Breech births occur in 1 out of 25 full-term births. Although this figure is not considered high, breech births are very risky. Generally, the variation given to change the position of a fetus in a breech position is by doing a knee chest position. In addition, there is also hypnobirthing, one of the techniques of autohypnosis (self-hypnosis), which can help turn the position of the fetus in a breech position. The purpose of this study is to find out the impact of mixed methods and knee chest position on the position of the fetus in breech pregnancy. This study uses quasi experiment method with an approach of control group time series design. The sampling technique uses a quota sampling of 30 pregnant women with breech pregnancy in Independent Midwifery Practitioner of
Tegal Regency as the subject research. In this study, the number of samples is set to 30, which is divided into 2 groups; 15 subjects as a treatment group with Hypnobirthing and Knee chest methods, and 15 subjects as a control group with Knee chest position. The measuring instruments are the checklist of Hypnobirthing method performed by R midwife and the observation sheet of Leopold’s maneuver. Variables in this study are
the mixed methods as the independent variable and the changes of the fetal position in breech pregnancies as the dependent variable. Based on the results of this study, 15 women with breech pregnancy (100%) from the treatment group experienced a change in fetal position; from breech to vertex position, and 6 women with breech pregnancy (40%) from the control group did not experience any changes. The result of Fisher’s Exact Test analysis shows that the value of p value = 0.017 (p < 0.05). This illustrates the significant impacts of the mixed methods on the fetal position changes in breech pregnancy in Tegal Regency Independent Midwifery Practitioner.
Keywords: Mixed Methods, Hypnobirthing, Knee chest, Breech