Hubungan Kecemasan dan Komplikasi Kehamilan Dengan Kesiapan Ibu Hamil Trimester III Dalam Menghadapi Persalinan di Wilayah Kerja Puskesmas Benteng Kabupaten Kepulauan Selayar

Abstract

The third trimester of pregnancy is a challenging period since pregnant women experience various physical and psychological changes that can affect their readiness for childbirth. High anxiety levels and the presence of pregnancy complications are known to reduce maternal preparedness for labor. This study aims to determine the relationship between anxiety levels and pregnancy complications with the readiness of third trimester pregnant women in facing childbirth in the working area of Benteng Community Health Center, Selayar Islands Regency. This research used a quantitative approach with a correlational design and a cross-sectional method. The population consisted of all third trimester pregnant women, with a total sample of 50 respondents selected using purposive sampling. The research instruments included an anxiety questionnaire using the Hamilton Anxiety Rating Scale (HARS), a pregnancy complication checklist, and a childbirth readiness questionnaire. Data were analyzed using the Chi-Square test and multiple logistic regression at a significance level of α = 0.05. The results showed a significant relationship between anxiety and childbirth readiness (p < 0.001) and between pregnancy complications and childbirth readiness (p < 0.001). The most dominant factor influencing readiness was anxiety, with the highest odds ratio (OR). It can be concluded that higher anxiety levels and the presence of pregnancy complications decrease the readiness of third trimester pregnant women in facing childbirth. Therefore, early detection, education, and psychological support by healthcare providers are essential to minimize anxiety, prevent complications, and enhance maternal readiness for childbirth.