The effect of prenatal yoga and acupressure on lowering blood pressure in pregnant women

Siti Rahmadani Nasution, Nurul Lidya, Yunita Laila Astuti, Diana Hartaty Anggaraini


Background: Hypertension in pregnancy is one of the contributors to the maternal mortality rate (MMR) in Indonesia. The combination of yoga and acupressure was expected to help pregnant women in lowering blood pressure.

Objectives: This study aimed to test the combination of prenatal yoga and acupressure against blood pressure in pregnant women who had hypertension.

Methods: This study was a quasi-experiment using a pre-post-test design with control group. The population in this study was all pregnant women in the Depok Regional Health Center. The inclusion criteria for this study included: pregnant women aged > 20 weeks of pregnancy, suffering from hypertension, namely systolic TD ≥140 mmHg and diastolic ≥90 mmHg. As for pregnant women who had a history of preeclampsia, had a history of bleeding in this pregnancy, pregnant women with placenta previa totalis were excluded from this study. The sample was taken by purposive sampling with the number of respondents as many as 30 pregnant women in the intervention group and 30 pregnant women in the control group. Data analysis used SPSS version 20 with descriptive and Chi-square tests for respondent characteristics. Bivariate analysis was analyzed with the Wilcoxon test, while to find out the difference in blood pressure between the two groups, the Mann-Witney U test was used.

Results: Statistical results obtained that there was a significant difference in the blood pressure of pregnant women before and after yoga and acupressure. In addition, there were significant differences in blood pressure reduction between the intervention group and the control group.

Conclusions: Yoga and acupressure combination was proven to reduce blood pressure. It is hoped that midwives or other health workers could implement it by teaching pregnant women, especially who suffer hypertension


yoga; acupressure; blood pressure; pregnancy

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Kemenkes. Profil Kesehatan Indonesia Tahun 2016. 2017.

World Health Organization. 2017 Health SDG Profile: Indonesia. 2017;

Kemenkes RI. Profil Kesehatan Indonesia 2021. Pusdatin.Kemenkes.Go.Id. 2022. Kementrian Kesehatan Republik Indonesia.

Sulistyowati DID. Healing Acupressure Lr-3 on Blood Pressure and Anxiety Levels in Pregnant Women With Hypertension. Eduvest Journal Univers Studies. 2022;2(7):397–405. DOI :

Jain AK, Mishra A, Lakhani P. Beta endorphins: The natural opioids. International Journal of Chemical Studies [Internet]. 2019;7(3):323–332. Available from:

Schlaeger JM, Gabzdyl EM, Bussell JL, Takakura N, Yajima H, Takayama M, et al. Acupuncture and Acupressure in Labor. Journal of Midwifery Women’s Health. 2017;62(1):12–28. DOI : 10.1111/jmwh.12545.

Au DWH, Tsang HWH, Ling PPM, Leung CHT, Ip PK, Cheung WM. Effects of acupressure on anxiety: A systematic review and meta-analysis. Acupuncture Medical Journal. 2015;33(5):353–9.DOI : 10.1136/acupmed-2014-010720.

Nisa R, Nisa IC, Faridasari I. Pengaruh Akupresur terhadap Hipertensi pada Ibu Hamil Trimester II. In: Prosiding Seminar Nasional Universitas Ngudi Waluyo [Internet]. 2022. p. 148–54. Available from:

Rodiani, Soleha TU, Ananda A. Hubungan antara Prenatal Yoga dengan Tekanan Darah Pasien Hipertensi dalam Kehamilan pada Kelompok Prenatal Yoga Klinik Krakatau. Journal of Majority [Internet]. 2019;8(1):147–51. Available from:

Balaji P, Smitha R. Integrated review of management of hypertension by lifestyle changes, yoga, exercise, acupressure, plant/herbal and allopathic medications and newer interventions. Indian Journal of Integrated Medicine. 2023;3(1):1–8.

Puspitasari Eka. Analysis Of The Factors Affecting The Quality Of The Chemical And Microbiological Drinking Water At The Depot Drinking Water Refill Tulungagung District. Journal for Quality in Public Health Vol. 1 No. 1 Januari 2018.:77–89. DOI : 10.30994/jqph.v1i1.10

Sari LT. Pengaruh Acuyoga Terhadap Penurunan Hipertensi pada Lansia. Jurnal Penelitian Kesehatan [Internet]. 2018;8(2):69–77. Available from:

Winarni RT, Tri P W. Pengaruh Prenatal Yoga Terhadap Tekanan Darah Pada Ibu Kota Kediri. Java Healh Journal. 2015;8(2):58–63. DOI :

Notoatmodjo S. Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta; 2010.

Hamdiah H, Suwondo A, Hardjanti TS, Soejoenoes A, Anwar MC. Effect of Prenatal Yoga on Anxiety, Blood Pressure, and Fetal Heart Rate in Primigravidas Mothers. Belitung Nursing Journal. 2017;3(3):246–54. DOI:10.33546/bnj.99

Borjesson M, Onerup A, Lundqvist S, Dahlof B. Physical activity and exercise lower blood pressure in individuals with hypertension: Narrative review of 27 RCTs. British Journal Sports Medicine. 2016;50(6):356–61. DOI: 10.1136/bjsports-2015-095786

Senudin PK, Syamsuddin S, Nurdin AA. the Role of Endorphin Hormones As Predictors of Pregnancy Anxiety. International Journal of Nursing Health Service. 2019;2(3):16–21. DOI:

Suryawan PA, Arneliwati A, Jumaini J. Terapi Akupresur Terhadap Tekanan Darah pada Penderita Hipertensi: Literature Review. Jurnal Kesehatan Holistik. 2022;6(2):46–52.

Kinser PA, Masho S. “Yoga Was My Saving Grace”: The Experience of Women Who Practice Prenatal Yoga. Journal American Psychiatric Nurses Association. 2015;21(5):319–26. DOI:10.1177/1078390315610554

Sulistyowati DID. Healing Acupressure Lr-3 on Blood Pressure and Anxiety Levels in Pregnant Women With Hypertension. Eduvest Journal of Universal Studies [Internet]. 2022;2(7):397–405. Available from:



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