Spiritual mindfulness in supporting pregnant women for the prevention of low birth weight

Mail Septiana Juwita(1*)
Mail Indah Risnawati(2)
Mail Ummi Kulsum(3)
Mail Dwi Astuti(4)
Mail Ana Zumrotun Nisak(5)


(1) Program of Study Bachelor’s Degree of Midwifery, Faculty of Health Science, Universitas Muhammadiyah Kudus, Indonesia
(2) Program of Study Bachelor’s Degree of Midwifery, Faculty of Health Science, Universitas Muhammadiyah Kudus, Indonesia
(3) Program of Study Bachelor’s Degree of Midwifery, Faculty of Health Science, Universitas Muhammadiyah Kudus, Indonesia
(4) Program of Study Bachelor’s Degree of Midwifery, Faculty of Health Science, Universitas Muhammadiyah Kudus, Indonesia
(5) Program of Study Bachelor’s Degree of Midwifery, Faculty of Health Science, Universitas Muhammadiyah Kudus, Indonesia
(*) Corresponding Author

Abstract


Background: Spiritual mindfulness plays a role in reducing pregnancy-related stress and supporting favorable birth outcomes, thereby representing a potential strategy for prevention of low birth weight (LBW). The aimed to analyze necessity for spiritual mindfulness among pregnant women as an effort to prevent LBW. Methods: A qualitative designed with a phenomenological approach to explore subjective meanings, lived experiences, and spiritual mindfulness practices of pregnant women in relation to LBW prevention. Participants were selected using purposive sampling based on predefined inclusion and exclusion criteria. Key informants were pregnant women who met the eligibility criteria, while village midwives served as the main subjects, and community health volunteers acted as supporting informants. Data were collected through Focus Group Discussions (FGDs). Instruments study included researcher as primary instrument, a semi-structured interview guide, and informed consent forms. Data analysis used thematic analysis. Validity was ensured through the application of trustworthiness criteria. Results: LBW cases are still present and associated with various maternal and obstetric risk factors, particularly hypertensive disorders of pregnancy, anemia, premature rupture of membranes, and chronic energy deficiency. Psychosocial factors also contribute to risk of LBW. Maternal stress and anxiety, especially in unplanned pregnancies, may adversely affect maternal and fetal health. Social support from family members and supportive approaches from healthcare providers emerged as important protective factors in maintaining maternal well-being. Additionally, they demonstrated limited understanding of LBW. Conclusion: Spiritual mindfulness emerged as a psychosocial necessity that supports pregnant women in managing stress, enhancing inner calmness, and promoting positive health behaviors during pregnancy.

Keywords


spiritual mindfulness; supporting pregnant women; prevention of low birth weight.

Full Text:

PDF

References


Alexander, A.P. (2019). Articles Lincoln And Guba'S Quality Criteria For Trustworthiness. IDC International Journal, 6(4).

Aninora, N.R. et al. (2025). Penguatan Pengetahuan Ibu Hamil Tentang Pencegahan BBLR Melalui Edukasi Kesehatan di Puskesmas Alai Padang. Jurnal Pengabdian Masyarakat dan Riset Pendidikan, 4(2), pp. 12997–13002. Available at: https://doi.org/10.31004/jerkin.v4i2.4197.

Arabzadeh, H. et al. (2024a). The maternal factors associated with infant low birth weight: an umbrella review. BMC Pregnancy and Childbirth, 24(1), pp. 1.

BPS Jawa Tengah. (2024). Profil Kesehatan Jawa Tengah 2023. Semarang: Badan Pusat Statistik Privinsi Jawa Tengah.

BPS Jawa Tengah. (2025). Profil Kesehatan Provinsi Jawa Tengah 2024. Semarang: BAdan Pusat Statistik Provinsi Jawa Tengah.

Chehrazi, M. et al. (2021). Health promotion behaviours of pregnant women and spiritual well-being: Mediatory role of pregnancy stress, anxiety and coping ways. Nursing open, 8(6), pp. 3558–3565. Available at: https://doi.org/10.1002/nop2.905.

Crovetto, F. et al. (2021). Effects of Mediterranean Diet or Mindfulness-Based Stress Reduction on Prevention of Small-for-Gestational Age Birth Weights in Newborns Born to At-Risk Pregnant Individuals: The IMPACT BCN Randomized Clinical Trial. JAMA, 326(21), pp. 2150–2160. Available at: https://doi.org/10.1001/jama.2021.20178.

DinKes Kab. Boyolali. (2023). Profil kesehatan. Kabupaten Boyolali: Dinas Kesehatan Kabupaten Boyolali.

Kemenkes RI. (2021). Profil Kesehatan Indonesia 2020. Jakarta: Kementrian Kesehatan Republik Indonesia.

Kulsum, U. and Wulandari, D.A. (2022). Upaya Menurunkan Kejadian KEK pada Ibu Hamil Melalui Pendidikan Kesehatan. Kulsum, U. and Wulandari, D.A. (2022) ‘Upaya Menurunkan Kejadian KEK pada Ibu Hamil Melalui Pendidikan Kesehatan’, 1(1), pp. 27–30., 1(1), pp. 27–30. Available at: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://pdfs.semanticscholar.org/95b9/900c5bee6ccfc84fd0543e695d457c63f1d7.pdf.

Kurnia, S.A., Kumalasary, D. and Triwahyuningsih, R.Y. (2025). LITERATURE REVIEW : FAKTOR-FAKTOR YANG MEMPENGARUHI YANG MEMPENGARUHI KEJADIAN BAYI BBLR. Jurnal Kesehatan Tembusai, 6, pp. 1784–1798. Available at: https://doi.org/10.31004/jkt.v6i1.41930.

Maratussaada and Wahyuhidaya, P. (2024). Faktor-Faktor yang Berhubungan dengan Kejadian Berat Badan Lahir Rendah (BBLR). Jurnal Kesehatan Mercusuar, 7(2), pp. 19–25. Available at: https://doi.org/doi.org/10.36984/jkm.v7i2.518.

Margareta, C. and Rahayu, S. (2023). Pengetahuan Ibu Hamil Tentang Pencegahan Bayi Berat Lahir Rendah ( BBLR ). Jurnal Pengabdian & Pemberdayaan Masyarakat ALIFA, 3, pp. 11–14. Available at: https://doi.org/10.70371/jppma.v3i1.167.

Mutmainnah, M. and Afiyanti, Y. (2019). The experiences of spirituality during pregnancy and child birth in Indonesian muslim women. Enfermería Clínica, 29 Suppl 2. Available at: https://doi.org/10.1016/j.enfcli.2019.04.074.

Okwaraji, Y.B. et al. (2024). National, regional, and global estimates of low birthweight in 2020, with trends from 2000: a systematic analysis. Lancet (London, England), 403(10431), pp. 1071–1080. Available at: https://doi.org/10.1016/S0140-6736(23)01198-4.

Pasir, D.A.N. et al. (2024). Peningkatan Pengetahuan Ibu Hamil Tentang Bayi Berat Lahir Rendah ( BBLR ) Di Desa Karanggude Kulon. Community Development Journal, 5(4), pp. 7805–7810. Available at: https://doi.org/10.31004/cdj.v5i4.33328.

Pitriawati, D. and Rahandayani, D.S. (2021). Literatur Review: The Effect Of Stress During Pregnancy On Pregnancy Outcomes. JURNAL GENTA KEBIDANAN, 11(1), pp. 28–31. Available at: https://doi.org/10.36049/jgk.v11i1.40.

Portal Satu Data Kabupaten Boyolali. (2024). Bayi Berat Badan Lahir Rendah (Bblr) Dan Prematur Menurut Jenis Kelamin, Kecamatan, Dan Puskesmas Kabupaten / Kota Boyolali Tahun 2024. Kabupaten Boyolali. Available at: https://data.boyolali.go.id/dataset/bayi-bb-lahir-rendah-bblr-dan-prematur-menurut-jk-kec-dan-pkm-kab-kota-boyolali-tahun-2024#:~:text=Boyolali Tahun 2024. Berikut ini disajikan data,Dan Prematur Menurut Jenis Kelamin%2C Kecamatan%2C Dan.

Sari, I.K. et al. (2025). Implementasi Mindfulness sebagai Strategi Koping Stres pada Ibu Hamil : Studi Kasus Puskesmas Padangsari. Observasi : Jurnal Publikasi Ilmu Psikologi, 3(3). Available at: https://doi.org/10.61132/observasi.v3i3.1489.

Sugarni, M. et al. (2025). PENGARUH INTERVENSI MINDFULNESS TERHADAP TINGKAT KECEMASAN IBU HAMIL : LITERATUR REVIEW. KAPALAMADA: Jurnal Multidisipliner, 4(2), pp. 231–242. Available at: https://doi.org/10.62668/kapalamada.v4i02.1579.

Sun, S. et al. (2023). The relationship between pregnancy stress and mental health of the pregnant women: the bidirectional chain mediation roles of mindfulness and peace of mind. Frontiers in psychology, 14, p. 1295242. Available at: https://doi.org/10.3389/fpsyg.2023.1295242.

Suwignjo, P. et al. (2024). Gambaran pengetahuan ibu tentang perawatan bayi berat badan lahir rendah. Jurnal Keperawatan BSI, 10(1). Available at: https://ejurnal.ars.ac.id/index.php/keperawatan/index 155.

Tayebi, S. et al. (2020). Relationship between Mothers’ Spiritual Health Scores with Newborns. Physical Development Indices and Physiologic Parameters in Hazrat Zeinab Training Hospital’, Iranian Journal of Neonatology, 11(1). Available at: https://doi.org/10.22038/ijn.2019.38835.1615.

Tondong, H.I., Hosang, R.F. and Lestari, R.W. (2020). Faktor Risiko Maternal Kejadian Bayi Berat Lahir Rendah ( BBLR ) di Rumah Sakit Umum ( RSU ) Anutapura Palu. Call For Paper Seminar Nasional Kebidanan, pp. 9–18. Available at: https://jurnal.unw.ac.id/index.php/semnasbidan/article/view/814.

Unicef. (2023). Low birth weight, Unicef Data. Available at: https://data.unicef.org/topic/nutrition/low-birthweight/#3 (Accessed: 10 August 2023).

Vázquez-Lara, M.D. et al. (2025). The Impact of Mindfulness Programmes on Anxiety, Depression and Stress During Pregnancy: A Systematic Review and Meta-Analysis. Healthcare (Basel, Switzerland), 13(12). Available at: https://doi.org/10.3390/healthcare13121378.

Wahyusari, S. and Mariani, M. (2023). Kesejahteraan Spiritual Mempengaruhi Kelekatan Ibu dan Janin pada Ibu Hamil. JI-KES (Jurnal Ilmu Kesehatan), 6(2), pp. 171–178. Available at: https://doi.org/10.33006/jikes.v6i2.584.

Widianti, E. and Fitriahadi, E. (2023). Anemia In Pregnant Women As A Risk Factor For LBW. Indonesian Journal Of Professional Nursing, 4(1), pp. 6–20. Available at: https://doi.org/10.30587/ijpn.v4i1.5617.

Yousriatin, F., Anggreini, Y.D. and Kirana, W. (2022). Hubungan Spiritual Self-Care dengan Kecemasan Ibu Hamil Trimester III. Khatulistiwa Nursing Journal, 4(2), pp. 40–46. Available at: https://doi.org/10.53399/knj.v4i0.paperID.




DOI: https://doi.org/10.36419/avicenna.v9i1.1742



Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



Avicenna : Journal of Health is published by Sekolah Tinggi Ilmu Kesehatan Mamba’ul ‘Ulum Surakarta.

Jl. Ring Road No.Km 03, Mojosongo, Kec. Jebres, Kota Surakarta, Jawa Tengah 57127 | email : info@stikesmus.ac.id | web : www.stikesmus.ac.id

 

Lisensi Creative Commons 

Avicenna : Journal of Health is licensed under a Lisensi Creative Commons Atribusi-BerbagiSerupa 4.0 Internasional |