SIKLUS: Journal Research Midwifery Politeknik Tegal p-ISSN: 2089-6778 Volume 09, Issue 01, January 2020 e-ISSN: 2549-5054 Salafas et al. / The Effectiveness Of Music Therapy In Reducing Anxiety.... 39 DOI: 10.30591/siklus.v9i1.1634.g1080 THE EFFECTIVENESS OF MUSIC THERAPY IN REDUCING ANXIETY IN THIRD TRIMESTER OF PREGNANCY Eti Salafas 1) , Puji Lestari 2) ,Moneca Diah Listiyaningsih 3) Email: etisalafas.unw@gmail.com 1,2,3 Prodi D3 Kebidanan Fakultas Ilmu Kesehatan Universitas Ngudi Waluyo Jl. Diponegoro 186 Kabupaten Semarang Article Information Abstract The average anxiety experienced by third-trimester pregnant women is higher than the first and second trimester. Anxiety increases as the gestational age get older. If this condition had not to handle, it could impact on pregnancy and during labour. Efforts to overcome anxiety can be made with music therapy. This therapy is therapy without drugs by playing music to pregnant women. Song rhythm, harmony, and beat 60 beats per minute can make the mother calm. The purpose of this study was to determine the level of anxiety of pregnant women before and after the intervention, then analyze the effectiveness of music therapy in reducing anxiety levels. The method used is a quasi-experiment. The population in this study was third-trimester pregnant women in the Ambarawa Puskesmas area with samples taken by purposive sampling of 30 respondents. Data collection carried out in August 2019. The data not normally distributed, so the analysis carried out using the Wilcoxon test with the results that there were different levels of anxiety before and after treatment with music therapy (p = 0.001). The average anxiety score after being given music therapy dropped to 4.47 from 9.53, although it was still in the mild anxiety category. It can be concluded that music therapy is effective in reducing the anxiety level of pregnant women in the third trimester. Music therapy recommended being applied in the management of anxiety on pregnant women in the third trimester. Keywords: Anxiety Level, Music Therapy, Third-trimester, Pregnant Women Received: September 14, 2019 Revised: December 20, 2019 Accepted: January 19, 2020 Available online: January 23, 2020 1. Introduction Pregnancy is a process of conception, nidation and implantation, where the pregnancy lasts for 280 days. Since the meeting of sperm and ovum, the mother's body adapts to physiological and psychological changes. Physiological changes that occur in the form of cardiovascular, endocrine, digestive, urinary, and reproductive changes. This change creates discomfort for these pregnant women. Despite the emergence of this discomfort, the appearance can vary between pregnant women. Physiological discomforts that appear during pregnancy, such as frequent urination, low back pain, nausea, vomiting and others. [1] Adaptations in the form of psychological changes that occur early in pregnancy. In the early trimester, the mother feels less sure of the pregnancy, and they tend to look for signs and symptoms that make sure the existence of pregnancy. Enlargement of the uterus makes the body shape change; most mothers feel strange with their body. Pregnant women can be more sensitive,