Psycheducation of Żikir decreases percieved stress and IL-6 level of Primigravida women
Keywords:
class, mother, influencesAbstract
Unstable emotions often occur during the pregnancy and place the pregnant women in a stress transition and tends to a vulnerable condition, which can increase proinflammatory cytokines so as to trigger preterm labor. The pregnancy period is a condition to get closer to God and make life more meaningful by using religious beliefs as a strong coping mechanism. This study aims to prove routine midwifery care plus psychoeducation Żikir further reduces perceived stress and the level of IL-6 Primigravida women compared to routine midwifery care. This study was an experimental study. A number of 37 participants as intervention group and a number of 38 participants as control group. The perceived stress obtained using Perceived Stress Scale and IL-6 levels measured using ELIZA kits in the third trimester of pregnancy. Statistical test using independent t test to compare delta score. The result showed mean difference between groups on the end of interventions, perceived stress 4.520 CI 95% (-7.687 – [-1.353]) and p value is 0.006. The difference of the IL-6 between groups 8.371 CI 95% (-11.361 – [-5.38]) and p value is less than 0.001.
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Akbarzadeh, M., Mokhtaryan, T., Amooee, S., Moshfeghy, Z., & Zare, N. (2015). Investigation of the effect of religious doctrines on religious knowledge and attitude and postpartum blues in primiparous women. Iranian Journal of Nursing and Midwifery Research, 20(5), 570–576. https://doi.org/10.4103/1735-9066.164586
Blencowe, H., Cousens, S., Chou, D., Oestergaard, M., Say, L., Moller, A. B., … Lawn, J. (2013). Born too soon: the global epidemiology of 15 million preterm births. Reprod Health, 10(1).
Callister, L. C., & Khalaf, I. (2010). Spirituality in childbearing women. The Journal of Perinatal Education, 19(2), 16–24. https://doi.org/10.1624/105812410X495514
Carlo, G., Renzo, D., Tosto, V., & Giardina, I. (2018). Best Practice & Research Clinical Obstetrics and Gynaecology The biological basis and prevention of preterm birth. Best Practice & Research Clinical Obstetrics & Gynaecology, 1–10.
Cheadle, A. C. ., Schetter, C. D., Lanzi, R. G., Vance, M. R., Sahadeo, L. S., & Shalowitz, M. (2015). Spiritual and Religious Resources in African American Women: Protection from Depressive Symptoms Following Birth. Clin Psychol Sci, 3(2), 283–291.
Christian, L. M. (2012). Psychoneuroimmunology in pregnancy: Immune pathways linking stress with maternal health, adverse birth outcomes, and fetal development. Neuroscience and Biobehavioral Reviews, 36(1), 350–361.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior, Vol. 24, pp. 385–396. https://doi.org/10.2307/2136404
Coleman, M. A. G., Keelan, J. A., Mccowan, L. M. E., Townend, K. M., & Mitchell, M. D. (2001). Predicting preterm delivery : comparison of cervicovaginal interleukin ( IL ) -1 b , IL-6 and IL-8 with fetal ® bronectin and cervical dilatation. European Journal of Obstetrics & Gynecology and Reproductive Biology, 95, 154–158.
Coussons-Read, M. E. (2012). The Psychoneuroimmunology of Stress in Pregnancy. Current Directions in Psychological Science, 21(5), 323–328.
Czajka, R. (2004). Proinflammatory cytokines and other indications of inflammation in cervico-vaginal secretions and preterm delivery. International Journal of Gynecology and Obstetrics, 125–130.
Faucette, A. N., Unger, B. L., Gonik, B., & Chen, K. (2015). Maternal vaccination: Moving the science forward. Human Reproduction Update, 21(1), 119–135.
Habel, C., Feeley, N., Hayton, B., Bell, L., & Zelkowitz, P. (2015). Causes of women׳s postpartum depression symptoms: Men׳s and women׳s perceptions. Midwifery, 31(7), 728–734. https://doi.org/10.1016/j.midw.2015.03.007
Hung, C.-H. (2006). Correlates of First-Time Mothers’ Postpartum Stress. The Kaohsiung Journal of Medical Sciences, 22(10), 500–507. https://doi.org/10.1016/S1607-551X(09)70344-4
Kemenkes RI. (2015). Buku Kesehatan Ibu dan Anak. Jakarta: Kementerian Kesehatan dan JICA.
Kemenkes RI, WHO, POGI, & IBI. (2013). Kehamilan, Persalinan dan Nifas Normal. In E. M. Moegni & D. Ocviyanti (Eds.), Buku Saku Pelayanan Kesehatan Ibu Di Fasilitas Kesehatan Dasar Dan Rujukan, Pedoman Bagi tenaga Kesehatan (Pertama, pp. 21–62). Jakarta: Kemenkes RI.
Kendall-Tackett, K. (2007). A new paradigm for depression in new mothers: the central role of inflammation and how breastfeeding and anti-inflammatory treatments protect maternal mental health. International Breastfeeding Journal, 2, 6. https://doi.org/10.1186/1746-4358-2-6
Kesrouani, A., Chalhoub, E., El, E., Germanos, M., Khazzaka, A., Rizkallah, J., … Aouad, N. (2016). Cytokine Prediction of preterm delivery by second trimester inflammatory biomarkers in the amniotic fluid. Cytokine, 85, 67–70.
Kota, S. K., Gayatri, K., Jammula, S., Kota, S. K., Krishna, S. V. S., & Meher, L. K. (2013). Review Article Endocrinology of parturition. 17(1), 50–59.
Liou, S., Wang, P., & Cheng, C. (2014). Longitudinal study of perinatal maternal stress , depressive symptoms and anxiety. Midwifery, 30(6), 795–801.
Lobel, M., & Dunkel Schetter, C. (2014). Pregnancy and Prenatal Stress. Encyclopedia of Mental Health, 3(1), 1–47. https://doi.org/10.1007/s13398-014-0173-7.2
Maimunah, A. (2011). Pengaruh Pelatihan Relaksasi Dengan Dzikir Untuk Mengatasi Kecemasan Ibu Hamil Pertama. Psikologi Islam, 8(1), 1–22.
Mann, J. R., McKeown, R. E., Bacon, J., Vesselinov, R., & Bush, F. (2008). Do antenatal religious and spiritual factors impact the risk of postpartum depressive symptoms? Journal of Women’s Health (2002), 17(5), 745–755. https://doi.org/10.1089/jwh.2007.0627
Paules, C., Pueyo, V., Marti, E., De Vilches, S., Burd, I., Calvo, P., & Oros, D. (2017). Threatened preterm labor is a risk factor for impaired cognitive development in early childhood. Am J Obstet Gynecol, 216, 157.
Raison, C. L., Capuron, L., & Miller, A. H. (2006). Cytokines sing the blues: inflammation and the pathogenesis of depression. Trends in Immunology, 27(1), 24–31. https://doi.org/10.1016/j.it.2005.11.006
Romero, R., Dey, S. K., & Fisher, S. J. (2014). Preterm labor: one syndrome, many causes. Science, 345, 760–765.
Sutjahjo, S. ., Manderson, L., & Astbury, J. (2007). Complex emotions, complex problems: understanding the experiences of perinatal depression among new mothers in urban Indonesia. Culture, Medicine and Psychiatry, 31(1), 101–122. https://doi.org/10.1007/s11013-006-9040-0
Wahyuni, S, Murwati, & Supiati. (2014). Faktor Internal Dan Eksternal Yang Mempengaruhi Depresi Postpartum. Jurnal Terpadu Ilmu Kesehatan, 3(2), 94–98.
Wahyuni, Sri, Anies, Soejoenoes, A., & Putra, S. (2018). Psikoedukasi Zikir Menurunkan Kadar Kortisol dan Meningkatkan Kadar IGG pada Ibu Primipara. Jurnal Kesehatan Reproduksi, 5(2), 82–88. https://doi.org/10.22146/jkr.37643
Wahyuni, Sri, Anies, Soejoenoes, A., & Putra, S. T. (2019). Psychoeducation Dzikr reduces perceived stress and postpartum depression syndromes on primiparous women. Indian Journal of Public Health Research and Development, 10(3), 946–951. https://doi.org/10.5958/0976-5506.2019.00624.7
Wahyuni, Sri, Anies, Soejoenoes, A., Putra, S. T., & Syukur, M. A. (2018). Spiritual Dhikr Reduces Stress and Depression Symptom on Primigravidas. P J M H S, 12(3), 1368–1371.
Suryasa, W. (2019). Historical Religion Dynamics: Phenomenon in Bali Island. Journal of Advanced Research in Dynamical and Control Systems, 11(6), 1679-1685.
Eviasty, N., Daud, N. A., Hidayanty, H., Hadju, V., Maddeppungeng, M., & Bahar, B. (2021). The effect of personal coaching on increasing knowledge, attitudes, and actions about lactation nutrition, uterial involution, and lochea in public mothers. International Journal of Health & Medical Sciences, 4(1), 155-163. https://doi.org/10.31295/ijhms.v4n1.1669
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