The Effect of Hypnobirthing Method to Prevent Imminent Prematural Delivery Through Reducing Stress Levels in Factory Working Mothers

Abstract

Every day, a total of 800 women die from complications that occur during pregnancy and childbirth. Preterm birth is a major challenge in perinatal health care. In the United States, one in eight babies (12%) is born prematurely; of these, 80% are born at 32-36 weeks of gestation and 20% are born at 22-32 weeks. Premature babies (<32 weeks) are at increased risk of neonatal mortality and morbidity. One of the factors causing premature birth is antenatal depression. A systematic review of studies conducted in developed and low-income countries reported the prevalence of antenatal depression in the range of 5% to 30% and 15.6% to 31.1%). Increased risk of premature birth 1.2 times premature birth and 1.3 times risk of low birth weight. Sociodemographic factors play a major role in the incidence of imminent premature labor. The results of a study in 2014 showed that 54.8% of mothers giving birth at Sidoarjo Regional Hospital had a heavy workload. The results of the study showed that there was a relationship between the workload of pregnant women and the incidence of preterm labor with a p value = 0.008 (P <0.05). Pregnant women with heavy workloads are caused by mothers having jobs with a shift work system, long working hours >7 hours/day or >49 hours/week, working in factories with an average break time of 1 hour and activities such as lifting or pushing goods. In addition, after working outside the home, mothers still do household chores such as cooking, sweeping, washing without the help of others. The reason mothers work on average is to help the family economy. Other factors are anxiety in pregnancy, health risks, domestic violence, length of work per day, nutritional factors during work, length of rest at work, partner support, household income, mother's education level, mother's age, parity Hypnobirthing relaxation provides positive suggestions to the mother. This suggestion changes beta brain waves (conscious mind) into alpha waves (unconscious mind) in the cerebral cortex, then a sensory association process occurs which causes stimuli to be analyzed, understood and arranged into an object and the meaning of the stimulus. The provision of one hypnosis session referring to The Creative Psychosocial Genomic Healing Experience protocol can significantly increase immediate-early gene expression (Zif-268), increase stem cell activity, reduce stress and inflammation at the cellular level. This study aims to explain the effectiveness of the influence of hypnobirthing on reducing the scale of depression in Partus Prematurus Imminens. The expected benefits in this study are to develop the potential for preventing premature labor with the hypnobirthing method.