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Melyana Nurul Widyawati
Postgraduate Midwifery Program, Semarang Health Polytechnic, Semarang, Indonesia
Nursing

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EFFECTIVENESS OF MUSIC THERAPY ON ANXIETY AND B-ENDORPHIN LEVELS IN PRIMIGRAVIDA DURING THE THIRD STAGE OF PREGNANCY Surya Dayyana; Suryono Suryono; Melyana Nurul Widyawati; Syarief Thaufik Hidayat
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.035 KB) | DOI: 10.33546/bnj.298

Abstract

Objective: To examine the effectiveness of music therapy on anxiety and β-endorphin levels in primigravida during the third stage of pregnancy. Methods: This was a quasi-experimental study with pretest-posttest control group design. The research was conducted in December 2016 - January 2017. There were 39 respondents selected using purposive sampling technique, which 13 assigned in the experiment group 1 (music therapy with a sound pressure of 40 dB), experiment group 2 (music therapy with a sound pressure of 62 dB) and control group (health counseling). Anxiety levels were measured using the HARS (Hamilton Anxiety Rating Scale), and β-endorphin hormone levels were measured using ELISA (Enzyme-Linked Immunosorbent Assay) method. Data were analyzed using Paired t-test, One-Way ANOVA test with post-hoc Bonferroni, and Kruskal Wallis test with post-hoc Mann Whitney. Results: Findings revealed that there was a decrease of the mean of anxiety levels in the experiment group 1 from 31.92 (pretest) to 24.69 (posttest), and the experiment group 2 from 34.54 (pretest) to 25 (posttest) with p-value <0.05. There was an increase of the mean of β-Endorphin levels in the experiment group 1 from 53.63 (pretest) to 63.24 (posttest), and the experiment group 2 from 48.55 (pretest) to 64.9 (posttest) with p-value <0.05. However, there was no effect of counseling in the control group on anxiety levels (p=0.413) and β-Endorphin levels (p= 0.394). Conclusion: Music therapy is effective in reducing anxiety levels and increasing β-endorphin levels. Thus, music therapy can be used as an alternative treatment for pregnant mothers at home who experienced anxiety.
EFFECT OF PREGNANCY EXERCISE ON DURATION OF THE FIRST AND SECOND STAGE OF LABOR IN PRIMIGRAVIDA MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY Iin Wahyuni; Noor Pramono; Titi Suherni; Melyana Nurul Widyawati
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.512 KB) | DOI: 10.33546/bnj.304

Abstract

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar Lampung, Indonesia. Methods: This study employed a quasi-experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann Whitney and Chi Square test. Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000). Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.
Co-Authors iin wahyuni Noor Pramono S. Suryono Surya Dayyana Syarief Thaufik Hidayat Titi Suherni