Effectiveness of Holistic Midwifery Care on Anxiety Levels of Third-Trimester Pregnant Women

Rika Handayani; Halimah Tusya Diah; Rani Darma Sakti Tanjung

doi:10.56741/IISTR.jphs.002238

Authors

Rika Handayani
rikahandayani5yah@gmail.com
Institut Teknologi dan Kesehatan Ika Bina
Halimah Tusya Diah Institut Teknologi dan Kesehatan Ika Bina
Rani Darma Sakti Tanjung Institut Teknologi dan Kesehatan Ika Bina https://orcid.org/0009-0004-7170-7414

Keywords:

Anxiety, Holistic Midwifery Care, Pregnant Women, Relaxation

Abstract

This study aims to evaluate the effectiveness of holistic midwifery care in reducing anxiety levels among third-trimester pregnant women. This study aims to evaluate the effectiveness of holistic midwifery care in reducing anxiety levels among third-trimester pregnant women. This research used a pre-experimental design with a one-group pre-test and post-test approach. A total of 30 third-trimester pregnant women visiting antenatal care services at City Public Health Center (Puskesmas Kota) were selected using purposive sampling. The intervention was conducted over two weeks in four sessions, which included pregnancy education, relaxation techniques, social support (involving husbands), and spiritual enhancement. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a significant reduction in maternal anxiety scores following the intervention. The mean anxiety score decreased from 27.07 ± 4.66 before the intervention to 19.30 ± 4.90 after the intervention, with the Wilcoxon Signed-Rank Test indicating a statistically significant difference (Z = −3.873, p < 0.001). The intervention demonstrated a large effect size (r = 0.71), suggesting a substantial improvement in maternal psychological well-being. These findings suggest that holistic midwifery care may contribute to reducing anxiety among third-trimester pregnant women. However, given the one-group pretest–posttest design without a comparison group, the findings should be interpreted with caution. Integrating holistic approaches into routine antenatal care may support maternal mental health, although further controlled studies are needed to confirm these findings.

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Author Biographies

Rika Handayani, Institut Teknologi dan Kesehatan Ika Bina

is a lecturer in the Midwifery Study Program at Institut Teknologi dan Kesehatan Ika Bina. Her academic and professional activities focus on midwifery education, maternal health, and the development of health education. She is also actively involved in professional organizations and contributes to activities that support the improvement of midwifery practice and community health education. Her professional interests include strengthening midwifery competencies and improving the quality of maternal health services. (email: rikahandayani5yah@gmail.com).

Halimah Tusya Diah, Institut Teknologi dan Kesehatan Ika Bina

is a lecturer in the Midwifery Study Program at Institut Teknologi dan Kesehatan Ika Bina. She is actively engaged in midwifery education, professional organizational activities, and health education development. Her academic interests include maternal and reproductive health, midwifery practice, and community-based health education. Through teaching and professional participation, she contributes to strengthening midwifery competencies and supporting the development of effective health education for women, families, and communities. (email: halimahtusyadiah@gmail.com).

Rani Darma Sakti Tanjung, Institut Teknologi dan Kesehatan Ika Bina

is a lecturer in the Midwifery Study Program at Institut Teknologi dan Kesehatan Ika Bina. Her professional activities include teaching, participation in professional organizations, and involvement in health education development. Her academic interests are related to midwifery care, maternal health, reproductive health, and community health education. She contributes to educational activities aimed at improving midwifery knowledge, professional competence, and the quality of health services for mothers and families. (email: ranizaidan@gmail.com).

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