Effects of Listening to Holy Quran and Zikrullah Recitation on Stress and Physiological Stress Responses Among Muslim Pregnant Women with Premature Uterine Contractions: A Randomized Controlled Trial

Main Article Content

Nisalwa Japakeeya
Sasitorn Phumdoung
Sopen Chunuan


Objective: This randomized controlled trial study aimed to investigate the effects of listening to Holy Quran and Zikrullah recitation on stress and physiological stress responses among Muslim pregnant women with premature uterine contractions. Methods: Convenient sampling was used to recruit the participants who met the inclusion criteria, then Minimized randomization was used to assign 62 pregnant women into either the experimental group (n = 31) and the control group (n = 31). The experimental group received listening to Holy Quran and performing Zikrullah recitation for 40 minutes whereas the control group received usual care. Data collection before and after intervention comprised 1) demographic data form, 2) 100 mm VAS of Stress, and 3) blood pressure monitoring equipment. Convergent validity of the 100 mm VAS - stress was .79, and test-retest reliability of the 100 mm VAS - stress was .86. Results: The results showed that the mean score of 100 mm VAS stress, systolic blood pressure, diastolic blood pressure, and heart rate in the experimental group were significantly lower than those in the control group (t = 10.21, p < .001; t = 4.28, p < .001; t = 4.54, p < .001; t = 5.48, p < .001 respectively). Conclusion: The results demonstrate that listening to Holy Quran and performing Zikrullah recitation could help reducing stress among Muslim pregnant women with preterm uterine contractions. Thus, nurses should apply these interventions in nursing for Muslim pregnant women with premature uterine contractions.


Download data is not yet available.

Article Details

How to Cite
Japakeeya, N. ., Phumdoung, S. ., & Chunuan, S. . (2021). Effects of Listening to Holy Quran and Zikrullah Recitation on Stress and Physiological Stress Responses Among Muslim Pregnant Women with Premature Uterine Contractions: A Randomized Controlled Trial. Journal of Research in Nursing-Midwifery and Health Sciences, 41(4), 1–14. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/252556
Research Articles


World Health Organization. Preterm birth [Internet]. Geneva: World Health Organization; 2019 [cited 2019 Apr 13]. Available from: http://www.who.int/news-room/fact-sheets/detail/preterm-birth

Jaru A, Chatchawet W, Kritcharoen S. Factors predicting self-care behaviors among pregnant women with successful inhibition of preterm labor. Songklanagarind J Nurs. 2019; 39(1): 79-92. Thai.

Thongsong T, Wanapirak C. Preterm labor. In: Thongsong T, editor. Obstetrics. 6 th ed. Bangkok: Laxmirung; 2021. Thai.

Woodhart L, Goldstone J, Hartz D. The stories of women who are transferred due to threat of preterm birth. Women Birth. 2018; 31(4): 307-12. doi: 10.1016/j.wombi.2017.10.015.

Borogerdi TN. Effects of hospitalization and bedrest on high-risk pregnant women and their families [Doctor of Philosophy in Nursing]. [New York]: Graduate Scholl of Binghamton University; 2016. 151 p.

Lilliecreutz C, Laren J, Sydsjo G, et al. Effect of maternal stress during pregnancy on the risk for preterm birth. BMC Pregnancy Childbirth. 2016; 16(5): 1-8. doi: 10.1186/s12884-015-0775-x.

Jittrapirom A, Sateapongprapa J, Klunklin A. Effectiveness of relaxation training program and education provision for women with preterm labor. Nurs J. 2018; 45(4): 47-55. Thai.

Lahukarn B, Kala S, Kritcharoen S. The effect of education and progressive muscle relaxation program on stress among pregnant women with preterm labor pain. SCNJ. 2019; 6(2): 1-13. Thai.

Hye-Jin P, Mi-Hae S. Effects of music therapy on stress of preterm labor and uterine contraction in pregnant women with preterm labor. Korean J Women Health Nurs. 2017; 23(2): 109-16. doi: 10.4069/kjwhn.2017.23.2.109.

Aazami Y, Marzabadi EA. Stress management model pattern according to Quran and Hadith. Int J Behav Sci. 2017; 10(4): 167-75.

Nayef EG, wahab MNA. The effect of recitation Quran on the human emotions. Int J Acad Res Bus Soc Sci. 2018; 8(2): 50-70. doi: 10.6007/IJARBSS/v8-i2/3852.

Yahya Al-galal SA, Alshaikhli I. Analyzing brainwaves while listening to Quranic recitation compared with listening to music based on EEG signals. IJPCC. 2017; 3(1): 1-5. doi: 10.31436/ijpcc.v3i1.43.

Zulkurnaini NA, Shilawani R, Kadir SA, et al. The comparison between listening to Al-Quran and listening to

classical music on the brainwave signal for the alpha band. 2012 Third Int Conf Intell Syst Model imul. 2012; 60:

-6. doi: doi.org/10.1109/ISMS.2012.60.

Abbas AM, El-Houfey AA, Abdelbadee AY, et al. Effects of listening to Quran on maternal & neonatal outcomes among mothers undergoes cesarean section. IJNMH. 2016; 2(2): 39-53.

Bakar SABA. Effects of Holy Quran listening on physiological stress response among Muslim patients in

intensive care unit. CoMM. 2014; 164-72.

Jabbari B, Mirghafourvand M, Sehhatie F, et al. The effect of Holly Quran voice with and without translation on stress, anxiety and depression during pregnancy: A randomized controlled trial. J Relig Health. 2020; 59(1): 544-54. doi: 10.1007/s10943-017-0417-x.

Sahmeddini MA, Lari ZM, Rahimian MN, et al. The effect of listening to the Quran on serum cortisol levels

and anxiety in primiparous women during the first stage of labor [Abstract]. Iran J Obstet Gynecol Infertil. 2014;

(99): 1-7.

Ibrahim I. Study of the process of calling God’s name from scientific glasses: Aspects of Dzikrullah by science. GIAP Journals. 2018; 6(3): 30-7. doi: org/10.18510/hssr.2018.635.

Alita R, Setyowati, Rachmawati IN. Relaxation therapy in pregnant women with premature contractions: Evidencebased nursing practice. Adv Health Sci Res. 2020; 30: 406-12. doi: 10.2991/ahsr.k.201125.069.

Wahyuni S, Anies, Soejoenoes A, et al. Spiritual Dhikr reduce stress and depression symptom on primigravidas. PaK J Med Sci. 2018; 12(3): 1368-71.

Fink G. Stress, definitions, mechanisms, and effects outlined: Lessons from anxiety. In: Fink G, editor. Stress: concepts, cognition, emotion, and behavior, volume 1 of handbook of stress series. San Diego: Elsevier; 2016.

Haenjohn J. Brain & emotions: A miracle connection. Ratchaphruek J. 2015; 13(3): 9-19. Thai.

Farhud DD, Malmir M, Khanahmadi M. Happiness & health: The biological factors systematic review article.

Iranian J Publ Health. 2014; 43(11): 1468-77.

El-Hady MM, Kandeel NA. The effect of listening to Qur’an on physiological response of mecha-nically

ventilated Muslim patients. IOSR-JNHS. 2017; 6(5): 79-87. doi: 10.9790/1959-0605097987.

Lipsey MW. Design sensitivity: Statistical power for experimental research, In Bickman L, Rog DJ, editor.

Handbook of applied social research methods. ThousandOaks, CA: Sage; 1998.

Wongpakaran N, Wongpakaran T. The Thai version of the PSS-10: An investigation of its psychometric properties. Biopsychosoc Med. 2010; 4(1): 1-6. doi: 10.1186/1751-0759-4-6.

Mirzaei T, Nematollahi M, Sabzevari S, et al. Short term effects of Islamic Zikr on anxiety, stress, and depression in mothers of children with congenital heart disease. Br J Med Med Res. 2015; 10(4): 1-5. doi: 10.9734/BJMMR/2015/19526.

Nimo N, Buaphetch A, Phetchratachat U. Effect of selfmanagement program in breathing exercise and Al-

Quran listening on blood pressure in Muslim with uncontrolled hypertension. Al-Nur J. 2018; 13(24): 197-210. Thai.

Utami AT, Assegaf AAR, Silahudin F, et al. The effect of gym and Zikr towards reduction blood pressure among elderly in Suburban Malang city, Indonesia. J Orthop Disord. 2020; 3(1): 1-4.