The Effects of Hypnosis Relaxation Towards Fetus Heart Frequency and Vital Signs among Pregnant Women with Pre-eclampsia

Siti Khuzaiyah, Anies Anies, Sri Wahyuni


Background: One of the causes of Maternal Mortality Ratio (MMR) in Indonesia is pre-eclampsia. Mothers with pre-eclampsia disorder who are followed by anxiety tend to have specific vital sign change included increasing blood pressure, heart rate, respiratory rate, and fetus heart rate. Pregnant suffered pre-eclampsia should keep the balance of mind and emotion, as well as to reduce a complication of pre-eclampsia towards mothers and their fetus.

Objective: The objective of this study was to analyze the effects of the relaxation hypnosis on fetus heart rate and vital signs of pregnant women with pre-eclampsia.

Method: This study was a quasi-experiment with a pretest-posttest design. The total subjects were 32 pregnant women with pre-eclampsia, which selected by purposive sampling techniques. The researcher did hypnosis relaxation for three times. a Wilcoxon test was used to analyze the paired bivariate for systolic blood pressure, while the Mann-Whitney test and independent t-test were used to analyze fetus heart frequency.

Result: This study shows that hypnosis relaxation can reduce the systole blood pressure (p-value = 0.000; CI=12.185-23.109), reduce diastole (p-value = 0.000; CI= 8.630 – 14.311), reduce heart rate (p value = 0,004; CI= 2.07 – 8.989) and reduce respiratory rate (p value = 0.000; CI = 2.785 – 6.275). In terms of the effect on the fetus, hypnosis relaxation affect the fetus heart rate (p value = 0,000; CI = 5.834 – 13.930).

Conclusion: Hypnosis relaxation influences the change of fetal heart rate and vital signs of pregnant women with pre-eclampsia.



Fetal heart rate; Hypnosis relaxation; Pre-eclampsia; Vital signs

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Agorastos, A., Heinig, A., Stiedl, O., Hager, T., Sommer, A., Müller, J. C., ... & Demiralay, C. (2019). Vagal effects of endocrine HPA axis challenges on resting autonomic activity assessed by heart rate variability measures in healthy humans. Psychoneuroendocrinology, 102, 196-203.

Akbarzade, M., Rafiee, B., Asadi, N., & Zare, N. (2015). The effect of maternal relaxation training on reactivity of non-stress test, Basal fetal heart rate, and number of fetal heart accelerations: a randomized controlled trial. Int J Community Based Nurs Midwifery, 3(1), 51–59. PMID: 25553334; PMCID: PMC4280557.

Andriana, E. (2011). Melahirkan tanpa rasa sakit dengan metode relaksasi hypnobirthing. Jakarta : PT Bhuana Ilmu Populer.

Baston, H., & Jennifer Hall. (2012). Midwifery Essentials: Antenatal, Volume 2, 2nd Edition. Jakarta: EGC.

Beevi, Z., Low, W. Y., & Hassan, J. (2016). Impact of hypnosis intervention in alleviating psychological and physical symptoms during pregnancy. American Journal of Clinical Hypnosis, 58(4), 368-382.

Chabibah, N., & Laela, E. N. (2017). Perbedaan frekuensi denyut jantung janin berdasarkan paritas dan usia kehamilan. Siklus: Journal Research Midwifery Politeknik Tegal, 6(1), 195-198.

Cicolini, G., Pizzi, C., Palma, E., Bucci, M., Schioppa, F., Mezzetti, A., & Manzoli, L. (2011). Differences in blood pressure by body position (supine, Fowler's, and sitting) in hypertensive subjects. American journal of hypertension, 24(10), 1073-1079.

Cunningham, F. G., Leveno, K. J., Bloom, S. L., Hauth, J. C., Rouse, D. J., & Spong, C. Y. (2010). Williams Obstetrics 23rd ed. New York: Mc Graw Hill; p.706-47.

Federer, W. T. (2012). Statistical design and analysis for intercropping experiments: Volume 1: Two crops. Springer Science & Business Media.

Ferrari, F., Faccio, F., Peccatori, F., & Pravettoni, G. (2018). Psychological issues and construction of the mother-child relationship in women with cancer during pregnancy: A perspective on current and future directions. BMC Psychology, 6(1), 4–7.

Fink, N. S., Urech, C., Cavelti, M., & Alder, J. (2012). Relaxation during pregnancy: what are the benefits for mother, fetus, and the newborn? A systematic review of the literature. The Journal of perinatal & neonatal nursing, 26(4), 296-306.

Ghodrati, F., & Akbarzadeh, M. (2018). A review of the importance of maternal-fetal attachment according to the Islamic recommendations. Journal of Midwifery and Reproductive Health, 6(1), 1193-1200.

Gondo, H. K., & Suwardewa, T. G. A. (2011), Kardiotokografi: mengerti dan memahami pemanatauan denyut jantung janin. Jakarta: EGC.

Grindheim, G., Estensen, M. E., Langesaeter, E., Rosseland, L. A., & Toska, K. (2012). Changes in blood pressure during healthy pregnancy: a longitudinal cohort study. Journal of hypertension, 30(2), 342-350.

Health Department of Central Java Province. (2020). Buku Saku Kesehatan 2020. Jawa Tengah: Health Department of Central Java Province.

Health Department of Pekalongan District. (2014). Rekapitulasi data kematian ibu dinas kesehatan kabupaten pekalongan.

Pekalongan: Health Department of Pekalongan District.Shorofi, S. A., & Arbon, P. (2017). Complementary and alternative medicine (CAM) among Australian hospital-based nurses: knowledge, attitude, personal and professional use, reasons for use, CAM referrals, and socio-demographic predictors of CAM users. Complementary therapies in clinical practice, 27, 37-45.

Health Department of Pekalongan District. (2019). Profil Kesehatan Kabupaten Pekalongan Tahun 2018. Pekalongan: Health Department of Pekalongan District

Holdevici, I. (2019). Ericksonian Hypnotherapy-a permissive approach. Romanian Journal of Cognitive Behavioral Therapy and Hypnosis, 6(1-2), 1-5.

Holmes, D., & Baker, P. N. (2011). Buku ajar ilmu kebidanan. Jakarta: EGC.

Iserson, K. V. (2014). An hypnotic suggestion: review of hypnosis for clinical emergency care. The Journal of emergency medicine, 46(4), 588-596.Kafali, H., Derbent, A., Keskin, E., Simavli, S., &

Gözdemir, E. (2011). Effect of maternal anxiety and music on fetal movements and fetal heart rate patterns. Journal of Maternal-Fetal and Neonatal Medicine, 24(3), 461–464.

Kekecs, Z., Szekely, A., & Varga, K. (2016). Alterations in electrodermal activity and cardiac parasympathetic tone during hypnosis. Psychophysiology, 53(2), 268-277.

Larasati, I. P., & Wibowo, A. (2012). Pengaruh keikutsertaan senam hamil terhadap kecemasan primigravida trimester ketiga dalam menghadapi persalinan. Jurnal Biometrika dan kependudukan, 1(1), 26-32.

Legrand, F., Grévin-Laroche, C., Josse, E., Polidori, G., Quinart, H., & Taïar, R. (2017). Effects of hypnosis during pregnancy: A psychophysiological study on maternal stress. Medical Hypotheses, 102, 123–127.

Maisi, S., Suryono, S., Widyawati, M. N., Suwondo, A., & Kusworowulan, S. (2017). Effectiveness of Lavender Aromatherapy and Classical Music Therapy in Lowering Blood Pressure in Pregnant Women With Hypertension. Belitung Nursing Journal, 3(6), 750-756.

Nomura, Y., Finik, J., Salzbank, J., Ly, J., Huynh, N., Davey, T., ... & Loudon, H. (2014). The effects of preeclampsia on perinatal risks and infant temperaments among mothers with antenatal depression. Psychology research (Libertyville, Ill.), 4(6), 451.

Olendzki, N., Elkins, G. R., Slonena, E., Hung, J., & Rhodes, J. R. (2020). Mindful hypnotherapy to reduce stress and increase mindfulness: A randomized controlled pilot study. International Journal of Clinical and Experimental Hypnosis, 68(2), 151-166.

O’Donnell, K. J., Glover, V., Lahti, J., Lahti, M., Edgar, R. D., Räikkönen, K., & O’Connor, T. G. (2017). Maternal prenatal anxiety and child COMT genotype predict working memory and symptoms of ADHD. PloS one, 12(6), e0177506.

Pal, R. S., Pal, Y., & Wal, P. (2019). A review on post pregnancy healer herbs. Current Women's Health Reviews, 15(2), 102-108.

Purnomo, E., Nur, A., Rahim, R., & Pulungan, Z. S. A. (2020). The Effectiveness of Instrumental Music Therapy and Self-Hypnosis on Decreasing Blood Pressure Level among Hypertension Patients. International Journal of Nursing and Health Services (IJNHS), 3(2), 625-634.

Reddy, S., & Jim, B. (2019). Hypertension and pregnancy: management and future risks. Advances in chronic kidney disease, 26(2), 137-145.

Saha, F. J., Schumann, S., Cramer, H., Hohmann, C., Choi, K. E., Rolke, R., ... & Lauche, R. (2017). The effects of cupping massage in patients with chronic neck pain-a randomised controlled trial. Complementary medicine research, 24(1), 26-32.

Susanti, A., & Resti, F. E. (2019, November). Effect Of Musa acuminata cavendish Subgroup (Ambon Banana) In Reducing Blood Pressure. In Proceeding International Conference, 1(1), 973-977.

Vanhaudenhuyse, A., Laureys, S., & Faymonville, M. E. (2014). Neurophysiology of hypnosis. Neurophysiologie Clinique/Clinical Neurophysiology, 44(4), 343-353.

Vehmeijer, F. O., Guxens, M., Duijts, L., & El Marroun, H. (2019). Maternal psychological distress during pregnancy and childhood health outcomes: a narrative review. Journal of developmental origins of health and disease, 10(3), 274-285.

Yoganita, N. E., Sarifah, S., & Widyastuti, Y. (2019). Manfaat Massage Tengkuk Dengan Minyak Zaitun Untuk Mengurangi Nyeri Kepala Pasien Hipertensi. Profesi (Profesional Islam): Media Publikasi Penelitian, 16(2), 34-39.


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