Effectiveness of Prenatal Gentle Yoga to Improve Norephinefrine Levels in Primigravida and Multigravida Pregnant Women at Pkm Makassar City Region
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Abstract
Pregnant women are at risk of experiencing anxiety and stress which causes the release of the hormone norepinephrine which is produced by most neurons in the brain stem and hypothalamus. Yoga has a positive impact on the body by reducing the performance of the hypothalamus, thereby releasing neuropeptides which stimulate the pituitary gland and releasing ACTH which suppresses the production of stress hormones. Prenatal Gentle Yoga is a therapy that supports the healthy balance between body and mind that is needed during the process of pregnancy until delivery.
This research was carried out at the Bara Baraya Health Center, Antang Health Center, Kapasa Health Center, and Mamajang Health Center. The research design used in this research is Quasi Experiment with a Nonequivalent Control Group Design approach. Sampling used a purposive sampling technique. The instrument used is ELISA (Enzyme Linked Limmuno Sorbent Assay). The research sample consisted of 24 respondents, 12 people in the intervention group, and 12 people in the control group. Criteria in this research; Primigravida and multigravida pregnant women, pregnant women in the II-III trimester with a gestational age of >=20 to <31 weeks, pregnant women without complications in pregnancy.
Based on statistical tests (Mann Whitney Test), norepinephrine levels in the intervention group decreased (p=0.008), there was a significant difference, in the control group the statistical test showed no significance (p=0.347). Thus, prenatal gentle yoga is effective in reducing levels of the hormone norepinephrine.
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References
I. Alza, n., & Ismarwati, I. (2017). Factors that influence anxiety in third trimester pregnant women. Aisyiyah Journal of Midwifery and Nursing, 13(1), 1-6.
II. Anxiety & Depression Associations of America (ADAA). (2016). Pregnancy and Medication
III. Ashari, Gbariellyn Sura Pongsifeld, Andi M. (2019). The Influence of Prenatal Yoga Gymnastics on Decreasing Anxiety of Third Trimester Pregnant Women. Influence of Prenatal Yoga Gym to Decreasing Anxiety of Third Trimester Pregnant Women. JOURNAL of Indonesian Public Health Media, 15(1, March), 55–62. https://doi.org/DOI :http://dx.doi.org/10.30597/mkmi.v15i1.5554
IV. Bingan, ECS (2019). The Effect of Prenatal Gentle Yoga in Reducing Anxiety Levels in Third Trimester Pregnant Women. Journal of Health, 10(November), 466–472.
V. Chen, P.J., Yang, L., Chou, C.C., Li, C.C., Chang, Y.C., & Liaw, J.J. (2017). Effects of prenatal yoga on women's stress and immune function across pregnancy: A randomized controlled trialtrials. Complementary Therapies in Medicine, 31, 109– 117.https://doi.org/10.1016/j.ctim.2017.03.003
VI. Dennis, C.-L., Falah-Hassani, K., & Shiri, R. (2017). Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis. British Journal of Psychiatry, 210(5), 315–323.
https://doi.org/10.1192/bjp.bp.116.187179
VII. Fathua Nurul Rahma. (2014). The Relationship between Yoga Exercises and Improved Sleep Quality in Pregnant Women in the Second Trimester [Muhammadiyah University Surakarta]. http://eprints.ums.ac.id/30487/
VIII. Goodall, M., & Diddle, A. W. (1971). Epinephrine and norepinephrine in pregnancy. A comparative study of the adrenal gland and catechol output in different species of animals and humans. American Journal of Obstetrics and Gynecology, 111(7), 896–904.https://doi.org/10.1016/0002-9378(71)90944-6
IX. Hagins, M., Rundle, A., Consedine, N.S., & Khalsa, S.B.S. (2014). A Randomized Controlled Trial Comparing the Effects of Yoga With an Active Control on Ambulatory Blood Pressure in Individuals With Prehypertension and Stage 1 Hypertension. Journal of Clinical Hypertension, 16(1), 54–62. https://doi.org/10.1111/jch.12244
X. Indonesian Ministry of Health. (2018). Indonesian Health Profile.
XI. Maharani, S., & Hayati, F. (2020). The Effect of Prenatal Gentle Yoga on Pregnant Women's Anxiety Levels Facing Childbirth. Endurance Journal, 5(1), 161. https://doi.org/10.22216/jen.v5i1.4524
XII. Newham, J.J., Ph, D., Wittkowski, A., D, C.P., Hurley, J., Aplin, J.D., Ph, D., Westwood, M., & Ph, D. (2014). Effects Of Antenatal Yoga On Maternal Anxiety And Depression: A Randomized. 640(December 2013), 631–640.
https://doi.org/10.1002/da.22268
XIII. Nurul Rahmitha. (2017). Anxiety Levels in Third Trimester Primigravida Pregnant Women at the Tamalanrea District Health Center, Makassar. In Nusantara University Pgri Kediri (Vol. 01). Http://Www.Albayan.Ae
XIV. P Vijayalakshmi, Madanmohan, AB Bhavanani, Asmita Patil, KB (2004). No Title. Indian J Physiol Pharmacol, 48(1), 59–64.
XV. Septianingrum, Y. (2015). Against Reducing Stress, Anxiety. Journal of Health Sciences, 8(2), 206–212.
XVI. Somma-Pillay, P., Piercy-Nelson, C., Tolppanen, H., & Mebazaa, A. (2016). Page0035. Cardiovascular Journal Of Africa, 27(2), 89–94. https://doi.org/10.5830/CVJA-2016-021
XVII. Stephens, I. (2017). Medical Yoga Therapy. Children, 4(2), 12.
https://doi.org/10.3390/children4020012
XVIII. Sun, Y., Huang, K., Hu, Y., Yan, S., Xu, Y., Zhu, P., & Tao, F. (2019). Pregnancy-specific anxiety and elective cesarean section in primiparas: A cohort study in China. PLOS ONE, 14(5), 1–13. https://doi.org/10.1371/journal.pone.0216870
XIX. Timothy, PDKH (2018). BRAIN AND BEHAVIOR (Aditya AC (ed.); Novia Chri). CV. ANDI OFFSET.
XX. Xian, T., Zhuo, L., Dihui, H., & Xiaoni, Z. (2019). Journal of Affective Disorders Influencing factors for prenatal stress, anxiety and depression in early pregnancy among women in Chongqing, China. 253(May), 292–302.
https://doi.org/10.1016/j.jad.2019.05.003
XXI. Yukzel, F., Akin, S. & Durna, Z (2013). Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress. Journal of Clinical Nursing, 23(1-2), 54-64.