Smarter Hypnobirthing Intervention to Reduce Anxiety and Improve Maternal Birth Outcomes among Primigravid Women in Samarinda, Indonesia

Besse Lidia; Nuuva Yusuf; M. Ardan; Nur Aisyah; Jesika Marselia Tuko

Authors

Besse Lidia Midwifery, STIKES Mutiara Mahakam Samarinda, Indonesia
Nuuva Yusuf Midwifery, STIKES Mutiara Mahakam Samarinda, Indonesia
M. Ardan Hospital Administration, STIKES Mutiara Mahakam Samarinda, Indonesia
Nur Aisyah Hospital Administration, STIKES Mutiara Mahakam Samarinda, Indonesia
Jesika Marselia Tuko Midwifery, STIKES Mutiara Mahakam Samarinda, Indonesia

Keywords:

Smarter Hypnobirthing, Anxiety, Pregnant Women, Primigravida, Postpartum, Non-pharmacological Intervention

Abstract

Anxiety among primigravida women is a serious concern that can affect maternal mental health, prolong labor, intensify pain, and trigger obstetric complications. Non-pharmacological interventions such as Smarter Hypnobirthing offer an integrative approach that combines relaxation techniques, positive affirmations, education, and family support. This study aimed to evaluate the effectiveness of Smarter Hypnobirthing in reducing anxiety levels among primigravida pregnant and postpartum women in Samarinda, Indonesia. A quasi-experimental design with a pre-post test and control group was employed. A total of 40 participants were equally assigned to the intervention group (n=20) and the control group (n=20). The intervention group received the Smarter Hypnobirthing program, while the control group received only basic midwifery counseling. Anxiety levels were measured before and after the intervention using standardized instruments. The intervention group demonstrated a significant reduction in anxiety scores (Δ = -8.15; p < 0.001), whereas the control group showed only a minor and non-significant decrease (Δ = -1.15; p = 0.082). Posttest comparisons between groups revealed a meaningful difference (14.20 vs. 20.75; p < 0.001). Smarter Hypnobirthing effectively reduces anxiety among primigravida pregnant and postpartum women. This approach has the potential to serve as an innovative, non-pharmacological intervention that promotes maternal well-being, aligning with the global agenda of the Sustainable Development Goals (SDGs).

References

Alini, Meisyalla, L. N., & Novrika, B. (2024). Faktor-faktor yang Berhubungan dengan Kesehatan Mental Ibu Hamil di Desa Pulau Rambai. Jurnal Ners, 8(1).

Anggraini, R. D., Ariestantia, D. R., & Yusuf, N. (2023). Effectiveness Of Mobile Website-Based SIPALING KB On The Selection Of Contraceptive Methods. Jurnal EduHealth, 14(2).

Annisya, N., Erika, & Dewi Yulia Irvani. (2024). Efektivitas Kombinasi Terapi Relaksasi Benson Dan Guided Imagery Terhadap Penurunan Kecemasan Pada Ibu Hamil. Journal of Social Science Research, 4(5).

Apriza, Erlinawati, & Harahap, D. A. (2024). Massage Therapy Prenatal sebagai Intervensi Mengurangi Kecemasan pada Ibu Primigravida di Wilayah Kerja Puskesmas Bangkinang Kota, Provinsi Riau. Jurnal Sehat Mandiri, 19(1).

Ardan, M., Umar, Z., Indonesiani, E. N., Nggode, M. R., & Patrizia, J. (2022). Effectiveness of Smarted B Father Intervention to Reduce a Pregnant Mother’s Anxiety in the Third Trimester. Jurnal Eduhealt, 13(02), 2022. http://ejournal.seaninstitute.or.id/index.php/healt

Ardan, M., Umar, Z., Kadir, A., & Ariestantia, D. R. (2021). Efektivitas Intervensi Spiritual Management of Relaxation Therapy (Smarter) Dalam Upaya Mencegah Depresi Ibu Postparum. Sebatik, 25(2), 405–410. https://doi.org/10.46984/sebatik.v25i2.1541

Ariestantia, D. R., Lidia, B., & Saidah, S. (2023). Efektivitas Kombinasi Terapi Komplementer Herbal Kompress Ball dengan Aromaterapi Jasmine Untuk Mengurangi Afterpain Pada Masa Nifas. Jurnal Media Informatika, 5(1).

Ariestantia, D. R., Puri, Y. E., & Lidia, B. (2017). Correlation Between The Knowledge Of Prenat Mother About The Preeclampsia Risk And Delivery Process In Sidomulyo Health Center . International Journal of Sciencetific Conference and Call for Papers.

Arikalang, F., Wagey, F. M. M., & Tendean, H. M. M. (2023). Gambaran Tingkat Kecemasan Ibu Hamil Primigravida dan Multigravida dalam Menghadapi Persalinan di Indonesia. E-CliniC, 11(3), 283–292. https://doi.org/10.35790/ecl.v11i3.48483

Ayuni, Q., Triana, N. Y., & Haniyah, S. (2024). Efektivitas Terapi Benson terhadap Kecemasan Pasien Pre Operasi Sectio Caesarea (SC). Jurnal Penelitian Perawat Profesional, 6(3).

Buran, G., & Aksu, H. (2022). Effect of Hypnobirthing Training on Fear, Pain, Satisfaction Related to Birth, and Birth Outcomes: A Randomized Controlled Trial. Clinical Nursing Research, 31(5), 918–930. https://doi.org/10.1177/10547738211073394

Fadlilah, A., & Christiani, P. M. L. (2025). Babyblues Syndrome in the Quran: A Contextual Analysis of Surah Maryam Verses 21-30. Fahima, 4(1), 37–60. https://doi.org/10.54622/fahima.v4i1.431

Jannah, Kusmindarti, N. S., Wahyuningrum, I., & Tria. (2024). Perbedaan Metode Konvensional Dan Eracs Dengan Tingkat Skala Nyeri Pada Pasien Post Sectio Sesarea Di Unit Maternal Bedah Rumkitban 05.08.03 Sidoarjo. STIKES PPNI.

Lidia, B., & Ardan, M. (2023). Pengaruh Kualitas Pelayanan, Inovasi Pelayanan, Kinerja Petugas Dan Komunikasi Interpersonal Terhadap Kepuasan Pasien Di RSUD IA Moeis Samarinda. Journal of Bunda Edu Midwefery, 6(2).

Maryuni, M. (2020). Hubungan Karakteristik Ibu Bersalin dengan Nyeri Persalinan. Journal of Health Science and Physiotherapy, 2(1), 116–122. https://doi.org/10.35893/jhsp.v2i1.42

Mayangsari, R. N., Anggraini, R. D., & Ardan, M. (2022). Pemanfaatan Limbah Si Kulem (Kulit Lemon) Sebagai Lilin Aromaterapi Lemon Pada Ibu Hamil Dalam Mengurangi Mual Muntah Dimasa Pandemik Covid. Jurnal Abditani, 5(2).

Nurbaiti, M., Nainggolan, S. S., & Angelina, R. (2025). Pengaruh Relaksasi Hypnobirthing Terhadap Tingkat Kecemasan Ibu Primigravida Trimester III Menjelang Persalinan. Jurnal ’Aisyyah Medika, 10(1).

Pratama, U., Sakdah, N., & Okfidaria, R. (2024). Faktor- Faktor Yang Mempengaruhi Tingkat Kecemasan Ibu Hamil Trimester Tiga Menjelang Persalinan. Jurnal Ilmu Kesehatan, 1(2).

Sari, L. P., Salimo, H., & Budihastuti, U. R. (2019). Hypnobreastfeeding Dapat Menurunkan Kecemasan Pada Ibu Post Partum. Jurnal Kebidanan Dan Kesehatan Tradisional, 4(1). https://doi.org/10.37341/jkkt.v4i1.95

Ulfah, D., Ratnasari, F., Elviani, Y., Fatimah, S., & Sumartini, S. (2024). Penggunaan Teknik Relaksasi Untuk mengurangi Kecemasan Pada Ibu Hamil Selama Proses Persalinan. Journal Review Pendidikan Dan Pengajaran, 7(3).

Uludağ, E., & Mete, S. (2021). The effect of nursing care provided based on the philosophy of hypnobirthing on fear, pain, duration, satisfaction and cost of labor: a single-blind randomized controlled study. Health Care for Women International, 42(4–6), 678–690. https://doi.org/10.1080/07399332.2020.1835916

Yaqoob, H., Ju, X.-D., & Jamshaid, S. (2024). Hypnobirthing Training for First-Time Mothers: Pain, Anxiety and Postpartum Wellbeing. Psychology Research and Behavior Management, Volume 17, 3033–3048. https://doi.org/10.2147/PRBM.S465361

Yusuf, N., Anugerah, D. E., & Adiani, F. (2017). Pengembangan Alat Deteksi Resiko Kehamilan Berbasis Web Sebagai Sistem Pencatatan Pelaporan Bagi Bidan. Jurnal Riset Kesehatan, 6(2).

Yusuf, N., Hadisaputro, S., Runjati, R., Suwondo, A., Mashoedi, I. D., & Supriyana, S. (2017). The Effectiveness Of Combination Of Kangaroo Mother Care Method And Lullaby Music Therapy On Vital Sign Change In Infants With Low Birth Weight. Belitung Nursing Journal, 3(4), 352–359. https://doi.org/10.33546/bnj.161