GDL

This thesis concludes that the more the balance treatment in the prevention of physical health, psychological and spiritual of female with low risk during pregnancy can reduce childbirth medical interventions such as induction of labor, vacuum extraction and section caesarea.is in the balanced health, the better the childbirth results.




This thesis positions itself as evidence that the application of spiritual need together with physical and metal needs to the pregnant women with low risk will result in normal childbirth. The holistic model is chosen to integrate faith and science in the management of midwifery care for pregnancy and childbirth. The unbalanced management in the current practice of maternity care focuses on and brags about the success and failure of pregnancy which ends with normal childbirth. This thesis is trying to revive the application of spiritual approach in giving antenatal and postnatal cares.




Disagreement among scholars about this issue is revealed by, among others, F. Gary Cunningham (2007) who said that successful pregnancy was determined by physiological and metabolic accommodation within mother’s tissue controlled by various biomolecular initiatives directed by fetus. Sarjana (2012) concerned that using spiritual approach in the maternity care would need approvals from Indonesia Ulema Council (Majelis Ulama Indonesia). Whereas Phumdong (2007) believed that a successful childbirth relied on the management of stress and pain using music as a pain distraction. At same view, Garry Browne Bridge et al (1988) claimed that interaction with pregnant women with their complaints can be sufficiently carried out through computer without any face-to-face consultation between the clients with their medical staff. All the four works, from scholars and practitioner view the problem from only one aspect in managing maternity care.





This thesis corroborates with other scholars such as Hala Bawadi (2009) whose dissertation argued that midwives managing clinical aspect of maternity care was not sufficient. The care given should be holistic. Midwives must understand important attributable needs of women, and must give heartily cares by considering the patient’s culture and spiritual needs. Kurshid Mitchell (2001) believed that the care needed during pregnancy and childbirth should consider physical, mental, social, spiritual, and cultural aspects of the client. Whereas Annisa Maimunah and Sofia Retnowati (2011) urged the importance of using spiritual approach, such as doing dhikr (remembering God), in coping with anxiety during pregnancy. Jesse D. Elizabeth et al (2007) found a correlation between faith as spiritual need and maternity care. All the four studies conducted by researchers, scholars, and practitioners, as opposed to the previously mentioned studies, viewed all the three aspects, namely physical, mental, and spiritual aspects, as influential to the successful pregnancy and normal childbirth.





The main subject of this research were pregnant women with low risk who have experienced normal/ natural childbirth and childbirth with medical intervention section caesarea. Other sources were midwives, medical records, books, journal, articles, and documentation about midwifery. This research used phenomenology approach. Naturalistic qualitative method was used to assess the importance of the three aspects of needs in the practical field. This research was conducted in Bogor regency, the province of West Java.

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