Integrated antenatal care reduce childbirth anxiety among primigravida women


  • Nena Riski Hariyati Universitas 'Aisyiyah Yogyakarta
  • Abkar Raden Universitas 'Aisyiyah Yogyakarta
  • Retno Mawarti Universitas 'Aisyiyah Yogyakarta
  • Mula Tarigan Khon Kaen University

Abstract views 1443 times


Anxiety in facing labor, integrated antenatal care, quality of antenatal care


Pregnant women’s anxiety, if not well-treated, may influence both the physical and psychological conditions of mother and fetus. This study aimed to analyze the correlation between integrated antenatal services and anxiety on facing facing childbirth among primigravida women. This was an observational analytic study used Cross Sectional design. The sample in this study was 55 primigravida women in their third trimester, whom were selected by using a total sampling technique. The study was conducted in a Public Health Centre within Yogyakarta Province. The analysis employed bivariate analysis technique with Chi-Square. The results showed that non-integrated antenatal care had correlation with anxiety about facing labor with p=0.033 and OR=5.417, which explained that non integrated antenatal care significantly increases anxiety among primigravida women. Therefore there is a need tailored services which could improve the quality of Integrated Antenatal Care to reduce pregnant women’s anxiety on facing childbirth.


Biaggi, A. Conroy, S., Pawlby, S. dan P. (2016). Identifying The Women At Risk Of Antenatal Anxiety And Depression : A Systematic Review: J. Affect Disord, 192: 62-77.

Cox, E., Raines, C., Kimmel, M., Richardson, E., Stuebe, A., & Meltzer†Brody, S. (2017). Comprehensive integrated care model to im†prove maternal mental health. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 46(6), 923–930.

Davies, L., Page, N., Glover, H., & Sudbury, H. (2016). Developing a peri†natal mental health module: An integrated care approach. British Journal of Midwifery, 42(2), 118–121.

Fenwick, J., Toohill, J., Slavin, V., Creedy, D. K., & Gamble, J. (2018). Improving psychoeducation for women fearful of childbirth: Evaluation of a research translation project. Women and Birth, 31(1), 1–9.

Goe, A. Z. (2011). Hubungan Mutu Pelayanan Antenatal Care Dengan Kecemasan Ibu Hamil Primigravida Menghadapi Persalinan Di Puskesmas Gajah Kabupaten Demak. Universitas Muhammadiyah Semarang.

Heaman, M. I., Sword, W. A., Akhtar-danesh, N., Bradford, A., Tough, S., Janssen, P. A., … Helewa, M. E. (2014). Quality of prenatal care questionnaire : instrument development and testing, 1–16.

Huizink, A. C., Delforterie, M. J., Scheinin, N. M., & Tolvanen, M. (2016). Adaption of pregnancy anxiety questionnaire – revised for all pregnant women regardless of parity : PRAQ-R2, 125–132.

Iriani, D. D. (2014). Hubungan Keteraturan Kunjungan ANC Dengan Kecemasan Dalam Menghadapi Kala I Persalinan Di Wilayah Kerja Puskesmas Dlanggu Mojokerto. Poltekkes Majapahit.

Ministry of Health of the Republic of Indonesia. (2010). Pedoman Pelayanan Antenatal Terpadu. Jakarta: Kementerian Kesehatan Direktur Direktur Jenderal Bina Kesehatan Masyarakat.

Rubertsson, C., Hellström, J., Cross, M. & Sydsjö, G. (2014). Anxiety in early pregnancy: prevalence and contributing factors. Arch Womens Ment Health, 17(3), 22–28.

Sadock, B., Sadock, V. dan K. H. (2010). Synopsis of Psychiatry Behavioral Sciences, 10th ed. Tehran: Arjmand Publication.

Stoll, Kathrin., et al. (2018). Childbirth Fear: Relation to Birth and Care Provider Preferences. Journal of Midwifery &Women’s Health.

Varney, H. (2010). Buku Ajar Asuhan Kebidanan. Jakarta: EGC.

Wiknjosastro, H. (2008). Ilmu Kandungan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo.

World Helath Organization. (2008). Mental health: Depression, genva.




How to Cite

Hariyati, N. R., Raden, A., Mawarti, R., & Tarigan, M. (2019). Integrated antenatal care reduce childbirth anxiety among primigravida women. Journal of Health Technology Assessment in Midwifery, 2(1), 33–39.