Text:

PDF

References


Dinkes. Health Profile in Semarang. 2014; http://dinkes.semarangkota.go.id/. Accessed 25 October 2016.

Nekoee T, Zarei M. Evaluation the anxiety status of pregnant women in the third trimester of pregnancy and fear of childbirth and related factors. Journal of Advances in Medicine and Medical Research. 2015; 24:1-8.

Team R. Hubungan karakteristik ibu hamil trimester III dengan kecemasan dalam menghadapi persalinan di poliklinik kebidanan dan kandungan Rumah Sakit X Jakarta [Relationship of characteristics of pregnant mothers trimester III with anxiety in facing childbirth at midwifery polyclinic of X hospital Jakarta]. Majalah Keperawatan Unpad. 2012;12(1).

Nasreen HE, Kabir ZN, Forsell Y, Edhborg M. Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: a population based study in rural Bangladesh. BMC Women's Health. 2011;11(1):22.

Field T, Diego M, Dieter J, et al. Prenatal depression effects on the fetus and the newborn. Infant Behavior and Development. 2004;27(2):216-229.

Gulseren L, Erol A, Gulseren S, Kuey L, Kilic B, Ergor G. From antepartum to postpartum: a prospective study on the prevalence of peripartum depression in a semiurban Turkish community. The Journal of Reproductive Medicine. 2006;51(12):955-960.

Heron J, O'Connor TG, Evans J, Golding J, Glover V, Team AS. The course of anxiety and depression through pregnancy and the postpartum in a community sample. Journal of Affective Disorders. 2004;80(1):65-73.

Mongan M. Hypnobirthing: The breakthrough natural approach to safer, easier, more comfortable birthing - The Mongan Method. Florida: Health Communications, Inc.; 2015.

Nurindra Y. Certified hypnotherapy module. Jakarta: Hypotherapy Training Course; 2015.

Beddoe AE, Lee KA. Mind‐body interventions during pregnancy. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2008;37(2):165-175.

Zung WWK. SAS, self-rating anxiety scale. ECDEU assessment manual for psychopharmacology (Revised ed.). Maryland: Rockville; 1976.

Shell GA, Kirs CH. Psychosocial issues, outcomes and quality of life. Oncology Nursing. 2001;4:948-970.

Marc I, Toureche N, Ernst E, et al. Mind‐body interventions during pregnancy for preventing or treating women's anxiety. The Cochrane Library. 2011; (7).

Guyton AC. Human physiology and mechanisms of disease. United States: WB Saunders Co; 1992.

Sukisno B. Pengetahuan, sikap dan perilaku Ibu hamil tentang senam hamil pada 3 Rumah Sakit di Jakarta Timur tahun 1998 [Knowledge, attitude and behavior of pregnant mothers on pregnancy exercise]. Jakarta: Universitas Indonesia. Fakultas Kesehatan Masyarakat; 1998.

Martin AA, Schauble PG, Rai SH, Whit Jr R. Effects of hypnosis on the labor processes and birth outcomes of pregnant adolescents. Journal of Family Practice. 2001;50(5):441-441.

Marshall JE, Raynor MD. Myles' textbook for midwives. United States: Elsevier Health Sciences; 2014.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Nurul Jannah, Hadi, Sri Rahayu, Soeharyo Hadisaputro, Diyah Fatmasari, Imam Djamaluddin Mashoedi

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.