The Kasta Gumani Clinic, which was established in 2009, has provided many health services to the community, especially in Tabanan Regency. The clinic's reputation among the Tabanan Regency community is as a maternity clinic. This branding was further strengthened when the clinic received an award for the best clinic in Bali Province from the Bali Province National Population and Family Planning Board (BKKBN) in 2024. Excellent service combined with various creative innovations has made this clinic a primary reference for pregnant women to give birth here. The excellent service provided not only relates to the physical health of pregnant women but also psychological preparation, especially for first-time mothers (primigravida) who are about to give birth.

Pregnancy generally holds significant emotional significance for every woman, as it is an expression of self-actualization and a manifestation of identity as a mother-to-be. It is also a source of pride for women, a way to embody feminism and demonstrate their true identity. The process of pregnancy generally brings a special joy to women, even though it carries significant risks, particularly during the birth of the baby (Fitriani and Nuryati, 2019).

Pregnancy is a process experienced by all women in the world. During pregnancy, a woman must receive proper management, as this can affect maternal morbidity and mortality. This is evident in the still high maternal mortality rate of 307 per 100,000 live births. This situation encourages us to provide proper management during pregnancy. The first pregnancy is the first time a mother experiences it, from ovulation to delivery (280 days/40 weeks) (Marniati, 2017).

Primigravida are frequently encountered during the services provided by the Kasta Gumani clinic. A distinctive phenomenon observed is the mental readiness of these mothers. The tendency to experience stress before the first delivery is a unique phenomenon that is very interesting to study, resulting in recommendations for primigravida. Chao-Lei (2021) stated that a mother's mental readiness significantly influences fetal health. Increased stress in the mother will provide the same stimulus to the fetus, thus affecting fetal growth until postnatally. Postnatal conditions that can be detected due to primigravida stress include mental health, the potential for neuropsychiatric disorders, and disruption of epigenetic mechanisms. Chao-Lei's (2021) research is supported by Henrichs' (2021) research, which states that maternal anxiety during pregnancy is a risk factor for behavioral/emotional problems in children into adulthood.

The therapies that the Kasta Gumani Clinic can offer to Primigravida are Self Hypnopregnancy. Kiftiyah and Sari (2023) stated Self Hypnopregnancy is a series of relaxation techniques ranging from muscle relaxation, breathing relaxation, mind relaxation and planting positive sentences that are done regularly and concentration will cause a relaxed condition in the body so that the body responds by releasing endorphins that make the mother relax and reduce pain especially when the brain reaches alpha waves or when resting. In this condition when the body releases serotonin and endorphins hormones so that humans are in a relaxed state without tension and anxiety. Based on the Researcher's Assumption Self hypnosis has an influence in reducing anxiety in pregnant women in the third trimester, Self Hypnosis for researchers is the most effective, easy and inexpensive independent way, can be done anytime anywhere, so that it is not only able to manage thoughts but it can also reduce the consumption of drugs during pregnancy.

Kasta Gumani Clinic will be happy to provide consultation services to primigravida to carry out Self Hypnopregnancy. Please consult with the clinic's on-call doctor, who will provide a free consultation to ensure the mother's health and the bright future of her unborn child. This service demonstrates the clinic's commitment to providing the best possible service.

Referensi

• Cao-Lei, L.; van den Heuvel, M.I.; Huse, K.; Platzer, M.; Elgbeili, G.; Braeken, M.A.K.A.; Otte, R.A.;Witte, O.W.; Schwab, M.; Van den Bergh, B.R.H. (2021) Epigenetic Modifications Associated with Maternal Anxiety during Pregnancy and Children’s Behavioral Measures. Cells 2021, 10, 2421. https://doi.org/10.3390/cells10092421
• Fitriani, A. Nuryati, I. (2019). Dukungan Sosial dan Tingkat Stres Pada Ibu Pasca Melahirkan Anak Pertama. Jurnal Psikologi Malahayati, Volume 1, No.2, September 2019: 1-7.
• Henrichs, Jens. et.al. (2021). Does Mindful Parenting Mediate the Association between Maternal Anxiety during Pregnancy and Child Behavioral/Emotional Problems? Mindfulness (2021) 12:370–380. https://doi.org/10.1007/s12671-019-01115-9 Marniati. (2017). Analisis Tingkat Kecemasan Ibu Kehamilan Pertama Dalam Menghadapi Persalinan. Prosiding Seminar Nasional IKAKESMADA “Peran Tenaga Kesehatan dalam Pelaksanaan SDGs”. 26 Januari 2017. 107-112.