Spiritual Endorphine Stimulation as Methods to Increase Fetal Well

Being on Pregnant Woman with Early Premature Rupture of

Membranes

Sri Wahyuni, Tutik Rahayu

and Apriliani Yulianti Wuriningsih

Maternity Department, Nursing Faculty, Sultan Agung Islamic University, Kaligawe Street Km.4 Semarang, Central Java

Keywords: Spiritual Endorphin Stimulation, Fetal Well Being. Pregnant Woman, Early Rupture of Membrane, Health

Problem.

Abstract: The membrane rupture before the process of giving a birth starts can cause health problems. The possible

health problems to the fetus can be in the form of a well being disorder. This study is aimed to investigate the

effect of Sipiritual Endorphine Stimulation on the increasing of the fetus well being to the mother with the

early membrane rupture at Islamic Sultan Agung hospital Semarang. The method The population in this study

is the overall pregnant women who experienced premature rupture of membranes. This research used

quantitative with pra experimental pre post test design with one group on 19 respondents taken by accidental

sampling. The intervention was in the form of reciting holy Qur’an, given through auditoric stimulation for

30 minutes.. Data analysis was performed by using wilcoxon test. The result shows that the p value was 0.003.

Discussion: auditoric stimulation was accepted by the brain in the Midbrain section, then it stimulated the

Midbrain to release Gama Amino Butyric Acid, enkepalin and beta endorphin which function as electrical

conductivity inhibitors, have analgesic effect and act as relaxation making the heart rate more regular and the

blood circulation run more smoothly. In conclusion there is a significant effect of Spiritual Endorphin

Stimulation on the fetus well being to the mother with the early membrane rupture.

1 BACKGROUND

Early premature rupture of membranes is a condition

of rupture of the membranes before delivery begins

and may also occur late in pregnancy or well before

delivery time (Mackeen, Seamon, Muhammad,

Baxter, Berghella, 2014). A rupture of membranes is

called preterm premature membranes if rupture

membranes are before age 37 weeks of pregnancy,

while prolonged rupture of membranes is the rupture

of the membranes that occur more than 12 hours

before delivery (Lowdermilk (2011).

Premature rupture of either preterm or prolonged

fetus is very dangerous for both mother and fetus

because it is one of the factors causing asphyxia

neonatorum and infection (Endale, Fentahun,

Gemada and Hussen, 2016). Feffixia neonaturum

occurs due to the interruption of oxygen transported

from mother to fetus so that there is disturbance in the

supply of 02 and in removing CO2 (Hofmeyr, GJ, et

al. (2008). The response that occurs in the fetus to an

amniotic mother is premature tachycardia (Ken

Mizaki, 2012).

The condition experienced by the fetus in mothers

who experience premature rupture of membranes is

very dangerous and can cause pain and death during

the perinatal period (Fatemeh Tavassoli, 2010). This

condition requires prompt and appropriate treatment

to prevent fetal harm. Research conducted by Arisa

Fujiwara in 2013 at Kyushu University Hospital,

Kyushu Kouseinenkin Hospital, Kitakyushu

Municipal Medical Center and Oita Prefectural

Hospital stated that a fast and appropriate

management strategy could minimize the risk of

complications in neonatal (Arisa Fujiwara, 2013).

Meanwhile, in a study conducted by Janae M.

Davis in 2008 mentioned that the fetus in pregnant

women with premature rupture of membrane

experience prolong bradycardia, decreased

variability, not reactive and distres, the researchers

stated that it needs action to reduce the stressor

experienced by the fetus and monitoring regular to the

condition of fetal can be well-being.

Wahyuni, S., Rahayu, T. and Wuriningsih, A.

Spiritual Endorphine Stimulation as Methods to Increase Fetal Well Being on Pregnant Woman with Early Premature Rupture of Membranes.

DOI: 10.5220/0008331306990702

In Proceedings of the 9th International Nursing Conference (INC 2018), pages 699-702

ISBN: 978-989-758-336-0

699

Efforts that can be done by the nurse to reduce the

stressor one of which is by doing Spiritual

Endorphine Stimullation (SES). This method is a way

to stimulate the endorphine contained in the body that

is done by way of Auditory stimulation using the

recitation of the Qur'an (murotal). Endorphine

improves feelings of relaxation, and diverts attention

from fear, anxiety and tension, improves the body's

chemical system so as to reduce tension, pressure,

heart rate, pulse, and brainwave activity (Stopler,

2013).

Preliminary survey conducted at Sultan Agung

Islamic Hospital in January 2016 got data of pregnant

mother with early rupture membarenes counted 19

people. Of the 19 patients, 10 fetuses have tachicardi,

4 people have bradicardi fetus and 5 fetuses

experience variability disorder.

2 METHODS

This research used pra experimental pre post test

design with a one group (Notoatmojo, 2005). In this

study, researcher provides Spiritual Endorphine

Stimullation (SES) to determine whether there is

influence on the well being of the fetus in pregnant

women with premature rupture of membranes. The

population in this study is the overall pregnant

women who experienced premature rupture of

membranes in January 2016 at Sultan Agung Islamic

Hospital Semarang with a total of 19 people. The

number of samples were taken the whole and

conducted by using accidental sampling.

Respondents in the study were given spiritual

treatment of endorphine stimulation by listening to

Quran recitation for 30 minutes. Assessment of fetal

well being including heart rate and fetal movement is

done pre and post intervention. Measurement of fetal

heart rate using dopler while calculating fetal

movement is done by counting the number of fetal

movement for one hour. Data were analyzed by using

Wilcoxon test

This research has passed the ethical clearent by

the team of ethics nursing faculty of Sultan Agung

Islamic University.

3 RESULTS

Table 1. shows that most of the fetus in the

respondents before to the Spiritual Endorphine

Stimulative (SES) intervention experienced an not

prosperous condition of 13 (68.4%.).

Table 2. shows that most of the fetus in the

respondents after the Spiritual Endorphine

Stimulative (SES) intervention experienced a

prosperous condition of 15 respondents (78.9%).

Normality test using Shapiro-wilk shows the

result p value 0,00 which means the distribution of

data is not normal.

Table 4. shows that by using the wilcoxon test the

value of p value is 0.003 or less than 0.05 which

means that there is a significant influence between

Spiritual Endorphine Stimulation (SES) on fetal well-

being in pregnant women who experience premature

rupture of membranes at the Sultan Agung Islamic

Hospital at Semarang.

Table 1: Results of fetal well being frequency

distribution before Spiritual Endorphine Stimulatory

(SES) intervention in early membrane rupture of

mothers at Sultan Agung Islamic Hospital 2016 (n = 19).

Variable

Well being

Test Result

Frequency

Percent

(%)

Not Prosperous

68.4

Prosperous

31.6

Table 2: Results of fetal well being frequency

distribution after Spiritual Endorphine Stimulatory

(SES) intervention in premature rupture of membranes

of mothers at Sultan Agung Islamic Hospital 2016 (n =

19).

Variable

Well being

Test Result

Frequency

Percent (%)

Not Prosperous

21.1

Prosperous

78.9

Table 3: Result of fetal well being normality test at early

membrane rupture of mother at Sultan Agung Islamic

Hospital of 2016 (n = 19).

Kolmogorov-

Smirnov

Shapiro-Wilk

Statistic

Sig.

Statistic

Sig.

Fetal well-being

before Intv

.430

.000

.591

.000

Fetal well-being

before Intv

.482

.000

.507

.000

INC 2018 - The 9th International Nursing Conference: Nurses at The Forefront Transforming Care, Science and Research

700

4 DISCUSSION

The results showed that there was a significant

influence between Spiritual Endorphine Stimullation

(SES) on the well being of the fetus in pregnant

women who experience early membrane rupture at

Sultan Agung Islamic Hospital Semarang. Spiritual

Endorphine Stimullation (SES) is a stimulation in the

form of recitation of the holy Qur'an, given by

auditoric stimulation. According Cantekin, 2013

mentioned that auditor stimulation is able to stimulate

the release of edorphine in the body so as to reduce

stress and individuals become more comfortable.

Research conducted by Adriano et.al in 2013 also

mentioned that with the giving of music therapy can

make the heart rate becomes more organized and the

blood circulation becomes more smoothly. Similar

research was also conducted by Carolyn J. Murrock

& Patricia in the year 2013 which states that the

provision of music therapy can increase physical

activity and health.

The Spiritual Endorphine Stimulation (SES)

which is part of the auditoric therapy works in a way,

the sound of the recitation of the Qur'an / murotal is

received by hearing, transmitted to the brain and

affecting the limbic system (Eka, Erwin 2009).

Auditory stimulation in which the murotal readings

are received by the brain in the Midbrain section,

further stimulates the midbrain to secrete Gama

Amino Butyric Acid (GABA), enkepalin and beta

endorphin, which act as electrical conductive

inhibitors, have analgesic effects and serve as

relaxants (Guyton & Hall, 2008). Correlations can be

seen significantly in the respondents who conducted

the study by providing SES intervention. The results

obtained the condition of the fetus in early membrane

rupture patients showed significant improvement in

well being.

5 CONCLUSIOS

The result shows that the auditoric stimulation was

accepted by the brain in the Midbrain section, then it

stimulated the Midbrain to release Gama Amino

Butyric Acid, enkepalin and beta endorphin which

function as electrical conductivity inhibitors, have

analgesic effect and act as relaxation making the heart

rate more regular and the blood circulation run more

smoothly. In conclusion there is a significant effect of

Spiritual Endorphin Stimulation on the fetus well

being to the mother with the early membrane rupture.

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Table 4: Influence of Spiritual Endorphine Stimullation

(SES) on fetal well-being in pregnant women who

experience early membrane rupture at Sultan Agung

Islamic Hospital 2016 (n = 19).

Mean

Rank

Sum

Ranks

Fetal well-being

before Intv - Fetal

well-being after Intv

Negative

Ranks

.00

Positive

Ranks

5.00

45.00

Ties

Total

Test Statistics

Fetal well-being

before Intv - Fetal

well-being before

Intv

-3.000

Asymp. Sig.

(2-tailed)

.003

Spiritual Endorphine Stimulation as Methods to Increase Fetal Well Being on Pregnant Woman with Early Premature Rupture of Membranes

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