<![CDATA[Anxiety in primiparous women approaching childbirth may negatively affect labor outcomes and maternal–fetal well-being. Antenatal yoga is a safe non-pharmacological intervention that may improve maternal psychological health. This study aimed to evaluate the effectiveness of antenatal yoga in reducing anxiety among third-trimester primiparous women at the Setia Janji Community Health Center. A quasi-experimental study with a pretest–posttest control group design was conducted involving 60 third-trimester primiparous women selected using purposive sampling. Participants were assigned to an intervention group (n = 30), which received a structured antenatal yoga program for four weeks (eight sessions), and a control group (n = 30), which received routine antenatal care. Anxiety was assessed using the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using the Shapiro–Wilk test, paired t-test, independent t-test, and non-parametric alternatives, with p < 0.05 considered statistically significant. The intervention group showed a significant reduction in mean anxiety scores from 24.6 ± 4.1 to 15.2 ± 3.5 (mean difference = −9.4; p < 0.001), whereas the control group showed no significant change (23.9 ± 4.3 vs. 22.8 ± 4.0; p = 0.082). Post-intervention anxiety was significantly lower in the intervention group than in the control group (mean difference = −7.6; 95% CI: −9.5 to −5.7; p < 0.001; Cohen's d = 2.02). Antenatal yoga is an effective complementary intervention for reducing anxiety in third-trimester primiparous women and can be integrated into routine antenatal care services, especially in preparing for the birth process in a calmer and more adaptive manner. Keywords: Antenatal yoga, Anxiety, Primiparous women , pregnancy, maternal health]]>
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