High-risk pregnancy is often associated with elevated levels of maternal anxiety, which can negatively impact maternal and fetal health outcomes. While pharmacological approaches are available, evidence regarding effective non-pharmacological interventions for anxiety management in this population remains limited. This study aimed to evaluate the effectiveness of autogenic relaxation and auricular acupressure in reducing anxiety among high-risk pregnant women. A quasi-experimental study with a pre-test–post-test control group design was conducted at the Bengkulu City Public Health Center area. Thirty-four third-trimester pregnant women experiencing anxiety were recruited, with 17 participants assigned to the intervention group through total sampling and 17 to the control group using simple random sampling. The intervention, combining autogenic relaxation and auricular acupressure, was administered daily for seven consecutive days. Anxiety levels were measured before and after the intervention. Data were analyzed using paired t-tests and Mann-Whitney tests. Baseline anxiety scores were comparable between groups (intervention: 30.18; control: 30.76). After the intervention, the intervention group showed a significant reduction in anxiety by 10.94 points (p = 0.000), compared to 3.76 points in the control group. Mann-Whitney analysis confirmed a significant difference between groups (p = 0.000). Autogenic relaxation was found to be more effective (37%) compared to auricular acupressure (13%) in reducing maternal anxiety. Autogenic relaxation is more effective than auricular acupressure in reducing anxiety among high-risk pregnant women. These findings highlight the potential of autogenic relaxation as a recommended non-pharmacological intervention in antenatal care to enhance maternal psychological well-being.

Autogenic Relaxation, Auricular Acupressure, Anxiety, High Risk Pregnancy