Effectiveness Of Combination Of Meditation And Positive Affirmations On Labor Duration And Apgar Score

Evi Zahara* -  Poltekkes Kemenkes Aceh, Indonesia
Iin Fitraniar -  Jurusan Kebidanan, Poltekkes Kemenkes Aceh, Indonesia, Indonesia
Rahmi Rahmi -  Jurusan Kebidanan, Poltekkes Kemenkes Aceh, Indonesia, Indonesia
Emilda AS -  Jurusan Kebidanan, Poltekkes Kemenkes Aceh, Indonesia, Indonesia

Supp. File(s): Instrumen Riset

Background: Meditation and positive affirmations are part of non-pharmacological therapies to treat anxiety in pregnant women. Anxiety generally occurs in third trimester pregnant women. Anxiety can increase catecholamines which have a negative impact on the mother and fetus both during pregnancy and childbirth.

Purpose: This study was to analyzed the combined effect of meditation and positive affirmations on labor duration and APGAR scores

Method: iThis istudy iuses  a quasi experimental design with a post test only control group approach. The research subjects were third trimester primigravida, totaling 24 people who were divided into 2 groups. Data were analyzed using the Independent sample t-test.

Results: There was a significant difference in the length of labor with p-value = 0.017 (p<0.05) and APGAR scores with p-value = 0.020 (p<0.05) compared between the control group and the treatment group.

Conclusion: the combination of meditation and positive affirmations is effective in shortening the length of labor and increasing the APGAR scores.

Suggestion: midwifery service providers can apply a combination of meditation and positive affirmations for third trimester pregnant women in order to minimize problems that affect the length of labor and the APGAR scores of newborns. 

Kata Kunci : APGAR Score, Duration of labor, Combination Meditation and Positive Affirmations.

Supplement Files

Keywords : Meditasi dan afirmasi positif,Lama Persalinan,Nilai APGAR

  1. Altman, M., Sandström, A., Petersson, G., Frisell, T., Cnattingius, S., & Stephansson, O. (2015). Prolonged second stage of labor is associated with low Apgar score. European Journal of Epidemiology, 30(11), 1209–1215. https://doi.org/10.1007/s10654-015-0043-4
  2. American Academy of Pediatrics Commitee on Fetus and Newborn, & American College of Obstetricians and Gynecologists Commitee on Obstetric Practice. (2015). The apgar score. Pediatrics, 136(4), 819–822. https://doi.org/10.1542/peds.2015-2651
  3. Astuti, T., & Bangsawan, M. (2019). Aplikasi Relaksasi Nafas dalam terhadap Nyeri dan Lamanya Persalinan Kala I Ibu Bersalin di Rumah Bersalin Kota Bandar Lampung. Jurnal Ilmiah Keperawatan Sai Betik, 15(1), 59. https://doi.org/10.26630/jkep.v15i1.1359
  4. Baktiyani, S. C. W., Meirani, R., & Khasanah, U. (2016). Hubungan antara Partus Lama dengan Kejadian Perdarahan Postpartum Dini di Kamar Bersalin Rumah Sakit Umum Dr. Saiful Anwar Malang. Majalah Kesehatan, 3(4), 190–195. https://doi.org/10.21776/ub.majalahkesehatan.003.04.4
  5. Cahyono, S. B. (2011). Meraih Kekuatan Penyembuh Diri yang Tak Tebatas. Gramedia Pustaka Utama. Jakarta: Gramedia Pustaka Utama.
  6. Cholifah, N., Fahrida, R., & Hartinah, D. (2017). Pengaruh Pemberian Afirmasi Positif Terhadap Perubahan Psikologi Ibu Hamil dengan Pre Eklamsi di Klinik Kandungan RSUD RA Kartini Kabupaten Jepara Tahun 2017, 2(2), 80–86.
  7. Difarissa, R. R., Tarigan, J., Hadi, D. P., Studi, P., Dokter, P., & Untan, F. K. (2016). Hubungan Tingkat Kecemasan dan Lama Partus Kala I Fase Aktif pada Primigravida di Pontianak PENDAHULUAN Kecemasan sinyal yang adalah suatu ia sedangkan pada multigravida World Health Organization ( WHO ) mencatat sebanyak lebih dari 5 juta wanita Indonesi. Jurnal Cerebellum, 2(3), 532–552.
  8. Hasanjanzadeh, P., & Faramarzi, M. (2017). Relationship between maternal general and specific-pregnancy stress, anxiety, and depression symptoms and pregnancy outcome. Journal of Clinical and Diagnostic Research, 11(4), VC04–VC07. https://doi.org/10.7860/JCDR/2017/24352.9616
  9. Hayati, F., Herman, R. B., & Agus, M. (2018). Perbedaan Tingkat Kecemasan Ibu Bersalin di Puskesmas dengan di Bidan Praktik Mandiri dan Hubungannya dengan Lama Persalinan. Jurnal Kesehatan Andalas, 7(1), 85. https://doi.org/10.36565/jab.v7i1.69
  10. Islamarida, R., Dewi, E. U., Widuri, & Widagdo, A. H. (2022). Modul Praktikum Keperawatan Jiwa I (1st ed.). Kediri: Lembaga Chakra Brahmanda Lentera.
  11. Istikhomah, H., & Murwati, M. (2016). Pengaruh Terapi Relaksasi Nafas Dalam Terhadap Tingkat Kecemasan Dan Lama Persalinan Kala I Dan II Di BPM Wilayah Klaten. Interest : Jurnal Ilmu Kesehatan, 5(1), 64–68. https://doi.org/10.37341/interest.v5i1.24
  12. Karatzias, T., Power, K., Brown, K., McGoldrick, T., Begum, M., Young, J., Adams, S. (2011). A controlled comparison of the effectiveness and efficiency of two psychological therapies for posttraumatic stress disorder: Eye movement desensitization and reprocessing vs. emotional freedom techniques. Journal of Nervous and Mental Disease, 199(6), 372–378. https://doi.org/10.1097/NMD.0b013e31821cd262
  13. Kartikasari, A., Hadisaputro, S., & Sumarni, S. (2020). Pengaruh Prenatal Yoga Terhadap Kontraksi Uterus dan Perubahan Kadar Hormon Endorphin pada Ibu Primigravida Studi Kasus di Puskesmas Kadugede Kuningan Jawa Barat. Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal, 11(01), 27–37. https://doi.org/DOI: 10.34305/JIKBH.V11I1.147
  14. Kemenkes RI. (2020). Kementerian Kesehatan Republik Indonesia. Kementerian Kesehatan RI. Retrieved from https://www.depkes.go.id/article/view/18030500005/waspadai-peningkatan-penyakit-menular.html%0Ahttp://www.depkes.go.id/article/view/17070700004/program-indonesia-sehat-dengan-pendekatan-keluarga.html
  15. Nisa’, F. (2015). Pengaruh Karakteristik His dengan Lama Persalinan Kala II di BPS Sahabat Perempuan Gunung Anyar Surabaya. Jurnal Ilmiah Kesehatan, 8(2), 175–183. Retrieved from https://doi.org/10.33086/jhs.v8i2.201
  16. Nurcahyani, A. S., Runjati, & Nugraheni, S. A. (2020). Giving Belly Breathing Technique and Positive Affirmation of Stress and Cortisol Hormone Levels in Third Trimester Pregnant Women (pp. 40–46). Semarang: ISPHE. https://doi.org/DOI 10.4108/eai.22-7-2020.2300250
  17. Purwaningsih, W., & Fatmawati, S. (2010). Asuhan Keperawatan Maternitas (cetakan 1). Yogyakarta: Nuha Medika.
  18. Rahmawati, E. (2013). Pengaruh Teknik Relaksasi Afirmasi Terhadap Tingkat Kecemasan Pada Ibu Primigravida Trimester III di Wilayah Kerja Puskesmas Patrang Kabupaten Jember. Universitas Jember. Retrieved from http://repository.unej.ac.id/handle/123456789/10809
  19. Sagita, Y. D. (2018). Hubungan Tingkat Kecemasan Dengan Lama Persalinan Kala Ii Pada Ibu Bersalin Di Rsia Anugerah Medical Center Kota Metro. Midwifery Journal: Jurnal Kebidanan UM. Mataram, 3(1), 16. https://doi.org/10.31764/mj.v3i1.119
  20. Shodiqoh, E. R., & Syahrul, F. (2014). Perbedaan Tingkat Kecemasan Dalam Menghadapi Persalinan Antara Primigravida dan Multigravida. Jurnal Berkala Epidemiologi, 2(1), 141–150.
  21. Silva, M. M. de J., Nogueira, D. A., Clapis, M. J., & Leite, E. P. R. C. (2017). Anxiety in pregnancy: Prevalence and associated factors. Revista Da Escola de Enfermagem, 51, 1–8. https://doi.org/10.1590/S1980-220X2016048003253
  22. Simanungkalit, H. M., & Purnawati, L. (2020). Hypnobirthing Terhadap Penilaian Awal Bayi Baru Lahir Di Praktik Mandiri Bidan “B” Kota Palangka Raya. Jurnal Kebidanan Indonesia : Journal of Indonesia Midwifery, 11(1), 7. https://doi.org/10.36419/jkebin.v11i1.321
  23. Sofiyati, E. (2016). Faktor-faktor yang Berhubungan dengan Lama Persalinan di RSUD’45 Kuningan Jawa Barat Tahun 2015. Midwife Journal, 2(1), 33–43. Retrieved from http://jurnal.ibijabar.org/all-volumes/
  24. Subandi, M. A. (2002). Latihan Meditasi untuk Psikoterapi. In Psikoterapi Pendekatan Konvensional dan Kontemporer (pp. 181–206). Retrieved from https://repository.ugm.ac.id/id/eprint/101151
  25. Sugiyono. (2014). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, dan R&D. Bandung: Alfabeta.
  26. Suristyawati, P., Yuliari, S. A. M., & Suta, I. B. P. (2019). Meditasi untuk Mengatasi Kecemasan Pada Ibu Hamil. Fakultas Kesehatan Universitas Hindu Indonesia, 1(2), 20–27. Retrieved from https://doi.org/10.32795/widyakesehatan.v1i2.461%0A
  27. Syswianti, D., Wahyuni, T., & Mardiana, D. (2022). Hypnobirthing on anxiety level and prolonged labor phase i. Journal of Midwifery Malahayati, 006(1), 210–217. https://doi.org/10.33024
  28. Tang, Y. Y., Hölzel, B. K., & Posner, M. I. (2015). The neuroscience of mindfulness meditation. Nature Reviews Neuroscience, 16(4), 213–225. https://doi.org/10.1038/nrn3916
  29. Ward Platt, M. (2019). Validation for Dr Apgar’s score. Archives of Disease in Childhood, 104(1), 1–2. https://doi.org/10.1136/archdischild-2018-315176
  30. Zainiyah, R., Dewi, E. I., & Wantiyah. (2018). Pengaruh Teknik Relaksasi Afirmasi terhadap Stres Mahasiswa yang Menempuh Skripsi di Program Studi Ilmu Keperawatan Universitas Jember (Effect of Affirmation Relaxation Technique on Stress of Students Taking a Final Project in School of Nursing, Universit. Pustaka Kesehatan, 6(2), 319–322. Retrieved from https://jurnal.unej.ac.id/index.php/JPK/article/view/7781

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)