Mobile-Based Box Breathing Application Blood Pressure in Pregnant Women at Risk of Preeclampsia

https://doi.org/10.33860/jbc.v7i3.4249

Authors

  • Aprina Department of Nursing, Poltekkes Tanjungkarang, Lampung, Indonesia
  • Titi Astuti Department of Nursing, Poltekkes Tanjungkarang, Lampung, Indonesia
  • Anita Department of Nursing, Poltekkes Tanjungkarang, Lampung, Indonesia

Keywords:

Preeclampsia, Box Breathing, Pregnancy, Mobile Health, Blood Pressure

Abstract

Background: Preeclampsia is a pregnancy-related hypertensive disorder that remains a major contributor to maternal and perinatal morbidity and mortality. Non-pharmacological interventions, such as box breathing, have gained attention as complementary strategies for blood pressure control in pregnant women at risk of preeclampsia. This study aimed to examine the effect of a mobile-based box breathing intervention on blood pressure among pregnant women at risk of preeclampsia.

Methods: A pre-experimental study with a one-group pretest–posttest design was conducted among 197 pregnant women recruited using purposive sampling from four hospitals in Lampung Province, Indonesia. Blood pressure was measured before and after the intervention, and data were analyzed using a paired sample t-test.

Results: The mean systolic blood pressure decreased from 139.46 mmHg (SD = 14.28; range 105–195 mmHg) to 122.93 mmHg (SD = 10.91; range 96–167 mmHg), with a mean difference of 16.53 mmHg (SD = 13.43; p < 0.001). The mean diastolic blood pressure declined from 90.15 mmHg (SD = 11.90; range 56–156 mmHg) to 82.46 mmHg (SD = 8.21; range 66–106 mmHg), with a mean difference of 7.69 mmHg (SD = 10.74; p < 0.001).

Conclusion: Mobile-based box breathing was associated with a significant reduction in both systolic and diastolic blood pressure among pregnant women at risk of preeclampsia.

Downloads

Download data is not yet available.

References

Abadibavil, D., Sharifi, N., Dashti, S., & Fathi Najafi, T. (2021). Effects of Yoga in Pregnancy on Postpartum Depression: A Systematic Review. Modern Care Journal, 18(2). https://doi.org/10.5812/modernc.115237

Ahmed, A., Devi, R. G., & Priya, A. J. (2021). Effect of Box Breathing Technique on Lung Function Test. Journal of Pharmaceutical Research International, 25–31. https://doi.org/10.9734/jpri/2021/v33i58A34085

American College of Obstetricians and Gynecologists. (2022). Hypertension and Preeclampsia in Pregnancy. https://www.acog.org/topics/hypertension-and-preeclampsia-in-pregnancy.

Andas, A. M., Sansuwito, T., Mohd Said, F., Puspitasari, I., Prima, A., & Andas, N. H. (2023). The Effect of Box Breathing on Sleep Disorders in Elderly at Tresna Werdha Social Institution. Malaysian Journal of Medicine and Health Sciences, 19(s9), 197–204. https://doi.org/10.47836/mjmhs.19.s9.29

Anis Afri Nurul Hudha, & Sri Handayani. (2024). Pengaruh Pendidikan Kesehatan dengan Media Leaflet terhadap Pengetahuan tentang Preeklampsia pada Kader Kesehatan di Desa Kuwiran Kecamatan Banyudono Boyolali. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 2(4), 192–207. https://doi.org/10.55606/detector.v2i4.4532

Anita, Aprina, T. (2023). MANAGEMENT OF RISK FACTORS FOR PRE-ECLAMPSIA. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(4)., 1859–1878. https://doi.org/https://doi.org/10.30604/jika.v8i4.2395

Aprina, Titi, A. (2024). Prototype Box Breathing Innovation Overcoming the Risk of High Blood Pressure for Pregnant Women. 52(1), 1–7. https://doi.org/10.33860/bpk.v52i1.3931

Babar, S., Haris, M., Sikandar, M. Z., Siddiq, U. A. B., Ahmad, S. J., & Shaheen, F. (2023). Comparative Study of Static and Dynamic Hand Grip Endurance with Correlation of Deep Breathing among Pregnant Women; A Cross-sectional Study. Pakistan Journal of Medical and Health Sciences, 17(3), 220–223. https://doi.org/10.53350/pjmhs2023173220

Dini Kurniawati, Adilah Mia Azubah, Eka Afdi Septiyono, Iis Rahmawati, & Lantin Sulistyorini. (2023). Tanda dan Gejala pada Kehamilan dengan Preeklampsia di Wilayah Pertanian Jember. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 2(4), 1064–1072. https://doi.org/10.55123/sehatmas.v2i4.2578

Dinkes Prov. Lampung. (2024). Profil Dinas Kesehatan Provinsi Lampung. Angewandte Chemie International Edition, 6(11), 951–952., Mi, 5–24. https://dinkes.lampungprov.go.id/profil-kesehatan-provinsi-lampung-tahun-2024/

El-Bandrawy, A. M., & Ghareeb, H. O. (2022). Effect of aerobic exercise versus device-guided breathing on gestational hypertension hypertension. Physiotherapy Quarterly, 31(3), 36–40. https://doi.org/10.5114/pq.2023.117436

Herniyatun, H., Sari, E. T. I., Astutiningrum, D., Rahmadhani, W., & Chamroen, P. (2022). Prenatal Yoga on the anxiety level of pregnant women in the third trimester during the COVID-19 pandemic in Purbalingga, Indonesia. International Journal of Health Sciences, 1463–1471. https://doi.org/10.53730/ijhs.v6nS6.10743

Hidayati, N. O., Sari, L., Yulianti, M., Amalia, S. R., Agustina, F., Haqim, L., Agustina, D. S., Salsabila, N., & Fatimah, S. N. (2022). Non-Pharmachological Therapy In Decreasing Blood Pressure Among Pregnant Women: Literature Review. Journal of Maternity Care and Reproductive Health, 4(4). https://doi.org/10.36780/jmcrh.v4i4.201

Kılıçlı, A., & Zeyneloğlu, S. (2025). Mindfulness-Based Breathing Exercise on Health Profile, Vital Signs, and Fetal Heart Rate in Pregnant Women Diagnosed With Pre-Eclampsia: A Randomized Control Trial. Florence Nightingale Journal of Nursing, 33(1), 1–15. https://doi.org/10.5152/FNJN.2025.24136

Mishra, M., Parida, D., Murmu, J., Singh, D., Rehman, T., Kshatri, J. S., & Pati, S. (2023). Effectiveness of mHealth Interventions for Monitoring Antenatal Care among Pregnant Women in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. Healthcare, 11(19), 2635. https://doi.org/10.3390/healthcare11192635

Motta-Yanac, E., Riley, V., Ellis, N. J., Mankoo, A., & Gidlow, C. J. (2025). The digital prescription: A systematic review and meta-analysis of smartphone apps for blood pressure control. International Journal of Medical Informatics, 195, 105755. https://doi.org/10.1016/j.ijmedinf.2024.105755

Pan, W.-L., Lin, L.-C., Kuo, L.-Y., Chiu, M.-J., & Ling, P.-Y. (2023). Effects of a prenatal mindfulness program on longitudinal changes in stress, anxiety, depression, and mother–infant bonding of women with a tendency to perinatal mood and anxiety disorder: a randomized controlled trial. BMC Pregnancy and Childbirth, 23(1), 547. https://doi.org/10.1186/s12884-023-05873-2

Querejeta Roca, G., Anyaso, J., Redline, S., & Bello, N. A. (2020). Associations Between Sleep Disorders and Hypertensive Disorders of Pregnancy and Materno-fetal Consequences. Current Hypertension Reports, 22(8), 53. https://doi.org/10.1007/s11906-020-01066-w

Quzwain, S., Dewi, H., & Romadiani, I. (2025). Association between Preeclampsia and Preterm Labor at Raden Mattaher Jambi Hospital from 2021 to 2023. Indonesian Journal of Obstetrics & Gynecology Science, 8(2), 216. https://doi.org/10.24198/obgynia.v8i2.806

Rahmawati, I., Septiyono, E. A., & Kurniawati, D. (2025). Antenatal Care (ANC) in Pregnant Women with Preeclampsia in Agroindustrial Jember, Indonesia. Pakistan Armed Forces Medical Journal, 75(1), 89–93. https://doi.org/10.51253/pafmj.v75i1.10927

Rinda Ica Ayuni, Homsiatur Rohmatin, & Agustina Widayati. (2023). Effect of Breathing Relaxation Techniques on Changes in Blood Pressure among Pregnant Women with Pre-Eclampsia. Health and Technology Journal (HTechJ), 1(2), 165–171. https://doi.org/10.53713/htechj.v1i2.24

SKI. (2023). Survei Kesehatan Indonesia 2023 (SKI). Kemenkes, 235. https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/

StatPearls. (2021). Hypertension in pregnancy. Treasure Island (FL): StatPearls Publishing. https://doi.org/https://www.ncbi.nlm.nih.gov/books/NBK570611/

Timiyatun, E., & Oktavianto, E. (2021). Dukungan Keluarga Berkorelasi Dengan Breastfeeding Self-Efficacy Pada Ibu Menyusui. Jurnal Keperawatan Notokusumo (JKN), 9(2), 24–34. https://jurnal.stikes-notokusumo.ac.id/index.php/jkn/article/view/141

Verywell Health. (2024). What to know about box breathing. erywell Health. Retrieved from [online source] Verywell Health. https://www.verywellhealth.com/box-breathing-8423967

WHO. (2024). Press., Hypertensive disorders in pregnancy: Report of a WHO expert consultation. Geneva: WHO. https://platform.who.int/docs/default-source/mca-documents/policy-documents/operational-guidance/BRN-MN-32-02-OPERATIONALGUIDANCE-2012-eng-Hyptensive-Pregnancy-Disorder-Management-Protocol.pdf

Downloads

Published

2025-12-30

How to Cite

Aprina, A., Astuti, T., & Anita, A. (2025). Mobile-Based Box Breathing Application Blood Pressure in Pregnant Women at Risk of Preeclampsia . Jurnal Bidan Cerdas, 7(3), 380–387. https://doi.org/10.33860/jbc.v7i3.4249

Issue

Section

Articles