The Hypnobirth Relaxation Influences Anxiety, Labor Pain, and APGAR Score in Newborns

Rosalinna Rosalinna; Ari Kurniarum; Luthfiana Puspita Sari

doi:10.26630/jkmsaw.v17i1.4517

Authors

Rosalinna Rosalinna Poltekkes Kemenkes Surakarta
Ari Kurniarum Department of Midwifery Poltekkes Kemenkes Surakarta, Indonesia
Luthfiana Puspita Sari Department of Midwifery Poltekkes Kemenkes Surakarta, Indonesia

DOI:

https://doi.org/10.26630/jkmsaw.v17i1.4517

Keywords:

Anxiety; APGAR Score; hypnobirthing; newborns; pain.

Abstract

Introduction: Hypnotherapy has been developed to improve labor outcomes. However, research on the effects of anxiety, pain and APGAR measured simultaneously is still rarely carried out. This study evaluated the effect of hypnobirthing relaxation techniques on anxiety, labor pain, and APGAR scores of newborn babies. Methods: This study used a Quasy experiment. This study used two groups: control and treatment. The control group received no intervention, while the treatment group was given hypnobirthing. Anxiety and pain levels were measured with standard scales, and APGAR scores were assessed within the first minute. Results: The results showed that the control group experienced an increase in anxiety from 33.4 (SD=4.1) to 34.5 (SD=3.5) and pain of 5.83 (SD=1.7). The treatment group experienced a decrease in anxiety from 28.0 (SD=3.8) to 26.7 (SD=3.7), pain decreased to 3.57 (SD=1.7), and the APGAR score increased to 8.3 (SD=0.5). Statistical analysis showed significant differences (ρ < 0.0001).). Conclusion: Hypnobirthing effectively reduces anxiety, labor pain and improves APGAR scores. Therefore, midwifery care for mothers can include hypnobirthing techniques that can be integrated by health supervisors in preparation for childbirth.

Latar Belakang: Hypnotherapy telah dikembangkan untuk meningkatkan luaran persalinan. Namun demikian, efek penelitian pada kecemasan, nyeri dan APGAR yang diukur bersamaan masih jarang dlakukan. Penelitian ini mengevaluasi efek teknik relaksasi hypnobirthing terhadap kecemasan, nyeri persalinan, dan skor APGAR bayi baru lahir. Metode: Penelitian ini menggunakan Quasy experiment Studi ini menggunakan dua kelompok: kontrol dan perlakuan. Kelompok kontrol tidak menerima intervensi, sementara kelompok perlakuan diberikan hypnobirthing. Tingkat kecemasan dan nyeri diukur dengan skala standar, dan skor APGAR dinilai pada satu menit pertama. Hasil: Hasil menunjukkan kelompok kontrol mengalami peningkatan kecemasan dari 33,4 (SD=4,1) menjadi 34,5 (SD=3,5) dan nyeri sebesar 5,83 (SD=1,7). Kelompok perlakuan mengalami penurunan kecemasan dari 28,0 (SD=3,8) menjadi 26,7 (SD=3,7), nyeri berkurang menjadi 3,57 (SD=1,7), dan skor APGAR meningkat menjadi 8,3 (SD=0,5). Analisis statistik menunjukkan perbedaan signifikan (ρ < 0,0001). Simpulan: Hypnobirthing efektif mengurangi kecemasan, nyeri persalinan dan meningkatkan skor APGAR. Oleh karena itu, Asuhan kebidanan pada ibu dapat memasukkan teknik hypnobirthing dapat diintegrasikan oleh Penyelia kesehatan dalam persiapan persalinan.

References

Akbar, Y. F. (2020). Perbandingan Derajat Kecemasan Kehamilan Aterm Primigravida Pada Remaja Dan Dewasa Muda Dengan Menggunakan Hamilton Anxiety Rating Scale. Universitas Hasanuddin.

Ambarita, S., & Simarmata, M. (2023). The Effect of Hypnobirthing Techniques on The Delivery of Labor Process and The Level of Pain in Mother. 6(1), 9–13. https://doi.org/10.35451/jkk.v6i1.1641

Amiri, P., Mirghafourvand, M., Esmaeilpour, K., Kamalifard, M., & Ivanbagha, R. (2019). The effect of distraction techniques on pain and stress during labor: A randomized controlled clinical trial. BMC Pregnancy and Childbirth, 19(1), 1–9. https://doi.org/10.1186/s12884-019-2683-y

Atis, F. Y., & Rathfisch, G. (2018). The Effect Of Hypnobirthing Training Given In The Antenatal Period On Birth Pain And Fear. Complementary Therapies in Clinical Practice. https://doi.org/10.1016/j.ctcp.2018.08.004

Azizmohammadi, S., & Azizmohammadi, S. (2019). Hypnotherapy in management of delivery pain: A review. European Journal of Translational Myology, 29(3), 210–217. https://doi.org/10.4081/EJTM.2019.8365

Benfield, R. D., Newton, E. R., Tanner, C. J., & Heitkemper, M. M. (2014). Cortisol as a Biomarker of Stress in Term Human Labor: Physiological and Methodological Issues. Biological Research for Nursing, 16(1), 64–71. https://doi.org/10.1177/1099800412471580

BPS RI. (2018). Survei Demografi Kesehatan Indonesia tahu 2017.

Bülez, A., So?ukp?nar, N., & Say?ner, F. D. (n.d.). A Quasi-Experimental Study to Assess Hypnobirthing Educational Intervention on Labor Pain and Fear of Childbirth—The Case of Eskisehir/Turkey. Int J Childbirth. https://doi.org/10.1891/IJCBIRTH-D-19-00008

Bülez, A., Turfan, E. Ç., & So?ukp?nar, N. (2019). Evaluation of the effect of hypnobirthing education during antenatal period on fear of childbirth. The European Research Journal, 5(2), 350–354. https://doi.org/10.18621/eurj.371102

Buran, G., & Aksu, H. (2022). Effect of Hypnobirthing Training on Fear, Pain, Satisfaction Related to Birth, and Birth Outcomes: A Randomized Controlled Trial. Clinical Nursing Research, 31(5), 918–930. https://doi.org/10.1177/10547738211073394

Catsaros, S., & Wendland, J. (2020). Hypnosis-based interventions during pregnancy and childbirth and their impact on women’s childbirth experience: A systematic review. Midwifery, 84, 102666. https://doi.org/https://doi.org/10.1016/j.midw.2020.102666

Dencker, A., Nilsson, C., Begley, C., Jangsten, E., Mollberg, M., Patel, H., Wigert, H., Hessman, E., Sjöblom, H., & Sparud-Lundin, C. (2019). Causes and outcomes in studies of fear of childbirth: A systematic review. Women and Birth, 32(2), 99–111. https://doi.org/10.1016/j.wombi.2018.07.004

Jesica, F., & Friadi, A. (2019). Hubungan Kadar Kortisol Dan Prostaglandin Maternal Dengan Persalinan Preterm Dan Aterm. Jurnal Ilmu Keperawatan Dan Kebidanan, 10(1), 21. https://doi.org/10.26751/jikk.v10i1.540

Jnpkr, & RI., K. (2019). Asuhan persalinan Normal. JNPKR.

Khoiriyah, E. S., Nasifah, I., & Pranoto, H. H. (2020). The Hypnobirthing Efect On The Incedence Of Asphyxia In Pringapus Sub-District Of Semarang 2017. 9(01), 2234–2237.

Khoiriyani, K., Harahap, S. W., Rezeki, S., & Lubis, A. U. N. (2024). The Effect of Hypnobirthing on Maternal Anxiety Levels and Length of Labor in Independent Practicing Midwives in the Panyabungan Area, Mandailing Natal Regency. International Journal of Public Health Excellence (IJPHE), 3(2), 471–478. https://doi.org/10.55299/ijphe.v3i2.745

King, T. L., Brucker, M. C., Osborne, K., & Jevitt, C. (2019). Varney’s Midwifery. World Headquarters Jones & Bartlett Learning.

Mueller, S. M., & Grunwald, M. (2021). Effects, side effects and contraindications of relaxation massage during pregnancy: A systematic review of randomized controlled trials. Journal of Clinical Medicine, 10(16). https://doi.org/10.3390/jcm10163485

Nisa, S. M. K., Murti, B., & Qadrijati, I. (2018). Psychosocial Factors Associated with Anxiety and Delivery Pain. Journal of Maternal and Child Health, 03(01), 44–58. https://doi.org/10.26911/thejmch.2018.03.01.05

Nur, D., Katili, O., Umar, S., & Nteya, S. D. (2021). Literature Review : The Effect of Audio Hypnobirthing on Anxiety Levels in First Childbirth Mothers. 1(2), 33–39.

Paramasivam, T., Mariappan, U., & Chan, C. M. (2022). Mixed-Method Pilot Study : Effectiveness of HypnoBirthing in Labour Outcomes.

Situmorang, K. (2023). the Effect of Hypnobirthing on the Anxiety Level of Pregnant Women in Trimester Iii i. International Journal of Health Sciences, 1(1), 66–74. https://doi.org/10.59585/ijhs.v1i1.55

Sofiati, F., Widayati, E., Lestari, R., & Abdillah, S. (2022). Characteristics Associated With Anxiety in Primigravida Mothers Facing Labor in Cianjur District. KnE Medicine, 2022, 89–98. https://doi.org/10.18502/kme.v2i2.11071

Sulistianingsih, A., Fitria, F., Septiasari, Y., Ari Madiyanti, D., Anggraeni, S., & Cahyaning Sasih, I. (2023). Effect of husband education in childbirth support on women’s self-efficacy and labor outcomes: a quasi-experimental study. Nursing and Midwifery Studies, 12(4), 197–205. https://doi.org/10.48307/nms.2023.414828.1259

Syswianti, D., & Wahyuni, T. (2023). Hypnobirthing And Rebozo Affect The Duration Of Labor In II And Apgar Scores. Jurnal Kebidanan Malahayati, 9(1), 46–52. https://doi.org/10.33024/jkm.v9i1.7378

Tan, H. Sen, Agarthesh, T., Tan, C. W., Sultana, R., Chen, H. Y., Chua, T. E., & Sng, B. L. (2021). Perceived stress during labor and its association with depressive symptomatology , anxiety , and pain catastrophizing American Society of Anesthesiologists. Scientific Reports, 11(17005), 1–7. https://doi.org/10.1038/s41598-021-96620-0

Tzeng, Y. L., Yang, Y. L., Kuo, P. C., Lin, Y. C., & Chen, S. L. (2017). Pain, anxiety, and fatigue during labor: A prospective, repeated measures study. Journal of Nursing Research, 25(1), 59–67. https://doi.org/10.1097/jnr.0000000000000165