THE EFFECT OF PREGNANCY AND CHILDBIRTH HEALTH EDUCATION ON REDUCING ANXIETY OF THIRD-TRIMESTER PREGNANT WOMEN
DOI:
https://doi.org/10.70743/alinea.v1i3.1Keywords:
Pregnancy, Anxiety, Health Education, Third-trimesterAbstract
Background: Physiological and psychological anxiety significantly impacts maternal and fetal health. Lack of knowledge about pregnancy and childbirth dominates the causes of anxiety. This study investigated whether third-trimester pregnancy anxiety can be reduced by receiving health education about pregnancy and labor. Methods: Quasi-experimental quantitative research was conducted using a design consisting only of before and after tests. The sample consisted of 64 third-trimester samples selected using a purposive sampling approach. The measuring instrument used was the Pregnancy-Related Anxiety Questionnaire-R2. Univariate analysis tests and bivariate analysis were conducted to see the significance and differences before and after treatment using paired t-tests. Results: It was found that most of the subjects were primigravida 36 (56.2%) respondents, the majority were aged 20-35 years 47 (73.4%), and the majority of education was Bachelor 27 (42.2%), and the majority of economic income < regional minimum wage. Most pregnant women experienced anxiety before childbirth in the moderate category 35 (54.7%) respondents. Demographic factors of education, parity, and economic income have a significant relationship with a p-value of 0.000, but age has no relationship with the incidence of anxiety. Conclusion: The difference between pre and post by looking at the two-tailed sig number with a result of 0.000 <0.05, the Confidence interval value of the difference is lower 0.900 and upper 1.099. In the t-test, the sig value. (2-tailed) of 0.000 (<0.05), which shows that health education about pregnancy and childbirth reduces the anxiety of third-trimester pregnant women facing labor.
References
Alkhunaizi, A. N., Alyousef, S. M., Alhamidi, S. A., & Almoammar, D. N. (2023). Saudi Arabian Primigravid Women’s Experiences of Mindfulness to Reduce Childbirth Stress: A Qualitative Study. SAGE Open Nursing, 9(c). https://doi.org/10.1177/23779608231175214
Araji, S. (2021). Hypertension, Maternal Mood and Inflammation During Pregnancy–No Clear Link Among Pregnant Mississippi Women. search.proquest.com. https://search.proquest.com/openview/d7066f7e4e8770dc91dc4187dac69c56/1?pq-origsite=gscholar&cbl=18750&diss=y
Biaggi, A. (2016). Identifying the women at risk of antenatal anxiety and depression: A systematic review. In Journal of Affective Disorders (Vol. 191, pp. 62–77). https://doi.org/10.1016/j.jad.2015.11.014
Downe, S., Finlayson, K., Tunçalp, Ö., & Am, G. (2019). evidence synthesis ( Review ). https://doi.org/10.1002/14651858.CD012392.pub2.www.cochranelibrary.com
Fenwick, J., Toohill, J., Slavin, V., Creedy, D. K., & Gamble, J. (2018). Improving psychoeducation for women fearful of childbirth: Evaluation of a research translation project. Women and Birth. https://www.sciencedirect.com/science/article/pii/S1871519217301087
Gowda, G. S., Komal, S., Sanjay, T. N., Mishra, S., Kumar, C. N., & Math, S. B. (2019). Sociodemographic, legal, and clinical profiles of female forensic inpatients in Karnataka: A retrospective study. Indian Journal of Psychological Medicine, 41(2), 138–143. https://doi.org/10.4103/IJPSYM.IJPSYM
Hadfield, K., Akyirem, S., Sartori, L., Abdul-Latif, A. M., Akaateba, D., Bayrampour, H., Daly, A., Hadfield, K., & Abiiro, G. A. (2022). Measurement of pregnancy-related anxiety worldwide: a systematic review. BMC Pregnancy and Childbirth, 22(1), 1–10. https://doi.org/10.1186/s12884-022-04661-8
Halman, D. P., Umar, S., & Limbong, T. (2022). Perbedaan Tingkat Kecemasan Primigravida dan Multigravida Trimester III dalam Menghadapi Persalinan. Jurnal Ilmiah Kesehatan Sandi Husada, 11, 513–521. https://doi.org/10.35816/jiskh.v11i2.822
Hishikawa, K., Kusaka, T., Fukuda, T., Kohata, Y., & Inoue, H. (2019). Anxiety or Nervousness Disturbs the Progress of Birth Based on Human Behavioral Evolutionary Biology. The Journal of Perinatal Education, 28(4), 218–223. https://doi.org/10.1891/1058-1243.28.4.218
Huang, Y., Zhong, Y., Deng, Y., Zheng, J., Zou, H., & Chen, Q. (2022). Correlation between Fear of Childbirth and Childbirth Self-Efficacy during Labor. Clinical and Experimental Obstetrics and Gynecology, 49(11). https://doi.org/10.31083/j.ceog4911258
Huizink, A. C. (2016). Adaption of pregnancy anxiety questionnaire–revised for all pregnant women regardless of parity: PRAQ-R2. Archives of Women’s Mental Health, 19(1), 125–132. https://doi.org/10.1007/s00737-015-0531-2
Kemenkes RI. (2018). Laporan_Nasional_RKD2018_FINAL.pdf. In Badan Penelitian dan Pengembangan Kesehatan (pp. 1–629). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Matheson, K., Asokumar, A., & Anisman, H. (2020). Resilience: Safety in the Aftermath of Traumatic Stressor Experiences. Frontiers in Behavioral Neuroscience, 14(December), 1–21. https://doi.org/10.3389/fnbeh.2020.596919
Moyer, C. A. (2020). Pregnancy-related anxiety during COVID-19: a nationwide survey of 2740 pregnant women. Archives of Women’s Mental Health, 23(6), 757–765. https://doi.org/10.1007/s00737-020-01073-5
Nezamodini, Z. S., Rezvani, Z., & Kian, K. (2017). Electronic Physician ( ISSN : 2008-5842 ). Electronic Physician, 9(January), 3592–3597.
Olza, I., Leahy-Warren, P., Benyamini, Y., Kazmierczak, M., Karlsdottir, S. I., Spyridou, A., Crespo-Mirasol, E., Takács, L., Hall, P. J., Murphy, M., Jonsdottir, S. S., Downe, S., & Nieuwenhuijze, M. J. (2018). Women’s psychological experiences of physiological childbirth: A meta-synthesis. BMJ Open, 8(10), 1–11. https://doi.org/10.1136/bmjopen-2017-020347
Phoebe, E. D., Mustikasari, T., Harmada, W. S. P. A., Octaviana, D. S., Wolayan, G. A. C., Husnina, Q. K., Purnomo, N. F., Gotama, I. M., Tjoewinata, J. S., & Nyoman Sumiati. (2022). Anxiety Disorders in Pregnancy During The COVID-19 Pandemic: What are The Risk Factors? Jurnal Psikiatri Surabaya, 11(2), 81–90. https://doi.org/10.20473/jps.v11i2.30202
Sarker, B. K., Rahman, M., Rahman, T., Rahman, T., Khalil, J. J., Hasan, M., Rahman, F., Ahmed, A., Mitra, D. K., Mridha, M. K., & Rahman, A. (2020). Status of the WHO recommended timing and frequency of antenatal care visits in Northern Bangladesh. PLoS ONE, 15(11), 1–21. https://doi.org/10.1371/journal.pone.0241185
Serçekuş, P., & Başkale, H. (2016). Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery. https://www.sciencedirect.com/science/article/pii/S0266613815003228
Slade, P., Sheen, K., Weeks, A., Wray, S., De Pascalis, L., Lunt, K., Bedwell, C., Thompson, B., Hill, J., & Sharp, H. (2021). Do stress and anxiety in early pregnancy affect the progress of labor: Evidence from the Wirral Child Health and Development Study. Acta Obstetricia et Gynecologica Scandinavica, 100(7), 1288–1296. https://doi.org/10.1111/aogs.14063
SP, N., H, R., S, M., & M, M. (2023). Preparedness toward participation in disaster management: An online survey among dental practitioners in a disaster‑prone region of Eastern India. Journal of Education and Health Promotion, 12(February). https://doi.org/10.4103/jehp.jehp
Swanson, V., & Hannula, L. (2022). Parenting stress in the early years – a survey of the impact of breastfeeding and social support for women in Finland and the UK. BMC Pregnancy and Childbirth, 22(1), 1–13. https://doi.org/10.1186/s12884-022-05010-5
Tarafa, H., Alemayehu, Y., & Nigussie, M. (2022). Factors associated with pregnancy-related anxiety among pregnant women attending antenatal care follow-up at Bedelle general hospital and Metu Karl comprehensive specialized hospital, Southwest Ethiopia. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.938277
Toohill, J., Fenwick, J., Gamble, J., Creedy, D. K., Buist, A., Turkstra, E., & Ryding, E. L. (2014). A Randomized Controlled Trial of a Psycho-Education Intervention by Midwives in Reducing Childbirth Fear in Pregnant Women. Birth, 41(4), 384–394. https://doi.org/10.1111/birt.12136