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Journal : JURNAL PROMOSI KESEHATAN INDONESIA

Effectiveness of Prenatal Class Participation on Maternal Anxiety: A Scoping Review Rahmawati, Rahmawati; Hidayat, Asri; Suryaningsih, Endang Koni
Jurnal Promosi Kesehatan Indonesia Vol 20 No 3: July 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.3.228-242

Abstract

Background: Pregnancy-related anxiety is a common condition that can negatively affect both maternal and fetal health. This type of anxiety has been associated with a higher risk of complications such as premature birth and low birth weight. One intervention shown to be effective in reducing anxiety during pregnancy is prenatal education through structured classes for expectant mothers.Method: The scoping review adapted the PICO (Population, Intervention, Comparison, Outcome). Framework and was systematically reported using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart, then selected from the PubMed, Biomed Central, Wiley Online Library, and ResearchGate databases. A total of 2.078 articles were screened using inclusion and exclusion criteria, resulting in 16 articles to be reviewed. These were then further selected by assessing the quality of the articles using the Critical Appraisal JBI (Joanna Briggs Institute) Checklist based on the type of research from the reviewed articles.Result: Five main themes emerged from the reviewed studies: the role of prenatal classes in reducing anxiety, their impact on birth outcomes and maternal-infant health, the use of technology-based and online learning platforms, maternal mental health during pregnancy and postpartum, and various models and approaches in delivering prenatal education. Both in-person and online formats were found to be beneficial, especially when tailored to the individual needs and circumstances of pregnant women. Prenatal education classes are an effective strategy to lower anxiety levels during pregnancy and to improve maternal readiness for childbirth. Additionally, such education supports better health outcomes for both mother and baby. The delivery method whether face-to-face or digital should be selected based on the specific needs of the participants to maximize the benefits of the program. 
Co-Authors Abkar Raden Abkar Raden Abuk, Elfrida Yustina Andhita Dyorita Khoiryasdien Aryudaningrum, Nastiti Astuti, Andari Wuri Astuti, Tri Wahyuning Puji Aza, Dessi Wulandari Chieh-Yu Liu Chien-Huei Kao Della Winanti Dewi, Suarse Domas Chandra Pramudianti Domas Chandra Pramudianti, Domas Chandra Domas Nurchandra Pramudianti Dwi Indah Wulandari DwiJayanti, Novia Edy Suprayitno, Edy Esitra Herfanda Faurina Risca Fauzia Fauzianty, Ariska Fenny Nur Alvianty Fitriahadi, Enny Hamado, Hasiati Haris, Fahni Hidayat, Asri Himawati, Sefia Horhoruw, Cherly Popy Hung-Ru Lin Irokhmah, Islamiyatur Iswati, Nining Jen-Jiuan Liaw Khairani, Nur Kusuma, Nur Intan Lesdianti, Kiki Lin, Hung-Ru Linh, Nguyen Dieu Machfudloh, Machfudloh Meei Ling Gau Meei-Ling Gau Meei-Ling Gau Mufdlilah, Mufdlilah Mufdlillah, Mufdlillah Muliyani, Navantri Nguyen Dieu Linh Nguyen, Thuy Hong Nguyen, Tuan Van Nurrohmah, Fayakun Nurul Yumna Aisyah Pramudianti, Domas Nurchandra Pratiwi, Cesa Septiana Prihatiningsih, Dwi Rahmawati, Rahmawati Ratnaningrum, Asti Rini, Sulistio Ririn Ririn Ririn Ririn Sherly Anantya Fajri, Deandra Shiang-Feng Wu Siti Nurhidayati Su-Yu Kuo Sudiyasih, Tiwi Suesti Suesti Swastika, Rita Ade Tamela Zahra Tamela Zahra TRI SUSANTI Tri Wahyuning Puji Astuti Tsalasitha, Rizki Tuan Van Nguyen Tunggali, Ade Putra Tusi Eka Redowati Ummah, Tammimin Vita Purnamasari Wahidah Sukriani Wahyuntari, Evi Wantonoro Wantonoro, Wantonoro warastri, annisa Wu, Shiang-Feng Xuan-Yi Yan Yan, Xuan-Yi Yasmin Yasmin Yekti Satriyandari Zahra, Tamela