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All Journal Jurnal Ilmu dan Teknologi Kesehatan Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya
Yesika Cahya Septiana
Universitas Sebelas Maret
Computer Science & IT Health Professions Nursing Public Health

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Positive Expressive Writing, Fear of Childbirth and Childbirth Self-Efficacy: A Preliminary Study Yesika Cahya Septiana; Luluk Fajria Maulida; Siti Nurhidayati; Hafi Nurinasari; Rufidah Maulina
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2346

Abstract

to experience increased stress related to the childbirth process, which may lead to fear of childbirth (FOC). High levels of FOC negatively affect the childbirth process and overall birth experience. Fear of childbirth is known to be negatively correlated with childbirth self-efficacy, where better selfefficacy is associated with higher childbirth satisfaction. Expressive writing is a simple psychological intervention focused on emotional processing through writing and has been proven effective in reducing stress and anxiety among pregnant women. However, research examining the effects of expressive writing on FOC and childbirth self-efficacy among third-trimester pregnant women in Indonesia remains limited. Objectives: To examine the effect of expressive writing on fear of childbirth and childbirth self-efficacy among third-trimester pregnant women. Methods: This study employed a preexperimental design using a one-group pretest–posttest approach. A total of 26 third-trimester pregnant women were selected using accidental sampling. The expressive writing intervention was conducted for four consecutive days. FOC was measured using the W-DEQ version A, while childbirth self-efficacy was assessed using the CBSEI C-32. Data were analyzed using the paired ttest. Results: The results showed a significant reduction in fear of childbirth after the expressive writing intervention (p = 0.043). However, the increase in childbirth self-efficacy scores after the intervention was not statistically significant (p = 0.063). Conclusion: Expressive writing was effective in reducing fear of childbirth but did not demonstrate a significant effect on improving childbirth self-efficacy among third-trimester pregnant women.
Positive Expressive Writing, Fear of Childbirth and Childbirth Self-Efficacy: A Preliminary Study Yesika Cahya Septiana; Luluk Fajria Maulida; Siti Nurhidayati; Hafi Nurinasari; Rufidah Maulina
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2346

Abstract

to experience increased stress related to the childbirth process, which may lead to fear of childbirth (FOC). High levels of FOC negatively affect the childbirth process and overall birth experience. Fear of childbirth is known to be negatively correlated with childbirth self-efficacy, where better selfefficacy is associated with higher childbirth satisfaction. Expressive writing is a simple psychological intervention focused on emotional processing through writing and has been proven effective in reducing stress and anxiety among pregnant women. However, research examining the effects of expressive writing on FOC and childbirth self-efficacy among third-trimester pregnant women in Indonesia remains limited. Objectives: To examine the effect of expressive writing on fear of childbirth and childbirth self-efficacy among third-trimester pregnant women. Methods: This study employed a preexperimental design using a one-group pretest–posttest approach. A total of 26 third-trimester pregnant women were selected using accidental sampling. The expressive writing intervention was conducted for four consecutive days. FOC was measured using the W-DEQ version A, while childbirth self-efficacy was assessed using the CBSEI C-32. Data were analyzed using the paired ttest. Results: The results showed a significant reduction in fear of childbirth after the expressive writing intervention (p = 0.043). However, the increase in childbirth self-efficacy scores after the intervention was not statistically significant (p = 0.063). Conclusion: Expressive writing was effective in reducing fear of childbirth but did not demonstrate a significant effect on improving childbirth self-efficacy among third-trimester pregnant women.
Effectiveness of Cognitive Behavioral Therapy (CBT) in Managing Postpartum Depression: A Scoping Review of Comparative Interventions Sugiyani Sugiyani; Disa Larasati; Tustika Aristawati; Rufidah Maulina; Yesika Cahya Septiana; Khairunnisa Meinawati; Wijayanti Kusumastuti; Sholikhawati Nur Cantikasari; Alifa Istu Mustafa; Millati Azka
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 13, No 2 (2025): August
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v13i2.106455

Abstract

Background: Postpartum Depression (PPD) is a mood disorder experienced by mothers after childbirth that interferes with daily functioning. Cognitive Behavioral Therapy (CBT) has become the non-pharmacological intervention of choice in overcoming PPD. However, there is still a literature gap in systematic reviews regarding the effectiveness of CBT compared to other interventions in relieving PPD symptoms. Method: This study used a scoping review methodology following the PRISMA-ScR guidelines. A literature search was conducted across PubMed, ScienceDirect, and Cochrane databases, resulting in 91,664 articles using the keywords postpartum depression, PPD, Cognitive Behavioral Therapy, CBT, Edinburgh Postnatal Depression Scale (EPDS). Result: Four relevant articles were selected for analysis after the screening and critical appraisal process. The results of the analysis showed that various CBT methods, including digital applications, workshops, group therapy, and online courses, effectively reduced PPD symptoms with a success rate of 29-46%. Factors such as the duration of the intervention, the involvement of health workers, and therapist support contributed to the effectiveness of CBT and its impact on maternal well-being and mother-infant bonding. Conclusion: CBT has been shown to be an effective intervention in reducing PPD symptoms through both face-to-face and technology-assisted formats. Integrating CBT into routine maternal health services is recommended to enhance postpartum mental health outcomes and strengthen early parenting experiences.
Co-Authors Alifa Istu Mustafa Disa Larasati Hafi Nurinasari Khairunnisa Meinawati Luluk Fajria Maulida Maulina, Rufidah Millati Azka Rufidah Maulina Sholikhawati Nur Cantikasari Siti Nurhidayati Sugiyani Sugiyani Tustika Aristawati Wijayanti Kusumastuti