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

Authors

DOI:

https://doi.org/10.18196/ijnp.41106

Keywords:

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

Abstract

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.

 

Author Biographies

Siti Khuzaiyah, Universitas Muhammadiyah Pekajangan Pekalongan

Departmen of Midwifery

Anies Anies, Universitas Diponegoro

Profesor, Doctor

Sri Wahyuni, Politeknik Kementerian Kesehatan Semarang

Nurse

References

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. https://doi.org/10.1016/j.psyneuen.2018.12.017

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. https://doi.org/10.1080/00029157.2015.1063476

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. http://dx.doi.org/10.30591/siklus.v6i1.471

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. https://doi.org/10.1038/ajh.2011.106

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. https://doi.org/10.1186/s40359-018-0224-5

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. https://doi.org/10.1097/JPN.0b013e31823f565b

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. https://doi.org/10.1097/HJH.0b013e32834f0b1c

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. https://doi.org/10.1016/j.ctcp.2017.03.001

Health Department of Pekalongan District. (2019). Profil Kesehatan Kabupaten Pekalongan Tahun 2018. Pekalongan: Health Department of Pekalongan District https://www.kemkes.go.id/resources/download/profil/PROFIL_KAB_KOTA_2018/3326_Jateng_Kab_Pekalongan_2018.pdf

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. https://doi.org/10.3109/14767058.2010.501122

Kekecs, Z., Szekely, A., & Varga, K. (2016). Alterations in electrodermal activity and cardiac parasympathetic tone during hypnosis. Psychophysiology, 53(2), 268-277. https://doi.org/10.1111/psyp.12570

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. https://doi.org/10.1016/j.mehy.2017.03.026

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. https://doi.org/10.33546/bnj.301

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. https://doi.org/10.17265/2159-5542/2014.06.005

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. https://doi.org/10.1080/00207144.2020.1722028

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. https://doi.org/10.1371/journal.pone.0177506

Pal, R. S., Pal, Y., & Wal, P. (2019). A review on post pregnancy healer herbs. Current Women's Health Reviews, 15(2), 102-108. https://doi.org/10.2174/1573404814666180329150138

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. https://doi.org/10.35654/ijnhs.v3i2.317

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. https://doi.org/10.1159/000454872

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. https://doi.org/10.1016/j.neucli.2013.09.006

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. https://doi.org/10.1017/S2040174418000557

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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Published

2020-07-22