JOSING: Journal of Nursing and Health Volume 1, Nomor 2, Juni 2021 e-ISSN: 2745-7877 p-ISSN: 2746-0851 DOI: https://doi.org/10.31539/josing.v1i2.2324 75 GUIDED IMAGERY TECHNIQUE IMPLEMENTATION REDUCING PRIMIGRAVIDA PREGNANCY ANXIETY BEFORE CHILDBIRTH DELIVERY Yessi Andriani 1 , Endra Amalia 2 , Def Primal 3 Indonesian Pioneer University 1,2,3 def.primal.anatomy@gmail.com 3 ABSTRACT This study aims to determine the application of nursing care to primigravida mothers in the face of childbirth using guided imagery techniques. This research method is case study research. The results of this study indicate that there is a decrease in the level of anxiety in patients after using guided imagery techniques for 3 meetings. In conclusion, interventions from journals related to nursing care for primigravida mothers who experience anxiety have been carried out well. Keywords: Anxiety, Guided Imagery, Primigravida Pregnancy INTRODUCTION Based on the International Federation of Gynecologic Obstetrics, pregnancy is defined as fertilization or fusion of spermatozoa and ovum cells and is followed by cultivation or implantation to the womb (Yanti, 2015). During pregnancy, changes occur to mothers, both physically and psychologically. In general, physical changes during pregnancy are menstruation, enlarged breasts tissue, changes in the shape of the uterus, changes in the work system of the body organs, enlargement of the stomach, weight gain, weakening of the relaxation of the digestive tract muscles, sensitivity to sensation, and enlarged legs and arms (Zamriati, 2013). The psychological changes in the mother's third trimester are changes in the mother's psychology that seem more complex and increase again compared to the previous trimester, and this is due to the growing condition of the pregnancy (Zamriati, 2013). Anxiety or anxiety is the most common psychiatric condition found throughout the world. According to Alza & Ismarwati (2018) anxiety in pregnancy is an emotional reaction that occurs in pregnant women related to the concern of mothers with the welfare of themselves and their fetuses, the continuation of pregnancy, childbirth, the period after childbirth and when they have become a mother. Anxiety can be overcome in pharmacological and non-pharmacological ways. Guided imagery or observed imagination technique is the development of mental functions that express oneself dynamically through a psychophysiological process involving all senses and bringing about changes in behavior, perception, or physiological responses with someone's guidance or through the media (Nurgiwiati, 2015). Based on the results of research conducted by Wulandari et al., (2019) shows that guided imagery can reduce anxiety levels before childbirth in third-trimester pregnant women. This can happen because guided imagery teaches to focus on positive imagination which can cause a relaxed state.