Main Article Content
Abstract
Purpose: This study aims to identify the relationship between the Spiritual Emotional Freedom Technique (SEFT) education and anxiety levels in pregnant women in their third trimester. The primary focus is on the effectiveness of SEFT intervention as a non-pharmacological approach in helping to manage anxiety, as well as providing a comprehensive overview of the characteristics of the respondents and changes in anxiety levels before and after the intervention.
Research Method: This study used a pre-experimental one-group pretest-posttest design with a sample size of 30 pregnant women in their third trimester. The intervention took the form of structured SEFT education with materials, demonstrations, and guided independent practice by health workers. Data collection included measuring anxiety levels before and after the intervention using standard instruments, which were then analyzed to observe any changes that occurred.
Results and Discussion: The results showed a significant decrease in anxiety after SEFT education. Before the intervention, the majority of respondents experienced mild anxiety, while after the intervention, the majority did not experience anxiety. Respondents in the “Good” SEFT education category were mainly in the “No Anxiety” category, supporting the view that targeted education can improve the mental preparedness of pregnant women before childbirth.
Implications: This study emphasizes the importance of integrating SEFT education into antenatal care programs as a promotive and preventive strategy. Practically, SEFT can be an easily implemented intervention in primary healthcare facilities at a low cost, yet with a high impact. Recommendations for further research include the use of a control group design, a larger sample size, and a longer observation period to strengthen the validity of the findings.
Keywords
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References
- Abdullah, M. W., Mandala, A. D., Kapitan, M., Kleden, S. S., & Namuwali, D. (2024). Overview Of SEFT Therapy (Spiritual Emotional Freedom Technique) On Reducing Anxiety Of III Trimester Pregnant Women At Oesapa Health Center. Journal EduHealth, 15(02 SE-Articles), 1575–1583. https://ejournal.seaninstitute.or.id/index.php/healt/article/view/4828
- Andriyani, F., & Susanti, H. (2021). Pengaruh tingkat pendidikan terhadap efektivitas edukasi kesehatan pada ibu hamil. Jurnal Promosi Kesehatan Indonesia, 16(3), 178–185.
- Arikunto. (2017). 4. BAB III populasi. 30–44.
- Asmawati, Ikhlasia, M., & Panduragan, S. L. (2020). The effect of Spiritual Emotional Freedom Technique (SEFT) therapy on the anxiety of NAPZA (narcotics, psychotropic, and other addictive substances) residents. Enfermería Clínica, 30, 206–208. https://doi.org/https://doi.org/10.1016/j.enfcli.2019.11.055
- Astuti, L. P., Siswiyanti, I., & Sonhaji, S. (2022). the Effect of Spiritual Emotional Freedom Technique (Seft) on Anxiety During the Active Phase I Labor. Jurnal Riset Kesehatan, 11(1), 14–20. https://doi.org/10.31983/jrk.v11i1.8468
- Ayers, S., Horsch, A., Garthus-Niegel, S., Nieuwenhuijze, M., Bogaerts, A., Hartmann, K., Karlsdottir, S. I., Oosterman, M., Tecirli, G., Turner, J. D., & Lalor, J. (2024). Traumatic birth and childbirth-related post-traumatic stress disorder: International expert consensus recommendations for practice, policy, and research. Women and Birth, 37(2), 362–367. https://doi.org/https://doi.org/10.1016/j.wombi.2023.11.006
- Ayers, S., Sinesi, A., Meade, R., Cheyne, H., Maxwell, M., Best, C., McNicol, S., Williams, L. R., Hutton, U., Howard, G., Shakespeare, J., Alderdice, F., & Jomeen, J. (2025). Prevalence and treatment of perinatal anxiety: diagnostic interview study. BJPsych Open, 11(1), e5. https://doi.org/10.1192/bjo.2024.823
- Baart, A., Reinders, A. H. B., Pijnappel, L., Haan, M. D. E., & Ginkel, J. D. E. M. A. N. V. A. N. (2025). Continuity of care as central theme in perinatal care: A systematic review. Midwifery, 141, 104273. https://doi.org/https://doi.org/10.1016/j.midw.2024.104273
- Blasius, G., Pandie, A. B., Onggang, F. S., & Batbual, B. (2023). Influence Therapy Spiritual Emotional Freedom Technique (SEFT) Towards Reducing Anxiety Levels In Hypertension Patients In The Oesapa Community Health Center Area, Kupang City. Journal for ReAttach Therapy and Developmental Diversities, 6(5s SE-Articles), 1127–1134. https://doi.org/10.53555/jrtdd.v6i5s.2935
- Caffieri, A., Gómez‐Gómez, I., Barquero‐Jiménez, C., De‐Juan‐Iglesias, P., Margherita, G., & Motrico, E. (2024). Global prevalence of perinatal depression and anxiety during the COVID‐19 pandemic: An umbrella review and meta‐analytic synthesis. Acta Obstetricia et Gynecologica Scandinavica, 103(2), 210–224. https://doi.org/10.1111/aogs.14740
- Chantry, A. A., Guiguet-Auclair, C., Rollet, C., Pralus, M., Dubel-Jam, M., Roelens, I., Revolon, M., Evrard, A., Goyet, S., Le Ray, C., Sauvegrain, P., & Vendittelli, F. (2025). Intrapartum and childbirth care and outcomes in midwife-led birth centres in France: A nationwide descriptive study with an analysis of maternal and neonatal transfers. Women and Birth, 38(3), 101908. https://doi.org/https://doi.org/10.1016/j.wombi.2025.101908
- Combellick, J. L., Telfer, M. L., Ibrahim, B. B., Novick, G., Morelli, E. M., James-Conterelli, S., & Kennedy, H. P. (2023). Midwifery care during labor and birth in the United States. American Journal of Obstetrics and Gynecology, 228(5, Supplement), S983–S993. https://doi.org/https://doi.org/10.1016/j.ajog.2022.09.044
- Dewi, R., Sari, M., & Lestari, P. (2021). Faktor-faktor yang berhubungan dengan kecemasan ibu hamil menjelang persalinan. Jurnal Ilmiah Kebidanan, 12(4), 198–205.
- Emadi, S. F., Hekmat, K., Abedi, P., & Maraghi, E. (2023). Effect of emotional freedom technique on the fear of childbirth in Iranian primiparous women: a randomized controlled trial. Frontiers in Psychology, 14, 1145229. https://doi.org/10.3389/fpsyg.2023.1145229
- Fitria, R., & Nurhasanah, S. (2023). Efektivitas bimbingan SEFT terhadap penurunan kecemasan ibu hamil. Jurnal Kebidanan Nusantara, 12(1), 45–52.
- Fraga, S. D., Khan, I. N., Sharma, T. A., & Lawrence, E. R. (2024). Predominant approaches to measuring pregnancy-related anxiety in Sub-Saharan Africa: a scoping review. BMC Public Health, 24(1), 2425. https://doi.org/10.1186/s12889-024-19935-3
- Gayatri, G., & Purnamayanti, N. K. D. (2024). Intervention with the wellness therapy spiritual emotional freedom technique (SEFT) in cancer patients and with chemotherapy: A scoping review. Svāsthya: Trends in General Medicine and Public Health, 1(2 SE-Systematic review-Meta analysis), e2. https://doi.org/10.70347/svsthya.v1i2.2
- Guyatt, G. H., & Rennie, D. (1993). Users' Guides to the Medical Literature. Jama, 270(17), 2096–2097. https://doi.org/10.1001/jama.1993.03510170086037
- Halliday, L., Nelson, S. M., & Kearns, R. J. (2022). Epidural analgesia in labor: A narrative review. International Journal of Gynecology & Obstetrics, 159(2), 356–364. https://doi.org/10.1002/ijgo.14175
- Hasanah, U., & Fitriani, S. (2020). Analisis faktor-faktor yang mempengaruhi partisipasi ibu hamil dalam program edukasi kesehatan. Jurnal Kesehatan Masyarakat Andalas, 14(2), 67–74.
- Hidayat, A. (2024a). Spiritual Emotional Freedom Technique (SEFT) Analysis of the Anxiety Levels of Primigravida Pregnant Women in the Third Trimester. Jurnal Kesehatan, 15. https://doi.org/10.35730/jk.v15i2.1111
- Hidayat, A. (2024b). Spiritual Emotional Freedom Technique (SEFT) Analysis of the Anxiety Levels of Primigravida Pregnant Women in the Third Trimester. Jurnal Kesehatan.
- Højstrup, L., Bohart, S., Thellesen, L., & Wildgaard, K. (2025). Parturients’ perspectives on labor pain and epidural analgesia: A protocol for an explorative qualitative study. Acta Anaesthesiologica Scandinavica, 69(4), e70018. https://doi.org/10.1111/aas.70018
- Husna, S., & Azizah, S. (2021). Pengaruh metode edukasi relaksasi terhadap penurunan kecemasan ibu hamil. Jurnal Kebidanan.
- Islamiyah, N., & Pratiwi, R. D. (2024). Peran spiritualitas dalam teknik relaksasi untuk ibu hamil: tinjauan literatur. Journal of Spiritual Care, 2(1), 15–22.
- Kapitan, M., Mandala, A. D., & Abdullah, M. W. (2024). Overview of SEFT Therapy on Reducing Anxiety of III Trimester Pregnant Women at Oesapa Health Center. Journal SEAN Institute.
- Lobmaier, S. M., Mueller, A., Zelgert, C., Shen, C., Su, P.-C., Schmidt, G., Haller, B., Berg, G., Fabre, B., & Weyrich, J. (2019). Fetus: the radar of maternal stress, a cohort study. ArXiv Preprint ArXiv:1902.09746. https://doi.org/10.1007/s00404-019-05390-8
- Maharani, D., & Puspitasari, W. (2023). Prevalensi dan faktor risiko kecemasan antenatal pada ibu hamil trimester III. Indonesian Journal of Reproductive Health, 14(3), 156–163.
- Marifah, A. R., Setyowati, S., & Afiyanti, Y. (2022). The Effect of the Spiritual Emotional Freedom Technique (SEFT) on Anxiety Reduction in Hydatidiform Mole Patients. Journal of Maternity Care.
- Nasution, N. A., & Rachmawati, A. (2024). Benefits of Spiritual Emotional Freedom Technique (SEFT) in Pregnancy, Childbirth, and Postpartum Period: A Literature Review. Aisyah: Jurnal Ilmu Kesehatan.
- Nielsen-Scott, M., Fellmeth, G., Opondo, C., & Alderdice, F. (2022). Prevalence of perinatal anxiety in low- and middle-income countries: A systematic review and meta-analysis. Journal of Affective Disorders, 306, 71–79. https://doi.org/https://doi.org/10.1016/j.jad.2022.03.032
- Nurbaya, A. P., & Munawaroh, M. (2023). Pengaruh Relaksasi Hypnobirthing Terhadap Tingkat Kecemasan Ibu Primigravida Trimester Iii Dalam Menghadapi Persiapan Persalinan Di Klinik Bougenville Pandeglang. Jurnal Ilmiah Bidan, 7(3), 1–9. https://doi.org/10.61720/jib.v7i3.381
- Nurjanah, S., Handayani, L., & Sari, D. (2022). Perbedaan tingkat kecemasan antara primigravida dan multigravida dalam menghadapi persalinan. Jurnal Keperawatan Maternitas, 10(1), 23–30.
- Permatasari, A. S., Pujiastuti, S. E., & Mulyantoro, D. K. (2020). Spiritual Emotional Freedom Technique (SEFT) Intervention on Blood Pressure among Pregnancy with Hypertension. International Journal of Nursing and Health Services (IJNHS), 3(3), 402–410. https://doi.org/10.35654/ijnhs.v3i3.233
- Pratiwi, Y., & Lestari, D. (2023). Pengaruh pendidikan formal terhadap pemahaman teknik relaksasi pada ibu hamil trimester III. Jurnal Kebidanan & Kesehatan.
- Putra, I. M., & Cahyani, W. (2021). Peran dukungan keluarga dalam keberhasilan pelaksanaan Spiritual Emotional Freedom Technique (SEFT) pada ibu hamil. Jurnal Psikologi Kesehatan, 6(3), 75–83.
- Putranti, A. D. (2021). Seft (Spiritual Emotional Freedom Technique) untuk Menurunkan Kecemasan Ibu Hamil Trimester III. Jurnal Psikologi UP45.
- Putri, A. D., Sari, N. L., & Wulandari, R. (2022). Faktor-faktor yang mempengaruhi kecemasan ibu hamil primigravida trimester III. Jurnal Kebidanan Indonesia, 13(2), 87–94.
- Putri, D. A., & Rahmawati, N. (2022). Efektivitas kelas ibu hamil dalam meningkatkan penerapan teknik relaksasi. Jurnal Kesehatan Ibu Dan Anak.
- Putri, N. A., & Wardani, E. M. (2022). Dampak kecemasan maternal terhadap luaran persalinan dan neonatal. Majalah Obstetri & Ginekologi, 30(2), 78–85.
- Putri, N. A., & Yuliana, S. (2023). Pengaruh edukasi relaksasi SEFT berbasis praktik terhadap penurunan kecemasan pada ibu hamil. Jurnal Kesehatan Masyarakat, 15(2), 120–127.
- R, M., & Limbong, M. (2024). The Effectiveness of Emotional Freedom Techniques (EFT) on The Childbirth Anxiety in Primigravida in The Third Trimester of Pregnancy. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 6, 1343. https://doi.org/10.30829/contagion.v6i2.21818
- Rachmawardany, D. W., Mustikawati, I. F., Septianawati, P., & Immanuel, G. (2024). Analysing the Spiritual Effects of Emotional Freedom Technology (SEFT) in Building Psychological Well-being: Systematic Literature Review. Journal of Health Sciences, 5(4), 293–298.
- Rahayu, R., & Sariyati, S. (2020). Pengaruh Terapi SEFT (Spiritual Emotional Freedom Technique) terhadap Kesiapan Menghadapi Persalinan pada Ibu Hamil Primigravida Trimester III di Puskesmas Kasihan II Bantul Yogyakarta. UNIVERSITAS ALMA-ATA. http://elibrary.almaata.ac.id/id/eprint/2175%0A
- Rahayu, S., Pratiwi, I., & Lestari, D. (2022). Hubungan tingkat pendidikan dengan penerimaan edukasi teknik relaksasi pada ibu hamil. Jurnal Kebidanan Nusantara.
- Rahmawati, S., Dewi, L. K., & Pratiwi, N. I. (2024). Literasi kesehatan ibu hamil berdasarkan karakteristik sosiodemografi. Health Education Journal Indonesia, 7(2), 112–120.
- Rondung, E., Massoudi, P., Nieminen, K., Wickberg, B., Peira, N., Silverstein, R., Moberg, K., Lundqvist, M., Grundberg, Å., & Hultcrantz, M. (2024). Identification of depression and anxiety during pregnancy: a systematic review and meta‐analysis of test accuracy. Acta Obstetricia et Gynecologica Scandinavica, 103(3), 423–436. https://doi.org/10.1111/aogs.14734
- Safitri, D., & Nugroho, A. (2022). Pengaruh kondisi fisik dan hormonal terhadap keberhasilan terapi SEFT pada ibu hamil trimester III. Jurnal Kesehatan Reproduksi, 8(2), 120–128.
- Safitri, Y., Handayani, S., & Wulandari, D. (2023). Efektivitas Spiritual Emotional Freedom Technique (SEFT) dalam menurunkan kecemasan ibu hamil: systematic review. Journal Evidence-Based Midwifery, 3(1), 34–42.
- Saleh, U. K. S., Kiah, F. K., & Bakoil, M. B. (2023). Pemberian Terapi Spiritual Emotional Freedom Technique (SEFT) untuk Meningkatkan Kesehatan Ibu Hamil pada Masa Pandemi Covid-19. ResearchGate.
- Sarimunadi, W., Carolin, B. T., & Lubis, R. (2021). Terapi Seft (Spiritual Emotional Freedom Technique) Untuk Menghadapi Kecemasan Dalam Persalinan. Jurnal Kebidanan Malahayati, 7(1), 139–144. https://doi.org/10.33024/jkm.v7i1.3146
- Shariatpanahi, M., Faramarzi, M., Barat, S., Farghadani, A., & Shirafkan, H. (2023). Prevalence and risk factors of prenatal anxiety disorders: A cross‐sectional study. Health Science Reports, 6(8), e1491. https://doi.org/10.1002/hsr2.1491
- Shava, S. (2023). Pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) Terhadap Kecemasan pada Ibu Hamil Trimester III. Repository STIKES NHM.
- Sherer, M. L., Malik, A., Osborne, L. M., Rowther, A. A., Zaidi, A., Atif, N., Rahman, A., Kahloon, L. E., Salman, M., & Yenokyan, G. (2023). Biological Mechanisms in Pregnant Women With Anxiety (Happy Mother-Healthy Baby Supplement Study): Protocol for a Longitudinal Mixed Methods Observational Study. JMIR Research Protocols, 12(1), e43193. https://preprints.jmir.org/preprint/43193
- Soma-Pillay, P., Nelson-Piercy, C., Tolppanen, H., & Mebazaa, A. (2016). Physiological changes in pregnancy: review articles. Cardiovascular Journal of Africa, 27(2), 89–94. https://hdl.handle.net/10520/EJC188686
- Somerville, S., Dedman, K., Hagan, R., Oxnam, E., Wettinger, M., Byrne, S., Coo, S., Doherty, D., & Page, A. C. (2014). The Perinatal Anxiety Screening Scale: development and preliminary validation. Archives of Women’s Mental Health, 17(5), 443–454. https://doi.org/10.1007/s00737-014-0425-8
- Sugiyono, D. (2019). Metode penelitian kuantitatif kualitatif dan R&D. In Penerbit Alfabeta.
- Vaajala, M., Kekki, M., Mattila, V. M., & Kuitunen, I. (2023). Fear of childbirth and use of labor analgesia: A nationwide register‐based analysis in Finland. International Journal of Gynecology & Obstetrics, 162(3), 945–949. https://doi.org/10.1002/ijgo.14781
- Vaajala, M., Liukkonen, R., Kuitunen, I., Ponkilainen, V., Mattila, V. M., & Kekki, M. (2023). Trends in the epidemiology of fear of childbirth and association with intended mode of delivery: A nationwide register‐based cohort study in Finland. Acta Obstetricia et Gynecologica Scandinavica, 102(4), 430–437. https://doi.org/10.1111/aogs.14521
- Val, A., Posse, C. M., & Míguez, M. C. (2025). Risk Factors for Prenatal Anxiety in European Women: A Review. Journal of Clinical Medicine, 14(9). https://doi.org/10.3390/jcm14093248
- Wulandari, P., & Sari, N. (2023). Pengaruh edukasi terstruktur terhadap self-efficacy ibu hamil dalam menghadapi persalinan. Indonesian Journal of Health Education, 8(2), 67–74.
- Wulandari, R., & Sari, P. (2023). Pengaruh edukasi terstruktur terhadap self-efficacy ibu hamil dalam mengelola kecemasan. Jurnal Bidan Kita, 11(1), 89–96.
- Yoviana, I., Maryati, I., & Widiasih, R. (2024). Intervensi Seft (Spiritual Emotional Freedom Technique) Untuk Mengatasi Kecemasan Dan Nyeri Pasca Sectio Caesarea: A Case Report. SENTRI: Jurnal Riset Ilmiah, 3(6), 3085–3101. https://doi.org/10.55681/sentri.v3i6.3019
- Yunitasari, E., & Riska, S. A. (2025a). Implementasi SEFT (Spiritual Emotional Freedom Technique) terhadap kecemasan pada ibu hamil trimester III. Journal of Mental Health Care.
- Yunitasari, E., & Riska, S. A. (2025b). Implementasi SEFT terhadap Kecemasan pada Ibu Hamil Trimester III. Journal of Mental Health Care.
- Zainuddin, A. F. (2012). SEFT for healing, success, happiness, and greatness. Jakarta: Afzan Publishing.
- Zainuddin, A. F. (2019). SEFT for healing, success, happiness, and greatness (8th). Afzan Publishing.
References
Abdullah, M. W., Mandala, A. D., Kapitan, M., Kleden, S. S., & Namuwali, D. (2024). Overview Of SEFT Therapy (Spiritual Emotional Freedom Technique) On Reducing Anxiety Of III Trimester Pregnant Women At Oesapa Health Center. Journal EduHealth, 15(02 SE-Articles), 1575–1583. https://ejournal.seaninstitute.or.id/index.php/healt/article/view/4828
Andriyani, F., & Susanti, H. (2021). Pengaruh tingkat pendidikan terhadap efektivitas edukasi kesehatan pada ibu hamil. Jurnal Promosi Kesehatan Indonesia, 16(3), 178–185.
Arikunto. (2017). 4. BAB III populasi. 30–44.
Asmawati, Ikhlasia, M., & Panduragan, S. L. (2020). The effect of Spiritual Emotional Freedom Technique (SEFT) therapy on the anxiety of NAPZA (narcotics, psychotropic, and other addictive substances) residents. Enfermería Clínica, 30, 206–208. https://doi.org/https://doi.org/10.1016/j.enfcli.2019.11.055
Astuti, L. P., Siswiyanti, I., & Sonhaji, S. (2022). the Effect of Spiritual Emotional Freedom Technique (Seft) on Anxiety During the Active Phase I Labor. Jurnal Riset Kesehatan, 11(1), 14–20. https://doi.org/10.31983/jrk.v11i1.8468
Ayers, S., Horsch, A., Garthus-Niegel, S., Nieuwenhuijze, M., Bogaerts, A., Hartmann, K., Karlsdottir, S. I., Oosterman, M., Tecirli, G., Turner, J. D., & Lalor, J. (2024). Traumatic birth and childbirth-related post-traumatic stress disorder: International expert consensus recommendations for practice, policy, and research. Women and Birth, 37(2), 362–367. https://doi.org/https://doi.org/10.1016/j.wombi.2023.11.006
Ayers, S., Sinesi, A., Meade, R., Cheyne, H., Maxwell, M., Best, C., McNicol, S., Williams, L. R., Hutton, U., Howard, G., Shakespeare, J., Alderdice, F., & Jomeen, J. (2025). Prevalence and treatment of perinatal anxiety: diagnostic interview study. BJPsych Open, 11(1), e5. https://doi.org/10.1192/bjo.2024.823
Baart, A., Reinders, A. H. B., Pijnappel, L., Haan, M. D. E., & Ginkel, J. D. E. M. A. N. V. A. N. (2025). Continuity of care as central theme in perinatal care: A systematic review. Midwifery, 141, 104273. https://doi.org/https://doi.org/10.1016/j.midw.2024.104273
Blasius, G., Pandie, A. B., Onggang, F. S., & Batbual, B. (2023). Influence Therapy Spiritual Emotional Freedom Technique (SEFT) Towards Reducing Anxiety Levels In Hypertension Patients In The Oesapa Community Health Center Area, Kupang City. Journal for ReAttach Therapy and Developmental Diversities, 6(5s SE-Articles), 1127–1134. https://doi.org/10.53555/jrtdd.v6i5s.2935
Caffieri, A., Gómez‐Gómez, I., Barquero‐Jiménez, C., De‐Juan‐Iglesias, P., Margherita, G., & Motrico, E. (2024). Global prevalence of perinatal depression and anxiety during the COVID‐19 pandemic: An umbrella review and meta‐analytic synthesis. Acta Obstetricia et Gynecologica Scandinavica, 103(2), 210–224. https://doi.org/10.1111/aogs.14740
Chantry, A. A., Guiguet-Auclair, C., Rollet, C., Pralus, M., Dubel-Jam, M., Roelens, I., Revolon, M., Evrard, A., Goyet, S., Le Ray, C., Sauvegrain, P., & Vendittelli, F. (2025). Intrapartum and childbirth care and outcomes in midwife-led birth centres in France: A nationwide descriptive study with an analysis of maternal and neonatal transfers. Women and Birth, 38(3), 101908. https://doi.org/https://doi.org/10.1016/j.wombi.2025.101908
Combellick, J. L., Telfer, M. L., Ibrahim, B. B., Novick, G., Morelli, E. M., James-Conterelli, S., & Kennedy, H. P. (2023). Midwifery care during labor and birth in the United States. American Journal of Obstetrics and Gynecology, 228(5, Supplement), S983–S993. https://doi.org/https://doi.org/10.1016/j.ajog.2022.09.044
Dewi, R., Sari, M., & Lestari, P. (2021). Faktor-faktor yang berhubungan dengan kecemasan ibu hamil menjelang persalinan. Jurnal Ilmiah Kebidanan, 12(4), 198–205.
Emadi, S. F., Hekmat, K., Abedi, P., & Maraghi, E. (2023). Effect of emotional freedom technique on the fear of childbirth in Iranian primiparous women: a randomized controlled trial. Frontiers in Psychology, 14, 1145229. https://doi.org/10.3389/fpsyg.2023.1145229
Fitria, R., & Nurhasanah, S. (2023). Efektivitas bimbingan SEFT terhadap penurunan kecemasan ibu hamil. Jurnal Kebidanan Nusantara, 12(1), 45–52.
Fraga, S. D., Khan, I. N., Sharma, T. A., & Lawrence, E. R. (2024). Predominant approaches to measuring pregnancy-related anxiety in Sub-Saharan Africa: a scoping review. BMC Public Health, 24(1), 2425. https://doi.org/10.1186/s12889-024-19935-3
Gayatri, G., & Purnamayanti, N. K. D. (2024). Intervention with the wellness therapy spiritual emotional freedom technique (SEFT) in cancer patients and with chemotherapy: A scoping review. Svāsthya: Trends in General Medicine and Public Health, 1(2 SE-Systematic review-Meta analysis), e2. https://doi.org/10.70347/svsthya.v1i2.2
Guyatt, G. H., & Rennie, D. (1993). Users' Guides to the Medical Literature. Jama, 270(17), 2096–2097. https://doi.org/10.1001/jama.1993.03510170086037
Halliday, L., Nelson, S. M., & Kearns, R. J. (2022). Epidural analgesia in labor: A narrative review. International Journal of Gynecology & Obstetrics, 159(2), 356–364. https://doi.org/10.1002/ijgo.14175
Hasanah, U., & Fitriani, S. (2020). Analisis faktor-faktor yang mempengaruhi partisipasi ibu hamil dalam program edukasi kesehatan. Jurnal Kesehatan Masyarakat Andalas, 14(2), 67–74.
Hidayat, A. (2024a). Spiritual Emotional Freedom Technique (SEFT) Analysis of the Anxiety Levels of Primigravida Pregnant Women in the Third Trimester. Jurnal Kesehatan, 15. https://doi.org/10.35730/jk.v15i2.1111
Hidayat, A. (2024b). Spiritual Emotional Freedom Technique (SEFT) Analysis of the Anxiety Levels of Primigravida Pregnant Women in the Third Trimester. Jurnal Kesehatan.
Højstrup, L., Bohart, S., Thellesen, L., & Wildgaard, K. (2025). Parturients’ perspectives on labor pain and epidural analgesia: A protocol for an explorative qualitative study. Acta Anaesthesiologica Scandinavica, 69(4), e70018. https://doi.org/10.1111/aas.70018
Husna, S., & Azizah, S. (2021). Pengaruh metode edukasi relaksasi terhadap penurunan kecemasan ibu hamil. Jurnal Kebidanan.
Islamiyah, N., & Pratiwi, R. D. (2024). Peran spiritualitas dalam teknik relaksasi untuk ibu hamil: tinjauan literatur. Journal of Spiritual Care, 2(1), 15–22.
Kapitan, M., Mandala, A. D., & Abdullah, M. W. (2024). Overview of SEFT Therapy on Reducing Anxiety of III Trimester Pregnant Women at Oesapa Health Center. Journal SEAN Institute.
Lobmaier, S. M., Mueller, A., Zelgert, C., Shen, C., Su, P.-C., Schmidt, G., Haller, B., Berg, G., Fabre, B., & Weyrich, J. (2019). Fetus: the radar of maternal stress, a cohort study. ArXiv Preprint ArXiv:1902.09746. https://doi.org/10.1007/s00404-019-05390-8
Maharani, D., & Puspitasari, W. (2023). Prevalensi dan faktor risiko kecemasan antenatal pada ibu hamil trimester III. Indonesian Journal of Reproductive Health, 14(3), 156–163.
Marifah, A. R., Setyowati, S., & Afiyanti, Y. (2022). The Effect of the Spiritual Emotional Freedom Technique (SEFT) on Anxiety Reduction in Hydatidiform Mole Patients. Journal of Maternity Care.
Nasution, N. A., & Rachmawati, A. (2024). Benefits of Spiritual Emotional Freedom Technique (SEFT) in Pregnancy, Childbirth, and Postpartum Period: A Literature Review. Aisyah: Jurnal Ilmu Kesehatan.
Nielsen-Scott, M., Fellmeth, G., Opondo, C., & Alderdice, F. (2022). Prevalence of perinatal anxiety in low- and middle-income countries: A systematic review and meta-analysis. Journal of Affective Disorders, 306, 71–79. https://doi.org/https://doi.org/10.1016/j.jad.2022.03.032
Nurbaya, A. P., & Munawaroh, M. (2023). Pengaruh Relaksasi Hypnobirthing Terhadap Tingkat Kecemasan Ibu Primigravida Trimester Iii Dalam Menghadapi Persiapan Persalinan Di Klinik Bougenville Pandeglang. Jurnal Ilmiah Bidan, 7(3), 1–9. https://doi.org/10.61720/jib.v7i3.381
Nurjanah, S., Handayani, L., & Sari, D. (2022). Perbedaan tingkat kecemasan antara primigravida dan multigravida dalam menghadapi persalinan. Jurnal Keperawatan Maternitas, 10(1), 23–30.
Permatasari, A. S., Pujiastuti, S. E., & Mulyantoro, D. K. (2020). Spiritual Emotional Freedom Technique (SEFT) Intervention on Blood Pressure among Pregnancy with Hypertension. International Journal of Nursing and Health Services (IJNHS), 3(3), 402–410. https://doi.org/10.35654/ijnhs.v3i3.233
Pratiwi, Y., & Lestari, D. (2023). Pengaruh pendidikan formal terhadap pemahaman teknik relaksasi pada ibu hamil trimester III. Jurnal Kebidanan & Kesehatan.
Putra, I. M., & Cahyani, W. (2021). Peran dukungan keluarga dalam keberhasilan pelaksanaan Spiritual Emotional Freedom Technique (SEFT) pada ibu hamil. Jurnal Psikologi Kesehatan, 6(3), 75–83.
Putranti, A. D. (2021). Seft (Spiritual Emotional Freedom Technique) untuk Menurunkan Kecemasan Ibu Hamil Trimester III. Jurnal Psikologi UP45.
Putri, A. D., Sari, N. L., & Wulandari, R. (2022). Faktor-faktor yang mempengaruhi kecemasan ibu hamil primigravida trimester III. Jurnal Kebidanan Indonesia, 13(2), 87–94.
Putri, D. A., & Rahmawati, N. (2022). Efektivitas kelas ibu hamil dalam meningkatkan penerapan teknik relaksasi. Jurnal Kesehatan Ibu Dan Anak.
Putri, N. A., & Wardani, E. M. (2022). Dampak kecemasan maternal terhadap luaran persalinan dan neonatal. Majalah Obstetri & Ginekologi, 30(2), 78–85.
Putri, N. A., & Yuliana, S. (2023). Pengaruh edukasi relaksasi SEFT berbasis praktik terhadap penurunan kecemasan pada ibu hamil. Jurnal Kesehatan Masyarakat, 15(2), 120–127.
R, M., & Limbong, M. (2024). The Effectiveness of Emotional Freedom Techniques (EFT) on The Childbirth Anxiety in Primigravida in The Third Trimester of Pregnancy. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 6, 1343. https://doi.org/10.30829/contagion.v6i2.21818
Rachmawardany, D. W., Mustikawati, I. F., Septianawati, P., & Immanuel, G. (2024). Analysing the Spiritual Effects of Emotional Freedom Technology (SEFT) in Building Psychological Well-being: Systematic Literature Review. Journal of Health Sciences, 5(4), 293–298.
Rahayu, R., & Sariyati, S. (2020). Pengaruh Terapi SEFT (Spiritual Emotional Freedom Technique) terhadap Kesiapan Menghadapi Persalinan pada Ibu Hamil Primigravida Trimester III di Puskesmas Kasihan II Bantul Yogyakarta. UNIVERSITAS ALMA-ATA. http://elibrary.almaata.ac.id/id/eprint/2175%0A
Rahayu, S., Pratiwi, I., & Lestari, D. (2022). Hubungan tingkat pendidikan dengan penerimaan edukasi teknik relaksasi pada ibu hamil. Jurnal Kebidanan Nusantara.
Rahmawati, S., Dewi, L. K., & Pratiwi, N. I. (2024). Literasi kesehatan ibu hamil berdasarkan karakteristik sosiodemografi. Health Education Journal Indonesia, 7(2), 112–120.
Rondung, E., Massoudi, P., Nieminen, K., Wickberg, B., Peira, N., Silverstein, R., Moberg, K., Lundqvist, M., Grundberg, Å., & Hultcrantz, M. (2024). Identification of depression and anxiety during pregnancy: a systematic review and meta‐analysis of test accuracy. Acta Obstetricia et Gynecologica Scandinavica, 103(3), 423–436. https://doi.org/10.1111/aogs.14734
Safitri, D., & Nugroho, A. (2022). Pengaruh kondisi fisik dan hormonal terhadap keberhasilan terapi SEFT pada ibu hamil trimester III. Jurnal Kesehatan Reproduksi, 8(2), 120–128.
Safitri, Y., Handayani, S., & Wulandari, D. (2023). Efektivitas Spiritual Emotional Freedom Technique (SEFT) dalam menurunkan kecemasan ibu hamil: systematic review. Journal Evidence-Based Midwifery, 3(1), 34–42.
Saleh, U. K. S., Kiah, F. K., & Bakoil, M. B. (2023). Pemberian Terapi Spiritual Emotional Freedom Technique (SEFT) untuk Meningkatkan Kesehatan Ibu Hamil pada Masa Pandemi Covid-19. ResearchGate.
Sarimunadi, W., Carolin, B. T., & Lubis, R. (2021). Terapi Seft (Spiritual Emotional Freedom Technique) Untuk Menghadapi Kecemasan Dalam Persalinan. Jurnal Kebidanan Malahayati, 7(1), 139–144. https://doi.org/10.33024/jkm.v7i1.3146
Shariatpanahi, M., Faramarzi, M., Barat, S., Farghadani, A., & Shirafkan, H. (2023). Prevalence and risk factors of prenatal anxiety disorders: A cross‐sectional study. Health Science Reports, 6(8), e1491. https://doi.org/10.1002/hsr2.1491
Shava, S. (2023). Pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) Terhadap Kecemasan pada Ibu Hamil Trimester III. Repository STIKES NHM.
Sherer, M. L., Malik, A., Osborne, L. M., Rowther, A. A., Zaidi, A., Atif, N., Rahman, A., Kahloon, L. E., Salman, M., & Yenokyan, G. (2023). Biological Mechanisms in Pregnant Women With Anxiety (Happy Mother-Healthy Baby Supplement Study): Protocol for a Longitudinal Mixed Methods Observational Study. JMIR Research Protocols, 12(1), e43193. https://preprints.jmir.org/preprint/43193
Soma-Pillay, P., Nelson-Piercy, C., Tolppanen, H., & Mebazaa, A. (2016). Physiological changes in pregnancy: review articles. Cardiovascular Journal of Africa, 27(2), 89–94. https://hdl.handle.net/10520/EJC188686
Somerville, S., Dedman, K., Hagan, R., Oxnam, E., Wettinger, M., Byrne, S., Coo, S., Doherty, D., & Page, A. C. (2014). The Perinatal Anxiety Screening Scale: development and preliminary validation. Archives of Women’s Mental Health, 17(5), 443–454. https://doi.org/10.1007/s00737-014-0425-8
Sugiyono, D. (2019). Metode penelitian kuantitatif kualitatif dan R&D. In Penerbit Alfabeta.
Vaajala, M., Kekki, M., Mattila, V. M., & Kuitunen, I. (2023). Fear of childbirth and use of labor analgesia: A nationwide register‐based analysis in Finland. International Journal of Gynecology & Obstetrics, 162(3), 945–949. https://doi.org/10.1002/ijgo.14781
Vaajala, M., Liukkonen, R., Kuitunen, I., Ponkilainen, V., Mattila, V. M., & Kekki, M. (2023). Trends in the epidemiology of fear of childbirth and association with intended mode of delivery: A nationwide register‐based cohort study in Finland. Acta Obstetricia et Gynecologica Scandinavica, 102(4), 430–437. https://doi.org/10.1111/aogs.14521
Val, A., Posse, C. M., & Míguez, M. C. (2025). Risk Factors for Prenatal Anxiety in European Women: A Review. Journal of Clinical Medicine, 14(9). https://doi.org/10.3390/jcm14093248
Wulandari, P., & Sari, N. (2023). Pengaruh edukasi terstruktur terhadap self-efficacy ibu hamil dalam menghadapi persalinan. Indonesian Journal of Health Education, 8(2), 67–74.
Wulandari, R., & Sari, P. (2023). Pengaruh edukasi terstruktur terhadap self-efficacy ibu hamil dalam mengelola kecemasan. Jurnal Bidan Kita, 11(1), 89–96.
Yoviana, I., Maryati, I., & Widiasih, R. (2024). Intervensi Seft (Spiritual Emotional Freedom Technique) Untuk Mengatasi Kecemasan Dan Nyeri Pasca Sectio Caesarea: A Case Report. SENTRI: Jurnal Riset Ilmiah, 3(6), 3085–3101. https://doi.org/10.55681/sentri.v3i6.3019
Yunitasari, E., & Riska, S. A. (2025a). Implementasi SEFT (Spiritual Emotional Freedom Technique) terhadap kecemasan pada ibu hamil trimester III. Journal of Mental Health Care.
Yunitasari, E., & Riska, S. A. (2025b). Implementasi SEFT terhadap Kecemasan pada Ibu Hamil Trimester III. Journal of Mental Health Care.
Zainuddin, A. F. (2012). SEFT for healing, success, happiness, and greatness. Jakarta: Afzan Publishing.
Zainuddin, A. F. (2019). SEFT for healing, success, happiness, and greatness (8th). Afzan Publishing.