THE EFFECT OF ENMASROLE THERAPY ON REDUCING THE LEVEL OF
ANXIETY OF PREGNANT WOMEN FACING CHILDBIRTH
Veryudha Eka Prameswari Universitas Bina Sehat PPNI Mojokerto Corresponding Email : veryudhaekap@gmail.
ABSTRACT
Keywords Pregnancy is an important period in a mother's life.
Changes in pregnant women can trigger psychological problems in pregnant women.
The problem that often arises is anxiety, especially in the final trimester when facing the birth process.
The body will produce the hormone cortisol, which if excessive can affect the health of the baby and the mother's health.
Anxiety experienced by pregnant women is a condition where a person experiences uncomfortable, unpleasant feelings about thoughts that will happen in the future.
In this case, the mother is afraid that the baby will be born at any time under normal conditions, or even die.
Anxiety of pregnant women triggers stimulation of uterine contractions.
Therefore, the anxiety of pregnant women can be overcome with complementary therapy methods, namely ENMASROLE (Endorphin Massage and Lavender Arom.
This study aimed to determine the effect of ENMASROLE therapy on reducing maternal anxiety levels in childbirth.
Pre-Experiment research method with Pre-Test-Post Test.
Endorphin Massage.
Lavender Scent.
anxiety level.
INTRODUCTION
Pregnancy is an important period in her life and leads to the birth of the baby in her womb.
During the pregnancy process, physiological and psychological changes occur so pregnant women need information from health workers through pregnancy checks (I Gede Bagus M, 2.
Pregnant women feel anxiety in each trimester, but in the third trimester, the level of anxiety felt by mothers increases because they will face the labor process which is getting closer and negative images about childbirth such as fear of not being able to give birth, or labor pain and even (Webb et al.
, 2.
Based on Qanita Wulandara's research with the theme of the influence of endorphin massage on anxiety in thirdtrimester pregnant women, the results showed that there was an increase before and after therapy, namely before 67.
57% and (Qanita Wulandara dkk.
When pregnant women experience high levels of anxiety, especially in the first trimester, the body will produce the stress hormone cortisol.
If excessive levels of this stress hormone can affect the baby's health International Journal of Nursing and Midwifery Science (IJNMS).
Volume 9.
Issue 1.
April 2025 because it can enter the amniotic fluid through the placenta, the result is that the baby's growth will become too fast, affecting the fetus' brain and reducing the oxygen supply for the fetus.
When facing childbirth, generally mothers .
oth those who have not given birth and those who have experienced giving birt.
experience anxiety, and panic anxiety in pregnant women can arise because the long period of waiting for birth is full of uncertainty and also images of scary things during the birth process.
This fear is often felt in first pregnancies or primigravidas, especially when facing (Qanita Wulandara dkk, 2.
Anxiety can interfere with preparation for childbirth so the impact of anxiety can arise due to several factors, including biological factors, where when the body experiences a health problem, it causes Handling anxiety There are two to reduce pharmacological and non-pharmacological Pharmacological therapy is therapy that uses drugs, while nonpharmacological therapy is therapy without drugs, one of which is complementary In this case, the way to reduce anxiety in preparation for childbirth is with complementary therapy, one of which is ENMASROLE (Endorphin Massage and Lavender Arom.
(Aliyah dkk, 2.
Massage therapy can also overcome anxiety, one of which is endorphin massage, which is massage therapy or light touch which is quite important to give to pregnant women when they feel anxious in preparation for childbirth.
This massage can stimulate the body to release endorphins so that the mother feels comfortable.
(Hadi Susiarno dkk, n.
Not only complementary therapy with massage but there is therapy using Aromatherapy is one of the non-pharmacological Lavender aromatherapy contains 30-50% linalyl acetate which is an ester compound that is very useful for normalizing emotions and in unbalanced body conditions, and also (Setiawan andarwulan, 2.
METHOD The activity was carried out in Balongmojo Village.
District.
Puri Kab.
Mojokerto.
On Monday 3 September 2024 at 00 WIB.
The population is all pregnant women in the third trimester.
The total population is 33 respondents from third-trimester pregnant women.
The sample used was total sampling.
The method in this research is a quick experiment before and after therapy.
To determine the level of anxiety of respondents using a questionnaire given to 33 pregnant women respondents.
Anxiety level measurement uses anxiety measurement using the Perinatal Anxiety Screening Scale (PASS) method.
Data analysis uses the Wilcoxon test with a P value < 0.
RESULTS
udul table :bold, table 1, table 2.
Font Table 1.
Distribution of Anxiety Levels of Pregnant Women Facing Childbirth Before Given ENMASROL Therapy Anxiety Not Anxious Mild Anxiety Moderately Anxious Severe Anxiety Amount Frequency Percentage % Based on Table 1 The results of the study show that before being given ENMASROL therapy, the majority of respondents respondents .
%).
Table 2.
Distribution of Anxiety Levels of Pregnant Women Facing Childbirth After Being Given ENMASROL Therapy Anxiety Not Anxious Mild Anxiety Moderately Anxious Frequency Percentage % International Journal of Nursing and Midwifery Science (IJNMS).
Volume 9.
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April 2025 Severe Anxiety Amount Based on Table 2, the research results show that after being given ENMASROL therapy, the majority of respondents did not respondents .
%).
Table 3.
Distribution of respondents based on the effect of ENMASROL
therapy on reducing the level of anxiety of pregnant women facing childbirth
Anxiety Level Not Anxious
Mild
Anxiety Moderat
Anxious
Severe Anxiety Amount
Before ENMASR
After ENMASR
PVal
0,00
Based on Table 3, the results show that before being given ENMASROL therapy, the majority of respondents respondents .
%), and after being given ENMASROL therapy, the majority of respondents did not experience anxiety, 17 respondents .
%).
The results of the analysis showed that the Pvalue was 0.
Because the value 000 is smaller than <0.
05, it can be concluded that Ha is accepted.
This means that there is an influence on anxiety levels before and after being given ENMASROL
DISCUSSION
Based on table 3.
Distribution of respondents based on the effect of ENMASROL therapy on reducing the level of anxiety of pregnant women facing childbirth, the results of the study show that before being given ENMASROL therapy, the majority experienced moderate anxiety, 17 respondents .
%) and after being given ENMASROL therapy, the majority did not experience anxiety, 17 respondents ( 52%).
In this case, some respondents still experienced moderate anxiety even though they had been given ENMASROL therapy because the pregnant woman was primi gravida so there was still no picture so they still felt anxious.
Berdasarkan tabel 3 Distribusi responden berdasarkan Pengaruh Terapi ENMASROL Terhadap Penurunan Tingkat Cemas Ibu Hamil Menghadapi Persalinan, hasil penelitian menunjukan bahwa sebelum diberikan terapi ENMASROL sebagian besar mengalami cemas sedang 17 responden .
%) dan sesudah diberikan terapi ENMASROL sebagian besar tidak mengalami cemas 17 responden .
%).
Dalam hal ini responden masih ada yang mengalami cemas sedang meskipun sudah diberikan terapi ENMASROL dikarenakan ibu hamil tersebut primi gravida sehingga masih belum ada gambaran sehingga masih ada merasa cemas.
The results of the analysis showed that the Pvalue was 0.
Because the value 000 is smaller than <0.
05, it can be concluded that Ha is accepted.
This means that there is an influence on anxiety levels before and after being given ENMASROL Pregnancy brings physical and psychological changes, there fore pregnant women need conducive physical and psychological conditions so that the pregnancy and birth process runs smoothly.
The most common problem that arises in pregnant women facing childbirth is anxiety.
(Emma Robertson Blackmore.
Hanna Gustafsson,dkk, 2.
Preparations for childbirth can be done in the third trimester, the third trimester of pregnancy is often called the waiting and alert period because the mother feels impatient waiting for the birth of her baby, which results in her starting to worry about herself and feeling anxious about her baby at the time of birth.
(Mafudiah, 2.
International Journal of Nursing and Midwifery Science (IJNMS).
Volume 9.
Issue 1.
April 2025 Anxiety can interfere with preparation for childbirth so the impact of anxiety can arise due to several factors, including biological factors, where when the body experiences a health problem, it causes Handling anxiety There are two to reduce pharmacological and non-pharmacological Pharmacological therapy is therapy that uses drugs, while nonpharmacological therapy is therapy without drugs, one of which is complementary In this case, the way to reduce anxiety in preparation for childbirth is with complementary therapy, one of which is ENMASROLE (Endorphin Massage and Lavender Arom.
(Aliyah dkk, 2.
REFERENCES