PENGARUH ENDORPHINE MASSAGE TERHADAP TINGKAT KECEMASAN IBU PRIMIGRAVIDA KALA 1 DI WILAYAH KERJA PUSKESMAS DADOK TUNGGUL HITAM KOTA PADANG Diana Arianti * , Ledia Restipa Sekolah Tinggi Ilmu Kesehatan Alifah Padang Jln. Khatib Sulaiman No 52B Belanti Padang Telp : 0751-7059849 Hp 085263527727 * email: dianaarianti84@gmail.com, lediarestipa86@gmail.com ABSTRACT Anxiety that occurs in pregnancy is worry and fear . Women who experience anxiety showed a decrease in the release of oxytocin and increase adrenlin which resulted in a contraction in the uterus is not regular and not effective . Anxiety also reduces the release of endorphins and pregnant women experience more a lot of pain 3-5 stimulation of the sympathetic system due to pain and stress (Zumrut 2018) . Figures death of mother in Indonesia is the highest in ASEAN that is 214 per 100,000 births were not in accordance with the target Gloal SDGs ( Suitainab le Development Goals) (WHO 2014) . . The purpose of this research is to study and identify the effects of endorphin masssage to the level of anxiety in the mother was pregnant at the time 1 in midwifery practice privately that exist in the region work Puskesmas stumps Black Padang Year 2019. The type of research is quantitative with Quasi Experiment with the design of two group pretest-posttest design . Total sample study 30 respondents Dengsan technique of taking samples by purposive sampling . Research is carried out in March - August 2019 in midwifery practice privately that exist in the region work Puskesmas Dadok stumps Black Padang. Mechanical analysis of the test T with the result of the influence of endorphine massage on the level of anxiety mother primigravid stage 1 in the region work Puskesmas Dadok stumps Black Padang with p value of 0.003 (<0.05). Keyword : anxiety , pregnancy , endorphine masssage PENDAHULUAN Kecemasan pada ibu hamil merupakan permsalahan psikologis dan reaksi emosional, rasa kekhawatiran, perkembangan janin, keberlangungan kehamilan, persalinan, setelah persalinan dan persiapan peran baru menjadi ibu (Shetter et al., 2012). Kecemasan yang berlanjut saat menghadapi persalinan akan berakibat sulitnya dan lamanya persalinan serta beresiko untuk kematian ibu dan janinnya. Prevalensi kecemasan dan depresi pada negara maju sekitar 7-20% dan negara berkembang sekitar 20% (Biaggi A. C. P. P. 2015). Menurut World Health Organitation (WHO) ibu yang meninggal saat bersalin sejumlah 358.000 (99%) pertahun. Pada negara berkembang angka kematian ibu merupakan peringkat tertinggi dengan jumlah 290 kematian ibu per 100.000 Pada tahun 2015 angka kematian ibu didunia yaitu 303.000 menurun sekitar 44% dibandingkan dengan tahun 2010 sebanyak 536.000, Negara Amerika Serikat yaitu 9300 jiwa, afrika utara 179.000 jiwa dan Asia Tenggara 16.000 jiwa, Angka kematian ibu di Indonesia masih tertinggi di ASEAN Prosiding SainsTeKes Semnas MIPAKes UMRi Vol: 1 / Agustus 2019 . FMIPAKes UMRi Kes 75 CORE Metadata, citation and similar papers at core.ac.uk Provided by E-Jurnal UMRI (Universitas Muhammadiyah Riau)