Provision Of Online Module Safe And Convenient Preparation For Birth Affects Anxiety In Pregnant Mothers

Ratnanengsih Ratnanengsih* -  Universitas Borneo Tarakan, Indonesia
Nanni Nanni -  Departement Midwifery,Faculty Of Health Sciences, University Of Borneo Tarakan, Indonesia
DOI : 10.33024/jkm.v8i2.6501

Latar Belakang : Kesiapaan baik fisik maupun mental sangat dibutuhkan oleh ibu dalam menerima kondisi kehamilannya serta dalam menghadapi proses persalinan. Ibu yang tidak mempunyai persiapan untuk melahirkan akan lebih cemas dan ketakutan dalam suatu perilaku diam hingga menangis. Sekalipun peristiwa kelahiran sebagai fenomenal fisiologis yang normal, kenyataanya proses persalinan berdampak terhadap perdarahan, kesakitan luar biasa serta bisa menimbulkan ketakutan bahkan kematian baik ibu ataupun bayinya, oleh karena itu diperlukan konseling yang inovatif dengan menggunakan media modul persiapan persalinan.

Tujuan: diketahuinya pengaruh pemberian modul online tentang persiapan menghadapi persalinan yang aman dan nyaman terhadap kecemasan ibu hamil.

Metode: Desain penelitian yang digunakan dalam penelitian ini adalah menggunakan desain quasi experiment dengan rancangan penelitian one group pretest posttest control desain. Subjek dalam  penelitian  ini  adalah Seluruh ibu hamil yang melakukan ANC di Puskesmas Karang Rejo. Pengumpulan data dalam penelitian ini menggunakan instrumen kuisioner.

Hasil: Ada Perbedaan kecemasan ibu sebelum dan sesudah pemberian modul online tentang persiapan menghadapi persalinan dengan aman dan nyaman terhadap kecemasan ibu hamil dengan pengaruh yang signifikan hasil uji p value( 0,001).

Simpulan:Terdapat Pengaruh pemberian modul online tentang persiapan menghadapi persalinan dengan aman dan nyaman terhadap kecemasan ibu hamil.

Saran : Di harapkan bagi tenaga kesehatan terutama bidan untuk dapat meningkatkan program tentang KIE, KIE dapat dilakukan dengan pemberian modul persiapan persalinan yang aman dan nyaman selama kehamilan khususnya memperhatikan tingkat psikologis/ kecemasan yang dialami ibu, sehingga menurunkan angka kecemasan pada ibu hamil.

 

Kata kunci:  Ibu Hamil, Kecemasan,Modul, Persalinan

 

ABSTRACT

 

Background: Preparedness both physically and mentally is needed by the mother in accepting the condition of her pregnancy and in facing the labor process. Mothers who do not have the preparation to give birth will be more anxious and frightened in a silent behavior to cry. Even if the birth event is phenomenally physiologically normal, the fact that the labor process has an impact on bleeding, excruciating pain and can cause fear and even death of both the mother and the baby, therefore innovative counseling is needed using the media of the delivery preparation module.

Purpose: the influence of giving online modules on preparing for a safe and comfortable delivery against the anxiety of pregnant women.

Method: The research design used in this study is to use a quasi experiment design with a one group pretest posttest control design research design. The subjects in this study were all pregnant women who did ANC at the Karang Rejo Health Center. Data collection in this study using questionnaire instruments.

Results: There was a difference in maternal anxiety before and after the provision of online modules on preparing for labor safely and comfortably to the anxiety of pregnant women with a significant influence of p value test results( 0.001).

Conclusion: There is an influence of providing online modules on preparing to face childbirth safely and comfortably against the anxiety of pregnant women.

Advice: It is expected for health workers, especially midwives, to be able to improve the program on KIE, KIE can be done by providing safe and comfortable delivery preparation modules during pregnancy, especially paying attention to the level of psychological / anxiety experienced by mothers, thereby reducing the number of anxiety in pregnant women.

 

Keywords: Anxiety, Childbirth, Modules,Pregnant Women

Keywords : Modul, Persalinan, Kecemasan, Ibu Hamil

  1. Akgor, U., Fadıloglu, E., Soyak, B., Unal, C., Cagan, M., Temiz, B. E., Erzenoglu, B. E., Ak, S., Gultekin, M., & Ozyuncu, O. (2021). Anxiety, depression and concerns of pregnant women during the COVID-19 pandemic. Archives of gynecology and obstetrics, 304(1),125–130. https://doi.org/10.1007/s00404-020-05944-1
  2. Berle, J. Ø., Mykletun, A., Daltveit, A. K., Rasmussen, S., Holsten, F., & Dahl, A. A. (2005). Neonatal outcomes in offspring of women with anxiety and depression during pregnancy. A linkage study from The Nord-Trøndelag Health Study (HUNT) and Medical Birth Registry of Norway. Archives of women's mental health, 8(3), 181–189. https://doi.org/10.1007/s00737-005-0090-z
  3. Çankaya, S., & Şimşek, B. (2021). 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), 818–829. https://doi.org/10.1177/1054773820916984
  4. Catarine et al, Majalah Obstetri & Ginekologi, Vol. 20 No. 3 September – Desember 2012: 111-116
  5. Damarsanti, P., Anggraini, R. and Setianingsih (2018) ‘Pengaruh Rendam kaki dengan Air Hangat terhadap Tingkat Kecemasan pada Ibu Hamil Trimester III di Puskesmas Pegandon Kendal’, NURSCOPE, 4(1), pp. 1–10.
  6. Depkes RI. 2014. Catatan tentang Perkembangan dalam Praktek Kebidanan. Jakarta : Depkes RI.
  7. Dunkel Schetter, C., & Tanner, L. (2012). Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current opinion in psychiatry, 25(2), 141–148. https://doi.org/10.1097/YCO.0b013e3283503680
  8. El-Hosary, E., Abbas Soliman, H. F. and ElHomosy, S. (2016) ‘Effect of Therapeutic Massage on Relieving Pregnancy Discomforts’, IOSR Journal of Nursing and Health Science, 05(04) : 57–64.
  9. Eva A, Sinar P & Etin R.(2019).The Effect Of Prenatal Massage Towards Anxiety Level Of Third Trimester Pregnant Women In The Work Area Of Cibeureum Public Health Center Tasikmalaya 2019. Midwifery and Nursing Research (MANR) Journal 2(1):28-30
  10. Habibzadeh, H., Milan, Z. D., Radfar, M., Alilu, L., & Cund, A. (2018). Effects of Peer-Facilitated, Video-Based and Combined Peer-and-Video Education on Anxiety Among Patients Undergoing Coronary Angiography: Randomised controlled trial. Sultan Qaboos University medical journal, 18(1), e61–e67. https://doi.org/10.18295/squmj.2018.18.01.010
  11. Hassanzadeh, R., Abbas-Alizadeh, F., Meedya, S., Mohammad-Alizadeh-Charandabi, S., & Mirghafourvand, M. (2020). Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes. BMC women's health, 20(1), 180. https://doi.org/10.1186/s12905-020-01048-9
  12. Ilmiasih, Reni (2014) Pengaruh Teknik Hypnobirthing Terhadap Tingkat Kecemasan Ibu Hamil Pada Masa Persiapan Menghadapi Persalinan. In: Prosiding: Tantangan Profesi Kesehatan Pada Masa Akan Datang. UMM Press, Malang, pp. 93-100. ISBN 978-979-796-284-4
  13. Janiwarty, Bethsaida dan Pieter, Herri Zan. (2013). Pendidikan Psikologi untuk Bidan. Yogyakarta: Rapha Publishing
  14. Koc, A. E., Colak, S., Colak, G. V., Pusuroglu, M., & Hocaoglu, C. (2021). Investigating fear of childbirth in pregnant women and its relationship between anxiety sensitivity and somatosensory amplification. Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology, 41(2), 217–223. https://doi.org/10.1080/01443615.2020.1732894
  15. Kordi, M., Bakhshi, M., Masoudi, S., Esmaily, H. (2017). Effect of a Childbirth Psychoeducation Program on the Level of Fear of Childbirth in Primigravid Women. Evidence Based Care, 7(3), 26-34. https://doi:10.22038/ebcj.2017.25676.1575
  16. Kristianti S, Suwoyo & Pratiwi I.(2020). Pengaruh Pendidikan Kesehatan Melalui Media Video Terhadap Kecemasan Menghadapi Persalinan Pada Ibu Primigravida Trimester Iii Di Wilayah Kerja Puskesmas Blabak Kediri. Jurnal Midwifery Update 2(2) : 84-92
  17. Lowdermilk, dkk. 2013. Keperawatan Maternitas edisi 8 buku 1. Jakarta : Salemba Medika.
  18. Maiko Suto, Kenji Takehara, Yumina Yamane, Erika Ota.(2017). Effects of prenatal childbirth education for partners of pregnant women on paternal postnatal mental health and couple relationship: A systematic review.Journal of Affective Disorders 210.115-121.
  19. https://doi.org/10.1111/j.1552-6909.2009.01054.x
  20. Mojahed, S., Tabatabaei, R. S., Reihani, F., Dehghani, A., & Khavari, F. (2021). The effect of education on anxiety of pregnant mothers before amniocentesis. Journal of education and health promotion, 10, 61. https://doi.org/10.4103/jehp.jehp_862_20
  21. Mukhoirotin, M., Rahmat, I., & Siswosudarmo, R. (2015). Pengaruh Pendidikan Kesehatan Terhadap Kecemasan Primigravida Dalam Menghadapi Persalinan. Jurnal Kesehatan Reproduksi, 1(3): 166-174
  22. Novitasari.T. (2013). Efektivitas Konseling Kelompok Pra-Persalinan untuk Mengurangi Tingkat Kecemasan Primigravida Menghadapi Persalinan. Developmental and Clinical Psychology 2 (2): 62-70. http://journal.unnes.ac.id/sju/index.ph
  23. Palupi, Fitria H. (2014) Perbedaan Tingkat Kecemasan Ibu Primigravida dengan Multigravida dalam Menghadapi Persalinan Kala I di Rumah Bersalin Ngudi Saras jaten Karanganyar. Jurnal KesMaDaSka 5 (1) : 9-13
  24. Primadevi, Inggit & Yuniarti, Retno. (2021). Pengaruh Pemberian Pendidikan Kesehatan Terhadap Kecemasan Ibu Hamil pada Masa Pandemi Covid-19. Majalah Kesehatan Indonesia. (2) : 55-61
  25. Puspitasari, Dian & Kumorojati, Ratih. (2019). pengaruh hypnopregnancy terhadap kecemasan ibu hamil dalam menghadapi persalinan di klinik pratama asih waluyo jati bantul yogyakarta. Jurnal Ilmiah Kesehatan. 8: 32-36
  26. Rahmadani L, Anggraini S & Mulyani S.(2019). Pengaruh Konseling Terhadap Tingkat Kecemasan Ibu Primigravida Dalam Menghadapi Persalinan Di Bpm Hj. Sri Lumintu.Placentum Jurnal Ilmiah Kesehatan dan Aplikasinya.7(1):19-25. https://doi.org/10.20961/placentum.v7i1.25688
  27. Ross, L. E., & McLean, L. M. (2006). Anxiety disorders during pregnancy and the postpartum period: A systematic review. The Journal of clinical psychiatry, 67(8), 1285–1298. https://doi.org/10.4088/jcp.v67n0818
  28. Sari, D. K. and Pantiawati, I. (2013) ‘Perbandingan Teknik Masase dan Terapi Musik terhadap Penurunan Kecemasan pada Ibu Bersalin Primipara di Kecamatan Brebes Tahun 2013’, Bidan Prada: Jurnal Ilmiah Kebidanan, 4(01), pp. 1–15. http://ojs.akbidylpp.ac.id/index.php/Prada/article/view/33.
  29. Sinesi, A., Maxwell, M., O'Carroll, R., & Cheyne, H. (2019). Anxiety scales used in pregnancy: Systematic review. BJPsych Open, 5(1), E5. https://doi:10.1192/bjo.2018.75
  30. Sukmaningtyas, W. and Windiarti, P. A. (2016) ‘Efektivitas Endorphine Massage terhadap Tingkat Kecemasan Ibu Bersalin Primippara’, Bidan Prada; Jurnal Ilmiah Kebidanan, 7(1), pp. 53–62. https://ojs.akbidylpp.ac.id/index.php/Prada/article/view/141/129.
  31. World Health Organization. Antenatal Care in Developing Countries: Promises, Achievements, and Missed Opportunities, An Analysis of Trends, Levels, and Differensials .2010

Open Access Copyright (c) 2022 Jurnal Kebidanan Malahayati

Policies

Submissions

Other

Focus and Scope
Section Policies
Peer Review Process
Publication Frequency
Open Access Policy		Online Submissions
Author Guidelines
Copyright Notice
Privacy Statement
Author Fees		Journal Sponsorship
Journal History
Site Map
About this Publishing System
JKM (Jurnal Kebidanan Malahayati)