ABSTRACT

Childbirth is a tense and gripping process of giving birth to a baby, causing anxiety and fear in pregnant women. Pregnant women who experience fear in facing childbirth are at high risk of having mental health problems in pregnant women and even complications in pregnancy and childbirth. This study aims to identify the relationship between Spiritual Quotient (SQ) and fear in facing childbirth. This research was conducted by applying the cross sectional research method with non-probability sampling with purposive sampling. Respondents in this study were pregnant women at one of the District Public Health Centers in the Central Jakarta area with a total of 110 respondents. The results of this study indicate that there is a significant relationship between Spiritual Quotient (SQ) and fear of childbirth with a p value of 0.001 (OR=3.918 95% CI 1.773-8.657). A spiritual approach can help pregnant women overcome depression, anxiety, and fear in facing childbirth and can be used as a complementary, effective, and non-invasive strategy for managing psychological disorders of pregnant women so that mothers avoid excessive fear in facing childbirth.

Keywords: Spiritual Quotient, Fear of Childbirth, Pregnant Mother

ABSTRAK

Persalinan merupakan proses kelahiran bayi yang menegangkan dan mencekam sehingga menimbulkan kecemasan hingga ketakutan pada ibu hamil. Ibu hamil yang mengalami ketakutan dalam menghadapi persalinan berisiko tinggi terhadap adanya masalah kesehatan mental ibu hamil bahkan komplikasi dalam kehamilan maupun persalinan. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara antara Spiritual Quotient (SQ) dengan ketakutan dalam menghadapi persalinan. Penelitian ini dilakukan dengan menerapkan metode penelitian cross sectional dengan non probability sampling jenis purposive sampling. Responden pada penelitian ini adalah ibu hamil di salah satu Pusat Kesehatan Masyarakat Kecamatan di wilayah Jakarta Pusat dengan jumlah 110 responden. Hasil dari penelitian ini menunjukkan adanya hubungan yang signifikan antara Spiritual Quotient (SQ) dengan ketakutan dalam menghadapi persalinan dengan nilai p value 0,001 (OR=3,918 95% CI 1,773-8,657). Pendekatan spiritual dapat membantu ibu hamil mengatasi depresi, kecemasan, dan ketakutan dalam menghadapi persalinan serta dapat digunakan sebagai strategi pelengkap, efektif, dan non-invasif untuk mengelola gangguan psikologis ibu hamil sehingga ibu terhindar dari ketakutan dalam menghadapi persalinan yang berlebihan.

Kata Kunci: Spiritual Quotient, Ketakutan Dalam Menghadapi Persalinan, Ibu Hamil

Abdollahpour, S., & Khosravi, A. (2018). Relationship between spiritual intelligence with happiness and fear of childbirth in iranian pregnant women. Iranian Journal of Nursing and Midwifery Research, 23(1), 45–50. https://doi.org/10.4103/ijnmr.IJNMR_39_16

Asselmann, E., Garthus-Niegel, S., & Martini, J. (2021). Personality impacts fear of childbirth and subjective birth experiences: A prospective-longitudinal study. PLoS ONE, 16(11 November). https://doi.org/10.1371/journal.pone.0258696

Bilgiç, G., & Çıtak Bilgin, N. (2021). Relationship Between Fear of Childbirth and Psychological and Spiritual Well-Being in Pregnant Women. Journal of Religion and Health, 60(1), 295–310. https://doi.org/10.1007/s10943-020-01087-4

Dehestani, H., Moshfeghy, Z., Ghodrati, F., & Akbarzadeh, M. (2019). The relationship of spiritual health and mother’s forgiveness with her anxiety in the labor of the pregnant women. International Journal of Women’s Health and Reproduction Sciences, 7(2), 174–179. https://doi.org/10.15296/ijwhr.2019.29

Fitria, V., Ernawati, D., Nufus, E. H., & Noviana, K. (2022). The Effectiveness of Hiper (Harapan Ibu tentang Persalinan) Coloring Therapy to Reduce Fear of Facing Childbirth During A Pandemic. Indonesian Journal of Global Health Research, 4(4), 911. https://doi.org/10.37287/ijghr.v4i4.1397

Golmakani, N., Gholami, M., Shaghaghi, F., Safinejad, H., Kamali, Z., & Mohebbi-Dehnavi, Z. (2020). Relationship between fear of childbirth and the sense of cohesion with the attachment of pregnant mothers to the fetus. Journal of Education and Health Promotion, 9(1). https://doi.org/10.4103/jehp.jehp_46_20

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

İsbir, G. G., İnci, F., Önal, H., & Yıldız, P. D. (2016). The effects of antenatal education on fear of childbirth, maternal self- efficacy and post-traumatic stress disorder (PTSD) symp- toms following childbirth: an experimental study. Appl Nurs Res, 32, 227–232. https://doi.org/10.1016/j.apnr.2016.07.013

Khwepeya, M., Lee, G. T., Chen, S.-R., & Kuo, S.-Y. (2018). Childbirth fear and related factors among pregnant and postpartum women in Malawi. BMC Pregnancy and Childbirth, 18(391). https://doi.org/10.1186/s12884-018-2023-7

Kızılırmak, A., & Başer, M. (2016). The effect of education given to primigravida women on fear of childbirth. Appl Nurs Res, 29, 19–24. https://doi.org/10.1016/j.apnr.2015.04.002.

Maasoumi, R., Dastaran, F., Faghihiniya, F., Haghani, S., & Sabetghadam, S. (2023). The Effect of Spiritual Self-care Intervention with a Blended Learning Approach on Anxiety in Women with Preterm Labor: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery, 11(2), 85–95. https://doi.org/10.30476/IJCBNM.2023.96119.2106

Marcelina, L. A., Rachmawati, I. N., & Ungsianik, T. (2019). Dissatisfaction with the husband support increases childbirth fear among Indonesian primigravida. Enfermeria Clinica, 29(S2), 379–383. https://doi.org/10.1016/j.enfcli.2019.04.047

Michalina, I., Anna, B. S., Anna, K. Z., Ewa, B., Hanna, G., & Wojciech, C. (2021). Factors associated with fear of childbirth among Polish pregnant women. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-83915-5

Mohamamdirizi, S., Mohamadirizi, M., & Mohamadirizi, S. (2018). The comparison of fear of childbirth and sense of coherence among low-risk and high-risk pregnancy women. Journal of Education and Health Promotion, 7, 143. https://doi.org/10.4103/jehp.jehp_179_17

Monfaredkashki, M., Maleki, A., & Amini, K. (2022). The effect of integrating midwifery counseling with a spiritual content on improving the antenatal quality of life: A randomized controlled trials. Journal of Mother and Child, 26(1), 18–26. https://doi.org/10.34763/jmotherandchild.20222601.d-22-00003

Octavia, N., Hayati, K., & Karim, M. (2020). Pengaruh Kepribadian, Kecerdasan Emosional dan Kecerdasan Spiritual Terhadap Kinerja Karyawan. Jurnal Bisnis Dan Manajemen, 16(2), 130–144. http://jurnal.feb.unila.ac.id/index.php/jbm/article/view/87/50

Putranti, V. P. T. (2014). Hubungan Pengetahuan dan Sikap Tentang Persalinan Dengan Kesiapan Primigravida Menghadapi Persalinan. Universitas Sebelas Maret Surakarta.

Rahmawati, V. Y., Rachmawati, I. N., & Budiati, T. (2019). Childbirth Self-Efficacy and Childbirth Expectation of Adolescent Mothers in Indonesia. Comprehensive Child and Adolescent Nursing, 42(sup1). https://doi.org/10.1080/24694193.2019.1594452

Rasouli, R., Maleki, A., & Zenoozian, S. (2023). Can integrating religiosity and spirituality into postpartum care improve the quality of life in women with preeclampsia. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.985428

Riahi, S., Goudarzi, F., Hasanvand, S., Abdollahzadeh, H., Ebrahimzadeh, F., & Dadvari, Z. (2018). Assessing the Effect of Spiritual Intelligence Training on Spiritual Care Competency in Critical Care Nurses. Journal of Medicine and Life, 11(4), 346–354. https://doi.org/10.25122/jml-2018-0056

Sahebalzamani, M., Farahani, H., Abasi, R., & Talebi, M. (2013). The relationship between spiritual intelligence with psychological well-being and purpose in life of nurses. Iranian Journal of Nursing and Midwifery Research, 18, 1.

Simak, V. F., Fitriyani, P., & Setiawan, A. (2019). The Relationships between Risky Sexual Practices and Spiritual Intelligence of Adolescents in Indonesia. Comprehensive Child and Adolescent Nursing, 42(sup1), 73–81. https://doi.org/10.1080/24694193.2019.1578298

Stoll, K., & Hall, W. (2013). Vicarious Birth Experiences and Childbirth Fear: Does It Matter How Young Canadian Women Learn About Birth? The Journal of Perinatal Education, 22(4), 226–233. https://doi.org/10.1891/1058-1243.22.4.226

Toohill, J., Fenwick, J., Gamble, J., & Creedy, D. K. (2014). Prevalence of childbirth fear in an Australian sample of pregnant women. BMC Pregnancy and Childbirth. https://doi.org/10.1186/1471-2393-14-275

Vaajala, M., Liukkonen, R., Kuitunen, I., Ponkilainen, V., Mattila, V. M., & Kekki, M. (2023). Factors associated with fear of childbirth in a subsequent pregnancy: a nationwide case–control analysis in Finland. BMC Women’s Health, 23(1). https://doi.org/10.1186/s12905-023-02185-7

Wardhani, D. A., Rachmawati, I. N., & Gayatri, D. (2017). Maternal Self-Efficacy of Pregnant Indonesian Teens: Development and Validation of an Indonesian Version of the Young Adult Maternal Confidence Scale and Measurement of Its Validity and Reliability. Comprehensive Child and Adolescent Nursing, 40(sup1). https://doi.org/10.1080/24694193.2017.1386983

Zhou, X., Liu, H., & Zhang, S. (2021). Fear of Childbirth and Associated Risk Factors in Healthy Pregnant Women in Northwest of China: A Cross-Sectional Study. Psychology Research and Behavior Management, 14, 731–741. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8200453/