The Effect Of Field Trip To The Delivery Room In Primigravida On Anxiety And Length Of Labor
Latar Belakang: Kecemasan menjelang persalinan merupakan respons emosional dan kognitif akut yang dialami ibu hamil, dan dapat memengaruhi proses persalinan.
Tujuan: menganalisis pengaruh field trip kamar bersalin pada primigravida terhadap kecemasan dan lama persalinan.
Metodologi: Desain penelitian ini menggunakan metode penelitian kuantitatif dengan rancangan penelitian two group pre test-post test design dengan menggunakan kelompok intervensi dan kelompok kontrol
Hasil: Kelompok intervensi diberikan kunjungan lapangan ke ruang bersalin yang dipandu oleh bidan dengan 4x intervensi, dimulai pada usia kehamilan 32-33 minggu. Terdapat 60 responden yang akan dibagi menjadi 2 kelompok, yaitu kelompok kontrol dan kelompok intervensi. Pada pre-test (T1), kuesioner GAD-7 digunakan untuk menilai kecemasan kehamilan, dan post-test dilakukan untuk menilai kecemasan setelah kunjungan rumah bersalin selama 4 minggu. Terdapat perbedaan yang signifikan secara statistik (p 0,05) pada tingkat kecemasan pada T1 dan T2 atau sebelum dan sesudah intervensi antara kelompok kontrol dan kelompok intervensi.
Kesimpulan: Intervensi field trip kamar bersalin berpotensi menjadi strategi non-farmakologis yang efektif untuk mengurangi kecemasan pada ibu hamil pertama kali.
Saran :Bagi peneliti selanjutnya disarankan menambahkan pemeriksaan laboratorium sebagai biomarker indikator kecemasan, menguji pemberian field trip kamar bersalin pada tingkat Klinik hingga rumah sakit dengan fasilitas dan ruangan yang lebih besar dibandingkan penelitian ini.
Kata Kunci : Field trip, Kecemasan, Lama Persalinan, Primigravida.
ABSTRACT
Background: Prenatal anxiety is an acute emotional and cognitive response experienced by pregnant women, and can affect the labor process.
Aim: To analyze the effect of a birthing room field trip for primigravida on anxiety and duration of labor.
Methodology: This research design uses quantitative research methods with a two group pre test-post test design using an intervention group and a control group.
Results: The intervention group was given a field visit to the delivery room guided by a midwife with 4x interventions, starting at 32-33 weeks of gestation. There are 60 respondents who will be divided into 2 groups, namely the control group and the intervention group. At pre-test (T1), the GAD-7 questionnaire was used to assess pregnancy anxiety, and post-test was conducted to assess anxiety after the 4-week maternity home visit. There was a statistically significant difference (p 0.05) in anxiety levels at T1 and T2 or before and after the intervention between the control group and the intervention group.
Conclusion: The maternity ward field trip intervention has the potential to be an effective non-pharmacological strategy to reduce anxiety in first-time pregnant women.
Suggestions: Future researchers are advised to add laboratory tests as biomarkers of anxiety indicators, test the provision of maternity room field trips at the Clinic level to hospitals with larger facilities and rooms than this study.
Keywords: : Anxiety, Field trip, Length of labor, Primigravida.
Keywords : Anxiety, Field trip, Length of labor, Primigravida.
- Astuti, Tutik, Sri Wulandari, and Universitas Respati Yogyakarta. 2019. “The Correlation Between the Level of Anxiety and the Duration of Period Ii of Childbirth on Postpartum.” (December 2014):571–77.
- Batey, Natalie, Caroline Henry, Shalabh Garg, Michael Wagner, Atul Malhotra, Michel Valstar, Thomas Smith, Don Sharkey, Mara Niemuth, Helmut Küster, Henry Rozycki, Anne Lee Solevåg, Inmaculada Lara-Cantón, Shiraz Badurdeen, Janneke Dekker, Peter Davis, Calum Roberts, Arjan te Pas, Máximo Vento, Burkhard Simma, Marieke den Boer, Heidi Meredith Herrick, Mario Rüdiger, Maxi Kaufmann, Heidi Aichner, Samir Gupta, Willem deBoode, Charles Christoph Roehr, Britt Nakstad, Stuart Hooper, Natalie Batey, Caroline Henry, Shalabh Garg, Michael Wagner, Atul Malhotra, Michel Valstar, Thomas Smith, and Don Sharkey. 2022. “The Newborn Delivery Room of Tomorrow: Emerging and Future Technologies.” Pediatric Research (March). doi: 10.1038/s41390-022-01988-y.
- Bayrampour, Hamideh, Elena Ali, Deborah A. McNeil, Karen Benzies, Glenda MacQueen, and Suzanne Tough. 2016. “Pregnancy-Related Anxiety: A Concept Analysis.” International Journal of Nursing Studies 55:115–30. doi: 10.1016/j.ijnurstu.2015.10.023.
- Behrendt, Marc, and Teresa Franklin. 2014. “A Review of Research on School Field Trips and Their Value in Education.” International Journal of Environmental and Science Education 9(3):235–45. doi: 10.12973/ijese.2014.213a.
- Blackmore, Emma Robertson, Hanna Gustafsson, Michelle Gilchrist, Claire Wyman, and Thomas G. O’Connor. 2016. “Pregnancy-Related Anxiety: Evidence of Distinct Clinical Significance from a Prospective Longitudinal Study.” Journal of Affective Disorders 197:251–58. doi: 10.1016/j.jad.2016.03.008.
- Çankaya, Seyhan, and Bülent Şimşek. 2020. “Effects of Antenatal Education on Fear of Birth, Depression, Anxiety, Childbirth Self-Efficacy, and Mode of Delivery in Primiparous Pregnant Women: A Prospective Randomized Controlled Study.” Clinical Nursing Research 30(6):818–29. doi: 10.1177/1054773820916984.
- Cheng, Kun-Hung, and Chin-Chung Tsai. 2019. “A Case Study of Immersive Virtual Field Trips in an Elementary Classroom: Students’ Learning Experience and Teacher-Student Interaction Behaviors.” Computers & Education 140:103600.
- Clark, Michelle. 2020. Understanding Women’s Experiences of Fear of Childbirth. Canterbury Christ Church University (United Kingdom).
- Deutsch, Arielle R., Minga C. Vargas, Maristella Lucchini, Lucy T. Brink, Hein J. Odendaal, and Amy J. Elliott. 2022. “Effect of Individual or Comorbid Antenatal Depression and Anxiety on Birth Outcomes and Moderation by Maternal Traumatic Experiences and Resilience.” Journal of Affective Disorders Reports 9(March):100365. doi: 10.1016/j.jadr.2022.100365.
- Difarissa, Ristra Retrianda. 2016. “Hubungan Tingkat Kecemasan Dan Lamanya Partus Kala I Fase Aktif Pada Primigravida Di Pontianak.” Jurnal Mahasiswa PSPD FK Universitas Tanjungpura 3(1).
- Eka Kustrianawati, Dwi Setiyadi, Aris Wuryantoro. 2021. “Penerapan Metode Pembelajaran Field-Trip Menggunakan Media Realia Untuk Meningkatkan Keterampilan Menulis Deskripsi Pada Siswa Kelas V Madrasah Ibtidaiyyah Al Hikam.” Penerapan Metode Pembelajaran Field-Trip Menggunakan Media Realia Untuk Meningkatkan Keterampilan Menulis Deskripsi Pada Siswa Kelas V Madrasah Ibtidaiyyah Al Hikam.
- Ekström‐Bergström, Anette, Stina Thorstensson, and Caroline Bäckström. 2022. “The Concept, Importance and Values of Support during Childbearing and Breastfeeding–A Discourse Paper.” Nursing Open 9(1):156–67.
- Ferreira, Caroline Ronchini, Mayara Carolina Orsini, Camilla Ribeiro Vieira, Andrea Mollica do Amarante Paffaro, and Roberta Ribeiro Silva. 2015. “Prevalence of Anxiety Symptoms and Depression in the Third Gestational Trimester.” Archives of Gynecology and Obstetrics 291(5):999–1003. doi: 10.1007/s00404-014-3508-x.
- Geko, Nura, Fahira Imamović, Emina Hadžimuratović, Amer Ovčina, Marijan Marjanović, Jasmina Marušić, Darko Tomić, and Vedran Đido. 2023. “The Influence of Psychophysical Preparation of Pregnant Women on the Outcome of Childbirth and Postpartum Recovery.” European Journal of Medical and Health Sciences 5(5):1–12. doi: 10.24018/ejmed.2023.5.5.1765.
- Goldkuhl, Lisa, Lisen Dellenborg, Marie Berg, Helle Wijk, and Christina Nilsson. 2022. “The Influence and Meaning of the Birth Environment for Nulliparous Women at a Hospital-Based Labour Ward in Sweden: An Ethnographic Study.” Women and Birth 35(4):e337–47. doi: 10.1016/j.wombi.2021.07.005.
- Henshall, Catherine, Beck Taylor, and Sara Kenyon. 2016a. “A Systematic Review to Examine the Evidence Regarding Discussions by Midwives, with Women, around Their Options for Where to Give Birth.” BMC Pregnancy and Childbirth 16(1). doi: 10.1186/s12884-016-0832-0.
- Henshall, Catherine, Beck Taylor, and Sara Kenyon. 2016b. “A Systematic Review to Examine the Evidence Regarding Discussions by Midwives, with Women, around Their Options for Where to Give Birth.” BMC Pregnancy and Childbirth 16:1–13.
- Lavender, Steven A., Carolyn M. Sommerich, Emily S. Patterson, Elizabeth B. N. Sanders, Kevin D. Evans, Sanghyun Park, Radin Zaid Radin Umar, and Jing Li. 2015. “Hospital Patient Room Design: The Issues Facing 23 Occupational Groups Who Work in Medical/Surgical Patient Rooms.” Health Environments Research and Design Journal 8(4):98–114. doi: 10.1177/1937586715586391.
- Locatelli, Sara M., Stephanie Turcios, and Sherri L. LaVela. 2015. “Optimizing the Patient-Centered Environment Results of Guided Tours with Health Care Providers and Employees.” Health Environments Research and Design Journal 8(2):18–30. doi: 10.1177/1937586714565610.
- Manuaba, Ida Bagus Gde. 2010. “Ilmu Kebidanan, Penyakit Kandungan Dan Keluarga Berencana.” Jakarta: Egc 15:157.
- Mila, Nirwana, Benedictus TR Prabantoro, and Inge Wattimena. 2021. “Anxiety Levels Of Primipara Mother With The Length Of Labor Progress In The First Active Phases At Community Health Centre Mataram City.” Journal of Widya Medika Junior, 3(1), 1-7. (1):1–7.
- Molgora, Sara, Valentina Fenaroli, Laura Elvira Prino, Luca Rollè, Cristina Sechi, Annamaria Trovato, Laura Vismara, Barbara Volpi, Piera Brustia, Loredana Lucarelli, Renata Tambelli, and Emanuela Saita. 2018. “Fear of Childbirth in Primiparous Italian Pregnant Women: The Role of Anxiety, Depression, and Couple Adjustment.” Women and Birth 31(2):117–23. doi: 10.1016/j.wombi.2017.06.022.
- Mudra, Susanne, Ariane Göbel, Claus Barkmann, Janina Goletzke, Kurt Hecher, Michael Schulte-Markwort, Anke Diemert, and Petra Arck. 2020. “The Longitudinal Course of Pregnancy-Related Anxiety in Parous and Nulliparous Women and Its Association with Symptoms of Social and Generalized Anxiety.” Journal of Affective Disorders 260:111–18.
- Niknejad, Reyhaneh, Mohsen Mirmohammad-Sadeghi, Mohammad Akbari, and Ahmad Ghadami. 2019. “Effects of an Orientation Tour on Preoperative Anxiety in Candidates for Coronary Artery Bypass Grafting: A Randomized Clinical Trial.” ARYA Atherosclerosis 15(4):154–60. doi: 10.22122/arya.v15i4.1806.
- Plough, Avery, Deb Polzin-Rosenberg, Grace Galvin, Amie Shao, Brendan Sullivan, Natalie Henrich, and Neel T. Shah. 2019. “An Exploratory Study of the Relationship between Facility Design and the Provision of Childbirth Care.” Journal of Midwifery and Women’s Health 64(1):12–17. doi: 10.1111/jmwh.12920.
- Prawirohardjo, Sarwono, A. B. Saifuddin, T. Rachimhadhi, and G. H. Wiknjosastro. 2016. “Ilmu Kebidanan Sarwono Prawirohardjo Edisi 4.” Jakarta: PT Bina Pustaka.
- Sagita, Yona Desni. 2018. “Hubungan Tingkat Kecemasan Dengan Lama Di Rsia Anugerah Medical Center.” Midwifery Journal 3(1):16–20.
- Sotomayor, Sandra. 2021. “Long-Term Benefits of Field Trip Participation: Young Tourism Management Professionals Share Their Stories.” Journal of Hospitality, Leisure, Sport and Tourism Education 29(May 2020):100285. doi: 10.1016/j.jhlste.2020.100285.
- Vogt, Lina, Martin Klasen, Rolf Rossaint, Ute Goeretz, Peter Ebus, and Sasa Sopka. 2021. “Virtual Reality Tour to Reduce Perioperative Anxiety in an Operating Setting before Anesthesia: Randomized Clinical Trial.” Journal of Medical Internet Research 23(9). doi: 10.2196/28018.
- Wirakusumah, Firman F., Johanes C. Mose, and Sofie R. Krisnadi. 2010. “Obstetri Fisiologi: Ilmu Kesehatan Reproduksi.” EGC.
- Zahara, Evi, Iin Fitraniar, Rahmi, and Emilda AS. 2019. “Effectiveness of Combination of Meditation and Positive Affirmations on Labor Duration and APGAR Score.” Sustainability (Switzerland) 11(1):1–14.
- Zemła, A., K. Nowicka-Sauer, K. Jarmoszewicz, K. Wera, S. Batkiewicz, and M. Pietrzykowska. 2019. “Skale Oceny Lęku Przedoperacyjnego.” Anestezjol Intens Ter 51:66–72.