This study aims to produce a holistic childbirth preparation class model to reduce anxiety and increase self-efficacy in facing childbirth in pregnant women in the third trimester. The method used is Research and Development (R&D). The results of the study showed that the application of the holistic childbirth preparation class model effectively reduced anxiety with a p-value of 0.000 (<0.05) and increased self-efficacy in facing childbirth with a p-value of 0.000 (<0.05). In conclusion, the childbirth preparation class is feasible and its application is effective in reducing anxiety and increasing self-efficacy in facing childbirth in pregnant women in the third trimester. Keywords: Holistic Midwifery Care, Anxiety, Childbirth Preparation Class, Self Efficacy
                        
                        
                        
                        
                            
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