Childbirth Anxiety Research Articles

The Effect of Psychoeducation on Fear of Childbirth: A Literature Review

Purpose : The aim of this study is to investigate the contribution of psycoeducation to reduce FOC among primigravida and nulligravida mothers between 2015 and 2023. A literature review study was conducted to explore the effects of psychoeducation on pregnancy anxiety. Method : Systematically reviewed studies between 2015 and 2023, the researchers searched a total of 10 studies. This review uses search research from Pubmed, Science Direct and Google Scholar as sources. Result : This study found variations between primary and secondary types of fear of childbirth (FOC). A woman who experiences primary FOC, also known as childbirth anxiety (Primigravida), is newly pregnant and about to give birth for the first time. Secondary fear of childbirth is caused by trauma or a painful birth event (Nulligravida). Pharmacological and non-medical treatments such as psychoeducation were improved to relieve during labour anxiety, confidence during labour, reduction of depressive symptoms, and decrease in caesarean delivery rates. Conclusion: Psychoeducation conducted by midwives can reduce the fear of facing labour experienced by pregnant women.

EFEKTIVITAS KOMUNIKASI TERAPEUTIK BIDAN TERHADAP PENURUNAN KECEMASAN IBU HAMIL MENJELANG PERSALINAN DI PMB LILIS SURYANI SST DEPOKTAHUN 2023

The incidence of childbirth anxiety worldwide is estimated at 14%, and primiparous have a greater level of fear compared to multiparous mothers. Anxiety facing childbirth is fluctuating, in early pregnancy is relatively low and increases with increasing gestational age. In Indonesia there are 373,000 pregnant women, and those who experience anxiety in the face of childbirth as many as 107,000 (28.7%) pregnant women. This study aims to analyze the effectiveness of midwives' therapeutic communication on reducing anxiety of pregnant women before childbirth at PMB Lilis Suryani SST in 2023. This research is a quasi-experiment and the research design used is one group pre-test-post test design, with the sample used amounting to 44 respondents. The results of this study based on statistical analysis of the Paired Sample T-Test showed that there was a significant effectiveness of therapeutic communication on reducing anxiety in pregnant women before delivery, namely P Value = 0.000 (P Value < 0.05). The conclusion of this study is that therapeutic communication is effective for lowering anxiety in pregnant women before delivery. Suggestions for PMB to make therapeutic communication SOPs so that health workers can apply them properly to reduce anxiety for pregnant women.

Analysis of the Study of the Role of Husband's Assistance on Childbirth Anxiety in Primigravida: Observational Study at Sikakap Health Center, Mentawai Islands, Indonesia

Childbirth anxiety is a common phenomenon experienced by primigravidae and can have a negative impact on the birthing process and the health of the mother and baby. Husband's assistance during childbirth has been proven to help reduce childbirth anxiety. This study aims to analyze the role of the husband's assistance on childbirth anxiety in primigravida at the Sikakap Health Center, Mentawai Islands, Indonesia. This research uses an analytical observational design with a cross-sectional approach. Data was collected from 100 primigravidas who gave birth at the Sikakap Health Center, Mentawai Islands, Indonesia. Data were analyzed using the Chi-square test and logistic regression. The results of the study showed that there was a significant relationship between the husband's assistance and childbirth anxiety in primigravida (p<0.001). Primigravidas who were accompanied by their husbands during childbirth had a lower risk of childbirth anxiety compared to primigravidas who were not accompanied by their husbands (OR=0.23, 95% CI: 0.09-0.51). In conclusion, Husband's assistance has been proven to reduce childbirth anxiety in primigravida. Therefore, efforts need to be made to increase husbands' participation in childbirth assistance at the Sikakap Health Center, Mentawai Islands, Indonesia.

The Application of Foot Reflexology for Anxiety and Pain Management in Women's Childbirth: A Literature Review

Context: Uncontrolled childbirth anxiety (CA) and labor pain (LP) may cause negative consequences for the mother during subsequent deliveries. This study aimed to evaluate the effect of foot reflexology (F-REFL) on reducing LP and CA during childbirth in the form of a review study. Evidence Acquisition: In this literature review, the findings were collected by evaluating the results of previous similar studies in the last three decades. The most important and common medical subject headings (MeSH) terms related to the topic under discussion were identified to conduct this study. Then, the most relevant studies were searched, and 226 studies were identified at this stage by searching them in the most reliable and essential international databases, including Google Scholar, Scopus, PubMed, and Web of Science. Considering the inclusion and exclusion criteria, 26 studies were identified to extract the results. Results: Most of the previous research studies were clinical trials, and their findings showed that F-REFL significantly reduces LP and CA. Conclusions: Foot reflexology has been shown to reduce LP and CA, making it an easy, cheap, and noninvasive method to reduce cesareans. Implementing this method is simple and does not require specialized personnel, and midwives can efficiently perform for mothers during childbirth. Additionally, reducing LP and CA experienced during birth through F-REFL improves women's positive birth experiences and protects postpartum mental health.

Investigating Husband's Support and Murrotal Therapy Effects on Maternal Anxiety in Childbirth

<p><em>First-time mothers may find childbirth difficult; they frequently feel intense anxiety, stress, and terror as the due date draws near, particularly in the third trimester of pregnancy when there is a higher chance of an early birth. The aim of the research was to ascertain the impact of Murottal therapy and husband support on the anxiety levels of expectant mothers during labor at Badrul Aini Mother and Child Hospital. This study uses a cross-sectional research approach and is quantitatively analytical. In August 2023, the study was carried out at the Badrul Ain Mother and Child Hospital. All of the pregnant patients in this study came to the Badrul Aini Mother and Child Hospital to give birth. The sampling technique was random, so the research sample was obtained from as many as 50 pregnant women. Data collection techniques in this study used questionnaires and observation techniques. Data analysis used correlation and multiple linear regression tests with SPSS software processing. The results showed that husband support (p-value = 0.006) and </em><em>m</em><em>urrotal therapy significantly reduced the anxiety level of pregnant women (p-value = 0.001). However, the hypothesis that Murrotal therapy moderates the effect of husband support on anxiety levels was not supported. The importance of the husband's role in providing emotional and psychological support during labor and confirming the effectiveness of Murrotal therapy in managing maternal anxiety. Healthcare providers should consider involving husbands in prenatal care and labour, and Murrotal therapy can be a valuable tool in managing pregnant women's anxiety. </em></p><p><em> </em></p><strong><em>Keywords: Childbirth, Husband's Support, Murrotal, Therapy, Pregnant mother's anxiety</em></strong>

PELATIHAN HYPNOBIRTHING BASIC UNTUK MANAJEMEN NYERI PERSALINAN PADA IBU HAMIL DI DESA TARAWEANG, KECAMATAN LABBAKKANG, KABUPATEN PANGKEP, PROPINSI SULAWESI SELATAN

Hypnosis, self-hypnosis, and hypnobirthing are techniques to overcome childbirth anxiety. Expectant mothers are taught to trust their bodies, regain confidence in their ability to give birth, and release tension and pain through deep relaxation, breathing, and visualization techniques. Despite the many relevant studies cited, hypnobirthing has not been an institutionally preferred option offered by childbirth service providers such as government health centers and hospitals, possibly due to a lack of written policy support. This option is available through private childbirth service providers or hypnobirthing practitioners who provide complementary therapies. The lack of comprehensive childbirth preparation (physical, mental, and social) among young mothers in Taraweang Village, Labbakkang Sub-district, Pangkep District This prompted us to present a new approach to childbirth by introducing the concept, benefits, and how to do self-hypnosis independently to increase awareness and readiness before birth. This activity was implemented on April 5, 2023, after a socialization process with the partners in March 2023. The activity, which involved 15 pregnant women from Taraweang Village, began with a screening process for labor readiness and the mother's mental health condition using a distress scale form. Then followed socialization and training, as well as a 60-minute hypnosis simulation using reclusiveness techniques to increase awareness and readiness for dealing with pain. The activity ended with a pre-test to assess the mother's reaction to the therapy results. Based on data analysis, we concluded that pregnant women who received 60 minutes of hypnobirthing relaxation therapy experienced a decrease in the distress scale. This activity is expected to be carried out independently at the mothers' homes using the knowledge that has been provided in the process of community partnership activities in 2023. This activity will be further developed and evaluated, especially to ensure the sustainability of the benefits felt by partners in subsequent activities.

The Effect of Spiritual Emotional Freedom Technique (SEFT) Therapy on Reducing Labor Anxiety in Primigravida

Labor anxiety is a psychological condition experienced by most maternity mothers. Childbirth anxiety can cause various negative impacts, such as prolonged labor, surgical delivery, and even maternal death. Spiritual emotional freedom technique (SEFT) therapy is a non-pharmacological therapy that can be used to reduce labor anxiety. This study aims to analyze the effect of SEFT therapy on reducing childbirth anxiety in primigravida. This research uses a quasi-experimental method with a pretest-posttest control group design. The research sample consisted of 26 primigravidas who were divided into two groups, namely the treatment group (13 people) and the control group (13 people). SEFT therapy was given to the treatment group for 3 sessions. The results of the study showed that there was a decrease in birth anxiety in the treatment group after being given SEFT therapy. This is indicated by the average value of labor anxiety in the treatment group, which decreased from 29.83 in the pretest to 21.77 in the posttest. Meanwhile, in the control group, the average value of labor anxiety did not change, namely 28.08 in the pretest and 28.08 in the posttest. Based on the results of this study, it can be concluded that SEFT therapy can reduce labor anxiety in primigravida.

Evaluation of Nulliparous Women Childbirth Anxiety in Baghdad Maternity Hospitals

Abstract: It is important to be concerned about anxiety during pregnancy since it will influence the fetus's growth. Extreme levels of stress, sadness, or anxiety during pregnancy increase the risk of an adverse pregnancy outcome.
 Objectives: To Evaluate the Nulliparous pregnant women's childbirth anxiety. To find out the association between pregnant women’s anxiety with some demographical and gestational age.
 Methods: A descriptive design used a non-probability (purposive sample) of (200) nulliparous pregnant women to collect the data through a self-reported questionnaire. The questionnaire comprised (14) items on pregnancy-related anxiety. The study was conducted from February to July 2023.
 Results: Regarding age about half (50%) of pregnant women at age (20-29) years (27%) are graduated from preparatory school. More than two-thirds (67%) in the second trimester. The majority of them have planned pregnancy (81.5%). Most of them have mild anxiety (57%), and the leftovers (43%) have severe anxiety. There is no significant association between pregnant women’s childbirth anxiety with age, education, or gestational age.
 Conclusion: This study concluded that more than half of pregnant women have mild anxiety, and more than two-thirds have severe anxiety.
 Recommendations: Pregnant women need prenatal education and support regarding childbirth anxiety during routine prenatal visits.

Self-Efficacy and Anxiety Level of Third-Trimester Primigravida

Childbirth anxiety causes changes in a woman's mind during the third trimester. Prolonged worry can make it difficult for pregnant women to focus and cause them to lose confidence. Purpose: This study determines the relationship between self-efficacy and anxiety levels of third-trimester primigravida pregnant women. Methods: This study used cross-sectional data and correlation analysis. The purposive sampling method selected 82 third-trimester pregnant women as the study population. The study sample included 57 third-trimester pregnant women per the inclusion criteria. This study used two questionnaires: the self-confidence scale and the Revised Pregnancy-Related Anxiety Questionnaire (PRAQ-R2). The research results on self-efficacy obtained 63.2% with moderate self-efficacy, while anxiety levels obtained the majority with moderate anxiety at 49.1%. Data analysis using the Spearman Rank correlation test formula obtained a correlation coefficient of 0.645 with a significance of 0.000 (p <0, 05). Conclusion: There is a significant relationship in the self-efficacy of third-trimester primigravida pregnant women with anxiety levels with a strong correlation coefficient.

Development of the Japanese Version of Pregnancy-Related Anxiety Questionnaire-Revised-2: Measurement and Psychometric Properties.

Tools to evaluate pregnancy-specific anxiety are lacking in Japan. This study aimed to develop a Japanese version of the Pregnancy-Related Anxiety Questionnaire-Revised-2. After scale translation and cognitive interviews, we conducted a cross-sectional study among 120 ≥18-year-old, singleton (pregnant with one baby) Japanese women before 15 weeks of pregnancy, recruited from four facilities. A total of 112 women completed the questionnaires. We tested the internal consistency, measurement error and reliability, structural validity, measurement invariance across nulliparous and parous women, construct validity by calculating omega, standard error of measurement (SEM), intraclass correlation coefficient (ICC), confirmatory factor analysis (CFA), multigroup CFA, multitrait-scaling analysis, correlational analyses with other measurements, and t-test to compare nulliparous and parous groups. Omega was 0.90 for the total score. SEM was 3.4 and ICC was 0.76. The CFA revealed an optimal fit for the three-factor model based on the original scale. Multigroup CFA supported measurement invariance across the nulliparous and parous groups, and multitrait-scaling analysis revealed 100% scaling success. The correlation coefficients with other scales of childbirth anxiety and general anxiety were 0.70 and 0.24. The mean total score of the nulliparous women was higher than that of the parous women (34.5 vs. 30.3, p = 0.001). Therefore, the scale was determined to have good validity and reliability.

Contributors to COVID-19-Related Childbirth Anxiety among Pregnant Women in Two Pandemic Waves.

COVID-19 has impacted all levels of daily life for people everywhere, with particularly serious implications for pregnant women. This paper examines the COVID-19-related childbirth anxiety (CCA) of Israeli women in the first two waves of the pandemic. We first present two psychotherapeutic case studies with pregnant women in the two waves. This is followed by an empirical study that compared the contribution of background variables, psychological distress, economic concerns, and personal resources to CCA in two samples, Wave 1, March-April 2020 (n = 403) and Wave 2, September-October 2020 (n = 1401), and two subpopulations, Jewish and Arab women. Findings reveal that CCA was significantly lower in Wave 2 than in Wave 1. Furthermore, poorer health, higher education, being an Arab, later gestational week, at-risk pregnancy, wave, higher psychological distress, greater economic concerns, and lower self-compassion contributed to higher childbirth anxiety. Wave moderated the association between optimism and anxiety. The findings of the empirical study, together with insights from the case studies, provide evidence of a decrease in CCA later in the crisis, and indicate the significance of resources for coping with the psychological implications of the pandemic. Moreover, they suggest the importance of empowering self-reliance techniques, such as self-compassion, which was significantly associated with lower anxiety, above and beyond the background and psychological variables. Clinical Impact Statement: Using both psychotherapeutic cases and empirical findings, this study points to the risk and resilience factors that contributed to pregnant women's COVID-19-related childbirth anxiety (CCA) in the first two waves of the pandemic. The study suggests that CCA was higher in the first wave, as well as among women from a minority group. At the same time, the research shows that resilience resources of optimism and self-compassion contributed to the reduction of anxiety. These findings may guide interventions for the vulnerable group of pregnant women in times of crisis.

Efek Terapi Murottal Surat Ar-Rahman terhadap Tingkat Kecemasan Ibu Bersalin Kala I

Anxiety is an emotional disorder that is often experienced by mothers in labor. The effects of anxiety in childbirth can trigger the release of excess catecholamine levels, which can result in decreased blood flow to the uterus and can lead to prolonged labor during the active phase of labor. One of the non-pharmacological efforts to overcome this problem is murottal therapy. This study aims to determine the effect of Murottal Surat Ar-Rahman therapy on the level of anxiety in mothers during the active phase of labor at Esti Husada Clinic. The study used a Quasy Experiment design. Quantitative design using the Non-Equivalent Control Group. The sampling technique is Accidental sampling. The number of samples was 22 mothers who gave birth during the first stage of the active phase consisting of 11 respondents in the control group and 11 respondents in the experimental group. Quantitative data analysis used the Wilcoxon test. Results are obtained p-value=0.005, which means there is an effect of Murottal Surat Ar-Rahman therapy on the level of anxiety in the mother during the active phase of labor. The level of maternal anxiety level during the first stage of labor in the control group during the pretest (54.5%) and posttest (63.6%), namely at a moderate level of anxiety, while the anxiety level of the mother during the first stage of the active phase in the intervention group before doing murottal therapy is experiencing moderate anxiety (54.5%), but after being given murottal therapy it changed to mild anxiety (72.7%).

Tobacco Use and Exposure to Environmental Tobacco Smoke amongst Pregnant Women in the United Arab Emirates: The Mutaba'ah Study.

Self-reported tobacco use is high in the male adult Emirati population (males ~36% vs. females ~3%); however, there are minimal data on tobacco use or exposure to environmental tobacco smoke (ETS) during pregnancy in the United Arab Emirates (UAE). This study investigated the prevalence of, and factors associated with, tobacco use and exposure to environmental tobacco smoke (ETS) amongst pregnant women in the UAE. Baseline cross-sectional data were analysed from the Mutaba’ah Study. Expectant mothers completed a self-administered questionnaire collecting sociodemographic information, maternal tobacco use, and ETS exposure during antenatal visits at three hospitals in Al Ain (UAE; May 2017–February 2021). Amongst 8586 women included in the study, self-reported tobacco use during pregnancy was low (0.7%), paternal tobacco use was high (37.9%), and a third (34.8%) of expectant mothers were exposed to ETS (28.0% at home only). Pregnant women who were employed (adjusted odds ratio (aOR): 1.35, 95% confidence interval (CI): 1.19–1.52), with childbirth anxiety (aOR 1.21, 95% CI 1.08–1.36), and with an increased number of adults living in the same household (aOR 1.02 95% CI 1.01–1.03) were independently more likely to be exposed to ETS. Pregnant women with higher education levels (aOR 0.84, 95% CI 0.75–0.94) and higher gravidity (aOR 0.95, 95% CI 0.92–0.99) were less likely to be exposed to ETS. Public health efforts targeting smoking cessation amongst husbands and promoting smoke-free homes are warranted to help reduce prenatal ETS exposure in the UAE.

Perinatal Anxiety among Women during the COVID-19 Pandemic—A Cross-Sectional Study

Introduction: The COVID-19 pandemic has changed the way prenatal education and obstetric care are provided. Pandemic-related anxiety, restrictions, limitations in perinatal care, and the inability to be accompanied by a loved one can have negative psychological consequences for future parents and their child. The aim of this study was to analyze the determinants and assess the anxiety of pregnant women in individual trimesters, as well as to learn about the sources of support and medical personnel proceeding methods. Materials and Methods: This research was conducted as a diagnostic survey, using the State-Trait Anxiety Inventory (STAI), Childbirth Anxiety Questionnaire (CAQ), and a standardized interview questionnaire, on 534 pregnant women in Poland. Resultsand Conclusions: The pregnant women, regardless of the trimester of pregnancy, are characterized by: increased anxiety level influenced by the current epidemiological situation, psychophysical condition, previous maternal experiences, participation in classes preparing for childbirth, organization of perinatal care, their relationship with a partner, and the presence of a loved one during childbirth. A negative correlation was shown between the level of childbirth anxiety and maternal experience, as well as the support of a doctor and midwife.

PENGARUH AROMATERAPI LAVENDER TERHADAP KECEMASAN IBU BERSALIN PADA PANDEMI COVID-19 DI PUSKESMAS I DENPASAR TIMUR

Non-natural disasters caused by the Covid 19 virus that is currently engulfing Indonesia is currently one of the factors that can cause anxiety in mothers who will face childbirth. Anxiety in childbirth is a common condition for pregnant women. Mothers who experience anxiety in the labor process can cause pathological conditions. An alternative treatment to reduce anxiety in maternity mothers is to use aromatherapy. The results of this study aim to find out the effect of lavender aromatherapy on the anxiety of maternity mothers in the covid-19 pandemic. This type of research is a quasi experiment with one group pretest-posttes without control. The population in this study was all mothers who were pregnant in the working area of Puskesmaa I Denpasar Timur with a sample of 20 maternity mothers who fit the criteria of inclusion and taken purposive sampling. The data collection tool used is a DASS questionnaire. The results of this study using a paired t-test showed that there was a meaningful difference between the level of anxiety before being given aromatherapy and after being given aromatherapy judging from the p-value of < 0.05.

The effect of childbirth fear and anxiety in the Turkish population on maternal self-efficacy for breastfeeding: A survey study

The effect of childbirth fear and anxiety in the Turkish population on maternal self-efficacy for breastfeeding: A survey study

TOCOPHOBIA – SHORT REVIEW OF CURRENT LITERATURE

For every woman, childbirth is a multifaceted and unique experience that can be associated with both positive feelings, such as joy, happiness, faith, and negative feelings – fear, anxiety, anxiety, but also physical effects. Fear of childbirth is a common problem affecting women’s well-being and health, prevalence of tocophobia continues to increase and var¬ies from country to country. The aim of this review was to summarize published studies on the prevalence of childbirth anxiety in women and how it is defined, its possible causes and effects, and to look for different methods of manage¬ment. The research area described is complex and difficult to interpret when there is no consensus on a precise and clear definition of tocophobia. What is certain, however, is that every woman, whether with suspected tocophobia or not, should be treated individually and receive specialist care at every stage of pregnancy and the postpartum period.

The Use of Misis-Prety Application (Mindfulness Spiritual of Islam for Prenatal Anxiety) Toward Childbirth Anxiety in Covid-19 Pandemic

Background: Reports show the prenatal anxiety of Indonesia reaches a percentage of 28.7% of mothers experience anxiety. The COVID-19 pandemic influences pregnant mothers’ psychology, 76.2%. The physical, psychological, and spiritual balance of pregnant mothers should be healthily balanced. This healthy balance includes the childbirth process to avoid psychological interruption. The use of android application information for obstetric service could improve maternal quality by providing intervention autonomously. Method: This Research & Development used True Experimental Pre and Post-test with Control Group Design. The intervention was with MiSIs-PreTy application to lose the anxiety of primipara pregnant mothers with Trimester III status on the experimental group for 7 days. Every day, the mothers received 30 minutes of implementation. The positive control group, on the other hand, received health education about childbirth preparation. The researchers took 30 respondents as the samples randomly. The data analysis was tested with non-parametric Wilcoxon and Mann Whitney tests. Results: The experts’ validation about the developed application reliability obtained an average score of 92.80% from six aspects. They were based on the ISO 9126 software’s quality, such as usability, reliability, functionality, efficiency, maintainability, and portability. The experiment used the given intervention for both groups. It was effective to lose the anxiety. The effectiveness for experimental group was p < 0.001 while control group obtained p < 0.005. However, the use of the developed application was more effective to lose the anxiety with an average score of 11,8±5,414 for the experimental group than the positive control group with 4,46±4,24. Conclusion: The developed application, MiSIs-PreTy, was validated and revised to be more effective to lose the anxiety of pregnant mothers. Further researches could develop the findings by adding some variables, such as childbirth self-efficacy as the valid measuring tool to examine the pregnant mothers' belief to give birth.

The Use of Misis-Prety Application (Mindfulness Spiritual of Islam for Prenatal Anxiety) Toward Childbirth Anxiety in Covid-19 Pandemic

Background: Reports show the prenatal anxiety of Indonesia reaches a percentage of 28.7% of mothers experience anxiety. The COVID-19 pandemic influences pregnant mothers’ psychology, 76.2%. The physical, psychological, and spiritual balance of pregnant mothers should be healthily balanced. This healthy balance includes the childbirth process to avoid psychological interruption. The use of android application information for obstetric service could improve maternal quality by providing intervention autonomously. Method: This Research & Development used True Experimental Pre and Post-test with Control Group Design. The intervention was with MiSIs-PreTy application to lose the anxiety of primipara pregnant mothers with Trimester III status on the experimental group for 7 days. Every day, the mothers received 30 minutes of implementation. The positive control group, on the other hand, received health education about childbirth preparation. The researchers took 30 respondents as the samples randomly. The data analysis was tested with non-parametric Wilcoxon and Mann Whitney tests. Results: The experts’ validation about the developed application reliability obtained an average score of 92.80% from six aspects. They were based on the ISO 9126 software’s quality, such as usability, reliability, functionality, efficiency, maintainability, and portability. The experiment used the given intervention for both groups. It was effective to lose the anxiety. The effectiveness for experimental group was p < 0.001 while control group obtained p < 0.005. However, the use of the developed application was more effective to lose the anxiety with an average score of 11,8±5,414 for the experimental group than the positive control group with 4,46±4,24. Conclusion: The developed application, MiSIs-PreTy, was validated and revised to be more effective to lose the anxiety of pregnant mothers. Further researches could develop the findings by adding some variables, such as childbirth self-efficacy as the valid measuring tool to examine the pregnant mothers' belief to give birth.

Literature Review: The Effect of Audio Hypnobirthing on Anxiety Levels in First Childbirth Mothers

Anxiety in childbirth is a response to certain threatening situations, often anxiety can be characterized by feelings of irritability, anxiety, nervousness, excessive vigilance, and feelings of tension when facing the labor process. Maternal mothers who cannot control their anxiety and fear before giving birth will release high amounts of catecholamine hormones. Stress hormones that are produced in excess in pregnant women can interfere with the blood supply to the fetus and can make the fetus hyperactive. This literature study aims to determine the effect of audio hypnobirthing on maternal anxiety levels. This study uses a descriptive narrative method in the form of a literature study, literature searches are carried out through Google Scholar, Indonesia One Search (IOS), Digital Reference Garba (GARUDA) and text books. The literature used is published in 2011-2020 both nationally and internationally and is relevant to the topic taken. The results of the study of literature in 6 journals and 3 books found that there was an effect of audio hypnobirthing on the anxiety level of maternity mothers. Based on the results of the study, it can be concluded that hypnobirthing can prevent anxiety in maternity.