Identifikasi Faktor Risiko, Dampak dan Intervensi Kecemasan Menghadapi Persalinan pada Ibu Hamil Trimester Ketiga


Irma Isnaini(1*), Elli Nur Hayati(2), Khoiruddin Bashori(3),


(1) Universitas Ahmad Dahlan
(2) Universitas Ahmad Dahlan
(3) Universitas Ahmad Dahlan
(*) Corresponding Author

Abstract


Tinjauan ini bertujuan untuk menyelidiki kecemasan ibu menghadapi persalinan, dan mendeskripsikan faktor risiko, dampak buruk yang ditimbulkan, serta menyelidiki intervensi yang dapat digunakan untuk mengurangi kecemasan. Kecemasan menghadapi persalinan penting untuk dikaji, karena kecemasan yang berlebihan selama kehamilan dapat menimbulkan efek buruk baik bagi ibu maupun bayinya. Metode tinjauan literatur digunakan untuk mengumpulkan materi yang relevan tentang topik ini. Review literatur ini menemukan bahwa faktor usia dan paritas menjadi faktor risiko yang utama. Kecemasan yang berlebihan selama kehamilan dapat mengakibatkan stres dan depresi. Ibu yang memiliki kecemasan berlebihan cenderung melahirkan bayi prematur serta memiliki gangguan dalam pertumbuhan dan perkembangannya. Secara umum, musik, Al-Qur’an dan relaksasi dapat menjadi intervensi dalam mengatasi kecemasan tersebut.


Keywords


Kecemasan Persalinan; Ibu Hamil Trimester Ketiga

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References


Achadi, E. L. (2019). Kematian Maternal dan Neonatal di Indonesia. Rapat Kerja Kesehatan Nasional Kementerian Kesehatan RI. Tangerang 13 Februari 2019.

Agung. (2019). AKI di Indonesia Masih Tinggi. Retrieved November 15, 2020, from https://ugm.ac.id/berita/17548-aki-di-indonesia-masih-tinggi

Austin, M. P., Hadzi-Pavlovic, D., Leader, L., Saint, K., & Parker, G. (2005). Maternal trait anxiety, depression and life event stress in pregnancy: Relationships with infant temperament. Early Human Development, 81(2), 183–190. https://doi.org/10.1016/j.earlhumdev.2004.07.001

Azis, N. A. & M. (2017). Strategi Coping terhadap Kecemasan pada Ibu Hamil dengan Riwayat Keguguran di Kehamilan Sebelumnya. 05(01), 144–157.

Bahrami, N & Bahrami, S. (2013). Corelation between depression during pregnancy and delivery and newborn anthropometric indices. Koomesh Jurnal of Semnan University of Medical Sciences, 15(01), 39–45.

Bobak, I. M., Lowdermilk, D. L., & J. (2005). Buku Ajar Keperawatan Maternitas Edisi 4. Jakarta: Penerbit Buku Kedokteran EGC.

Brunton, P. J. (2013). Effects of maternal exposure to social stress during pregnancy: Consequences for mother and offspring. Reproduction, 146(5). https://doi.org/10.1530/REP-13-0258

Cardwell, M. S. (2013). Stress: pregnancy considerations. Obstetrical and Gynecological Survey, 68(02), 119–129. https://doi.org/10.1097/01.pec.0000526609.89886.37

Cookson, H., Granell, R., Joinson, C., Ben-Shlomo, Y., & Henderson, A. J. (2009). Mothers’ anxiety during pregnancy is associated with asthma in their children. Journal of Allergy and Clinical Immunology, 123(4), 847-853.e11. https://doi.org/10.1016/j.jaci.2009.01.042

Ding, X. X., Wu, Y. Le, Xu, S. J., Zhu, R. P., Jia, X. M., Zhang, S. F., … Tao, F. B. (2014). Maternal anxiety during pregnancy and adverse birth outcomes: A systematic review and meta-analysis of prospective cohort studies. Journal of Affective Disorders, 159(81), 103–110. https://doi.org/10.1016/j.jad.2014.02.027

DiPietro, J. A., Costigan, K. A., Nelson, P., Gurewitsch, E. D., & Laudenslager, M. L. (2008). Fetal responses to induced maternal relaxation during pregnancy. Biological Psychology, 77(1), 11–19. https://doi.org/10.1016/j.biopsycho.2007.08.008

Fadzil, A., Balakrishnan, K., Razali, R., Sidi, H., Malapan, T., Japaraj, R. P., … Manaf, M. R. A. (2013). Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia. Asia-Pacific Psychiatry, 5(SUPPL. 1), 7–13. https://doi.org/10.1111/appy.12036

Fazdria & Harahap, M. S. (2016). Gambaran Tingkat Kecemasan Pada Ibu Hamil Dalam Menghadapi Persalinan Di Desa Tualang Teungoh Kecamatan Langsa Kota Kabupaten Kota Langsa Tahun 2014. Jurnal Kedokteran Syiah Kuala, 16(1), 6–13.

Glover, V. (2011). Annual research review: Prenatal stress and the origins of psychopathology: An evolutionary perspective. Journal of Child Psychology and Psychiatry and Allied Disciplines, 52(4), 356–367. https://doi.org/10.1111/j.1469-7610.2011.02371.x

Glover, V. (2014). Maternal depression, anxiety and stress during pregnancy and child outcome; What needs to be done. Best Practice and Research: Clinical Obstetrics and Gynaecology, 28(1), 25–35. https://doi.org/10.1016/j.bpobgyn.2013.08.017

Guszkowska, M., Sempolska, K., Zaremba, A., & Langwald, M. (2013). Exercise or relaxation? Which is more effective in improving the emotional state of pregnant women? Human Movement, 14(2), 168–174. https://doi.org/10.2478/humo-2013-0020

Handayani, R., Fajarsari, D., Retno Trisna Asih, D., & Naeni Rohmah, D. (2016). Pengaruh Terapi Murottal Al-Qur’an Terhadap Penurunan Intensitas Nyeri Persalinan dan Kecemasaan dalam Persalinan Primigravida Kala I Fase Aktif di RSUD Prof. Dr. Margono Soekardjo Tahun 2014. Jurnal Ilmiah Kebidanan, 7(1), 119–129. Retrieved from http://ojs.akbidylpp.ac.id/index.php/Prada/article/viewFile/147/135

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

Hidayati, D. S. (2014). Latar Belakang Psikologis Kecemasan Ibu Hamil Usia 35 Tahun ke Atas. Cell, 3(4), 1–15. https://doi.org/10.1016/j.cell.2009.01.043

Huliana, M. (2001). Panduan Menjalani Kehamilan Sehat. Jakarta: Puspa Swara.

Jabbari, B., Mirghafourvand, M., Sehhatie, F., & Mohammad-Alizadeh-Charandabi, S. (2017). The Effect of Holly Quran Voice With and Without Translation on Stress, Anxiety and Depression During Pregnancy: A Randomized Controlled Trial. Journal of Religion and Health, 1–11. https://doi.org/10.1007/s10943-017-0417-x

Janiwarty, B., & Pieter, H. Z. (2012). Pendidikan Psikologi Untuk Bidan. Medan: Rapha Publishing.

Kartono, K. (2007). Psikologi Wanita: Mengenal Wanita sebagai Ibu dan Nenek. Bandung: CV Mandar Maju.

Karyati, S., & Kudus, S. M. (2016). ISSN 2407-9189 The 4 th Univesity Research Coloquium 2016 APLIKASI TERAPI MUROTAL AL- QUR ’ AN DAN KOMUNIKASI TERAPEUTIK ISSN 2407-9189 The 4 th Univesity Research Coloquium 2016. 175–182.

Kementerian Kesehatan RI. (2014). Situasi Kesehatan Ibu. Retrieved September 24, 2019, from www.depkes.go.id

Khashan, A. S., Wicks, S., Dalman, C., Henriksen, T. B., Li, J., Mortensen, P. B., & Kenny, L. C. (2012). Prenatal stress and risk of asthma hospitalization in the offspring: A swedish population-based study. Psychosomatic Medicine, 74(6), 635–641. https://doi.org/10.1097/PSY.0b013e31825ac5e7

Lee, A. M., Lam, S. K., Sze Mun Lau, S. M., Chong, C. S. Y., Chui, H. W., & Fong, D. Y. T. (2007). Prevalence, course, and risk factors for antenatal anxiety and depression. Obstetrics and Gynecology, 110(5), 1102–1112. https://doi.org/10.1097/01.AOG.0000287065.59491.70

Maimunah, A & Retnowati, S. (2011). Pengaruh Pelatihan Relaksasi Dengan Dzikir Untuk Mengatasi Kecemasan Ibu Hamil Pertama. Psikoislamika : Jurnal Psikologi Dan Psikologi Islam, 8(1), 1–22. https://doi.org/10.18860/psi.v0i1.1543

Maimunah, S. (2009). Kecemasan Ibu Hamil Menjelang Persalinan Pertama. Jurnal Humanity, 5 (1)(1), 61–67.

Martínez, R. A. O., & Castillo, A. (2016). Relación entre estrés durante el embarazo y nacimiento pretérmino espontáneo. Revista Colombiana de Psiquiatria, 45(2), 75–83. https://doi.org/10.1016/j.rcp.2015.07.006

Nekoee, T., & Zarei, M. (2015). Evaluation the Anxiety Status of Pregnant Women in the Third Trimester of Pregnancy and Fear of Childbirth and Related Factors. British Journal of Medicine and Medical Research, 9(12), 1–8. https://doi.org/10.9734/bjmmr/2015/19784

Nevid, J. S., Rathus, S. A., & Greene, B. (2018). Psikologi Abnormal Edisi Kelima Jilid 1. Jakarta: Erlangga.

Nurlailiyah, A., Machfoedz, I., & Sari, D. P. (2016). Tingkat Pengetahuan Tentang Faktor Risiko Persalinan dengan Tingkat Kecemasan dalam Menghadapi Persalinan pada Ibu Hamil Trimester III di Puskesmas Sleman Yogyakarta. Jurnal Ners Dan Kebidanan Indonesia, 3(3), 169. https://doi.org/10.21927/jnki.2015.3(3).169-175

O’Connor, T. G., Heron, J., Golding, J., Beveridge, M., & Glover, V. (2002). Maternal antenatal anxiety and children’s behavioural/emotional problems at 4 years. Report from the Avon Longitudinal Study of Parents and Children. British Journal of Psychiatry, 180(JUNE), 502–508. https://doi.org/10.1192/bjp.180.6.502

Payne, R. (2005). Relaxation Techniques (3rd ed). New York: Edinburgh.

Prapto, D. A. P., Nashori, F., & Rumiani, R. (2015). Terapi Tadabbur Al-Qur’an Untuk Mengurangi Kecemasan Menghadapi Persalinan Pertama. Jurnal Intervensi Psikologi (JIP), 7(2), 131–142. https://doi.org/10.20885/intervensipsikologi.vol7.iss2.art1

Rinata, E., & Andayani, G. A. (2018). Karakteristik ibu (usia, paritas, pendidikan) dan dukungan keluarga dengan kecemasan ibu hamil trimester III. Medisains, 16(1), 14. https://doi.org/10.30595/medisains.v16i1.2063

Rosario, M. K., Premji, S. S., Nyanza, E. C., Bouchal, S. R., & Este, D. (2017). A qualitative study of pregnancy-related anxiety among women in Tanzania. BMJ Open, 7(8), 1–8. https://doi.org/10.1136/bmjopen-2017-016072

Schetter, C. D., & 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

Shin, H. S., & Kim, J. H. (2011). Music therapy on anxiety, stress and maternal-fetal attachment in pregnant women during transvaginal ultrasound. Asian Nursing Research, 5(1), 19–27. https://doi.org/10.1016/S1976-1317(11)60010-8

Siallagan, D & Lestari, D. (2018). Tingkat Kecemasan Menghadapi Persalinan Berdasarkan Status Kesehatan, Graviditas Dan Usia Di Wilayah Kerja Puskesmas Jombang. Jornal of Midwivery, 1(September), 104–110.

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

Staneva, A. A., Morawska, A., Bogossian, F., & Wittkowski, A. (2018). Maternal psychological distress during pregnancy does not increase the risk for adverse birth outcomes. Women and Health, 58(1), 92–111. https://doi.org/10.1080/03630242.2017.1282395

Tarabulsy, G. M., Pearson, J., Vaillancourt-Morel, M. P., Bussières, E. L., Madigan, S., Lemelin, J. P., … Royer, F. (2014). Meta-analytic findings of the relation between maternal prenatal stress and anxiety and child cognitive outcome. Journal of Developmental and Behavioral Pediatrics, 35(1), 38–43. https://doi.org/10.1097/DBP.0000000000000003

Teixeira, C., Figueiredo, B., Conde, A., Pacheco, A., & Costa, R. (2009). Anxiety and depression during pregnancy in women and men. Journal of Affective Disorders, 119(1–3), 142–148. https://doi.org/10.1016/j.jad.2009.03.005

Toosi, M., Akbarzadeh, M., & Ghaemi, Z. (2017). The Effect of Relaxation on Mother’s Anxiety and Maternal–Fetal Attachment in Primiparous IVF Mothers. Journal of the National Medical Association, 109(3), 164–171. https://doi.org/10.1016/j.jnma.2017.03.002

Triasani, D., & Hikmawati, R. (2016). Hubungan Kecemasan Ibu Hamil Terhadap Kejadian Preeklamsia Di RSUD Majalaya Kabupaten Bandung. Ilmiah Bidan, 1(3), 15–16.

Untari, M. M. & R. F. A. (2016). Kecemasan Ibu Hamil Ditinjau dari Intensitas Membaca AL-Qur’an dan Kelompok Usia. Humanitas, 13(01), 13–21. https://doi.org/10.1017/CBO9781107415324.004

Utami, S. (2018). Angka Kematian Ibu dan Bayi Indonesia, 10 Negara Tertinggi di Dunia. Retrieved September 22, 2019, from https://mediaindonesia.com/

van den Heuvel, M. I., Johannes, M. A., Henrichs, J., & Van den Bergh, B. R. H. (2015). Maternal mindfulness during pregnancy and infant socio-emotional development and temperament: The mediating role of maternal anxiety. Early Human Development, 91(2), 103–108. https://doi.org/10.1016/j.earlhumdev.2014.12.003

van den Heuvel, Marion I., Donkers, F. C. L., Winkler, I., Otte, R. A., & Van den Bergh, B. R. H. (2013). Maternal mindfulness and anxiety during pregnancy affect infants neural responses to sounds. Social Cognitive and Affective Neuroscience, 10(3), 453–460. https://doi.org/10.1093/scan/nsu075

Ventura, T., Gomes, M. C., & Carreira, T. (2012). Cortisol and anxiety response to a relaxing intervention on pregnant women awaiting amniocentesis. Psychoneuroendocrinology, 37(1), 148–156. https://doi.org/10.1016/j.psyneuen.2011.05.016

Vujovic, M., Sovilj, M., Plesinac, S., Rakonjac, M., Jelicic, L., Adamovic, T., & Stokic, M. (2019). Effect of antenatal maternal anxiety on the reactivity of fetal cerebral circulation to auditory stimulation, and early child development. Srpski Arhiv Za Celokupno Lekarstvo, 147(5–6), 327–334. https://doi.org/10.2298/sarh181002024v

Wahida, S., Nooryanto, M., & Andarini, S. (2015). Terapi Murotal Al-Qur ’ an Surat Arrahman Meningkatkan Kadar β -Endorphin dan Menurunkan Intensitas Nyeri pada Ibu Bersalin Kala I Fase Aktif Al Qur ’ an Surah Arrahman Recital Therapy Increase β -Endorphin Levels and Reduce Childbirth Pain Intensity on A. Jurnal Kedokteran Brawijaya, 28(3), 213–216.

World Health Organization. (2019). Maternal Mortality. Retrieved September 22, 2019, from https://www.who.int/news-room/fact-sheets/detail/maternal-mortality

Yang, M., Li, L., Zhu, H., Alexander, I. M., Liu, S., Zhou, W., & Ren, X. (2009). Music therapy to relieve anxiety in Pregnant women on bedrest: A randomized Trial, controlled trial. MCN The American Journal of Maternal/Child Nursing, 34(5), 316–323. https://doi.org/10.1097/01.NMC.0000360425.52228.95

Zamriati, W. O., Hutagaol, E., & Wowiling, F. (2013). ejournal keperawatan (e-Kp) Volume. 1 Nomor. 1 A gustus 2013. Ejournal Keperawatan (e-Kp), 1, 1–7.




DOI: https://doi.org/10.31289/analitika.v12i2.3382

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