DOI : https://doi.org/10.56338/mppki.v8i5.7232

Reducing Postpartum Anxiety in IUD Users through Ylang-ylang Aromatherapy and Slow Deep Breathing: A Quasi-Experimental Study

Luh Putu Widiastini (1), I Gusti Agung Manik Karuniadi (2), Luh Gede Susila Dewi (3)
(1) Study Program of Midwifery, STIKES Bina Usada Bali, Bali, Indonesia
(2) Study Program of Midwifery, STIKES Bina Usada Bali, Bali, Indonesia
(3) RSD Mangusada, Bali, Indonesia
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Luh Putu Widiastini, I Gusti Agung Manik Karuniadi, & Gede Susila Dewi, L. (2025). Reducing Postpartum Anxiety in IUD Users through Ylang-ylang Aromatherapy and Slow Deep Breathing: A Quasi-Experimental Study. Media Publikasi Promosi Kesehatan Indonesia, 8(5), 337–345. https://doi.org/10.56338/mppki.v8i5.7232
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Introduction: The number of IUD contraceptive users has declined, influenced by factors such as anxiety. Individuals with anxiety experience psychological distress, necessitating complementary therapy. Alternative treatments include ylang-ylang aromatherapy and Slow Deep Breathing. This study aimed to determine the effectiveness of ylang-ylang aromatherapy and Slow Deep Breathing in reducing anxiety among post-placental IUD users at Mangusada Hospital.


Methods: A quasi-experimental nonequivalent control group design was used, involving 70 postpartum IUD users divided into experimental (n=35) and control (n=35) groups. Anxiety was measured using the NRS-A questionnaire before and after a 15-minute intervention. Ethical approval was obtained (070/6854/RSDM/2024). Data were analyzed using descriptive statistics, Kolmogorov-Smirnov for normality, Wilcoxon Signed-Rank, and Mann–Whitney U tests, with a 95% confidence level.


Results: There was no significant difference in pre-test anxiety between the groups (mean: 5.69 ± 0.900, p = 1.000). Post-test results showed a greater reduction in the treatment group (mean: 3.03 ± 0.664) than in the control group (mean: 3.83 ± 0.785). The Mann-Whitney U test confirmed a significant difference in anxiety levels post-intervention (Z = -3.998, p = 0.000). The effect size (r = 0.676) indicates a large impact of the intervention.


Conclusion: Ylang-ylang aromatherapy and slow deep breathing are effective complementary interventions for reducing anxiety in post-placental IUD users.

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