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Application of antenatal care with a holistic approach in reducing anxiety:

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For pregnant women, anxiety often comes and gets heavier near labor, plus they now must live side by side with COVID-19. Therefore, holistic antenatal care, which is thorough physical, psychological, emotional, social, and spiritual care is needed. This research aims to determine the application of antenatal care with a holistic approach to reducing maternal anxiety. This research employs a mixed method. The sample for this quantitative research was pregnant women in their third trimester at the Sahabat Ibu dan Anak Cliniq in Bandung, totaling 80 women (case and control) who met the inclusion and exclusion criteria from June-September 2021. The data were collected using the HRS-A questionnaire. Meanwhile, the qualitative research sample was carried out by purposive random sampling. The results of qualitative data collection were given in a case report. The results showed that the application of antenatal care with a holistic approach had an effect in reducing maternal anxiety levels during the new normal with a p-value of 0.007<? (0.05). In addition, the results showed that pregnancy checks with a holistic approach made the mother's delivery experience better than those with the previous approach, made the mothers calmer and able to control emotions, and increased spiritual confidence. In conclusion, antenatal care with a holistic approach had an effect in reducing anxiety.

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  • Varney, H. M Kriebs, J.l Gegor C. Buku Ajar Asuhan Kebidanan, Edisi Keempat. IV. Jakarta: EGC; 2010.
  • Kurniasih Y dan NK. The Holistic Midwifery Care Of Post Partum Mother With Post Sectio Caesarea At PKU Muhammadiyah Mother And Children Hospital Of Kotagede. 2016;1–11.
  • Puty I, Wibowo A. Pengaruh Keikutsertaan Senam Hamil Terhadap Kecemasan Primigravida Trimester Ketiga Dalam Menghadapi Persalinan. J Biometrika dan Kependud. 2012;1:26–32.
  • Hawari. Manajemen Stres Cemas dan Depresi. II. Jakarta: Balai Penerbit FKUI; 2008.
  • Kingston D, Janes-Kelley S, Tyrrell J, Clark L, Hamza D, Holmes P, et al. An integrated web-based mental health intervention of assessment-referral-care to reduce stress, anxiety, and depression in hospitalized pregnant women with medically high-risk pregnancies: A feasibility study protocol of hospital-based implementation. JMIR Res Protoc. 2015;4(1).
  • Bobak, M I, Lowdermilk, Jensen. Buku Ajar Keperawatan Maternitas. 4th ed. Jakarta: EGC; 2012.
  • Setyowati A. Buku Ajar Kebidanan Asuhan Kehamilan Holistik. Yogyakarta: Deepublish; 2019.
  • Nurjasmi E. Situasi Pelayanan Kebidanan Pada Pandemi Covid-19 dan Memasuki Era New Normal. Jakarta: Modul Webinar; 2019.
  • Kedokteran F, Lampung U. Penatalaksanaansecara Holistik dan Komprehensif Pada Hipertensi Gestasional Holistic And Comprehensive Management In Gestational Hypertension. 9(1):178–85.
  • Mundakir, Wulandari Y, Mukarromah N. Pendekatan Model Asuhan Keperawatan Holistik Sebagai Upaya Peningkatan Kepuasan Dan Keselamatan Pasien Di Rumah Sakit. J Keperawatan Muhammadiyah. 2016;1(2):7–16.
  • Miltenburg AS, Van Der Eem L, Nyanza EC, Van Pelt S, Ndaki P, Basinda N, et al. Antenatal care and opportunities for quality improvement of service provision in resource limited settings: A mixed methods study. PLoS One. 2017;12(12):1–15.
  • Siledar S. Aromatherapy for anxiety: a guide for the average adult user to reduce symptoms of anxiety. ProQuest Diss Theses. 2018;119. Available from: https://search.proquest.com/docview/1966259918?accountid=17242
  • Jasemi M, Valizadeh L, Zamanzadeh V, Keogh B. A concept analysis of holistic care by hybrid model. Indian J Palliat Care. 2017;23(1):71–80.
  • Sujianti. Buku Ajar Konsep Kebidanan Tiori dan Aplikasi. Jakarta: Nuha Medika; 2009.
  • Ismail S, dkk. Keperawatan Holistik dan Aplikasi Intervensi Komplementer. Semarang: Universitas Dipenogoro; 2019.
  • Baldacchino D. Spiritual care education of health care professionals. Religions. 2015;6(2):594–613.
  • Jain CK, Bhatia KKS, Kumar CP, Purandara BK. Ground Water Quality in Malaprabha Sub-basin, Karnataka. Indian J Environ Prot. 2003;23(3):321–9.
  • Ari Arini L. Penerapan Asuhan Kebidanan Secara Holistik Berbasis Tri Hita Karana Di Pelayanan Kesehatan Tingkat Dasar. J Kesehat MIDWINERSLION [Internet]. 2020;5(1):47–57.
  • Ross L, McSherry W, Giske T, van Leeuwen R, Schep-Akkerman A, Koslander T, et al. Nursing and midwifery students’ perceptions of spirituality, spiritual care, and spiritual care competency: A prospective, longitudinal, correlational European study. Nurse Educ Today [Internet]. 2018;67(April 2018):64–71.
  • Anne F, Veronika K. Holistic Midwifery. Portland: Library of Congress; 2010.
  • Woolhouse H, Mercuri K, Judd F, Brown SJ. Antenatal mindfulness intervention to reduce depression, anxiety and stress: A pilot randomised controlled trial of the MindBabyBody program in an Australian tertiary maternity hospital. BMC Pregnancy Childbirth. 2014;14(1):1–16.
  • Keputusan Menteri RI. Penyelenggaraan Imunisasi. Jakarta: Kemenkes RI; 2017.
  • Pregnancy HR. in High Risk Pregnancy. 2014;29(4):68–72.
  • Hollander M, De Miranda E, Vandenbussche F, Van Dillen J, Holten L. Addressing a need. Holistic midwifery in the Netherlands: A qualitative analysis. PLoS One. 2019;14(7):1–22.
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How to Cite This

Rizki, F. (2022). Application of antenatal care with a holistic approach in reducing anxiety: . Jurnal Kesehatan Ibu Dan Anak, 16(1), 33–40. https://doi.org/10.29238/kia.v16i1.1148

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