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EMBRIO: Jurnal KebidananEMBRIO: Jurnal Kebidanan

There are physical and psychological changes during pregnancy experienced by pregnant women. Anxiety often increases before delivery, especially in the third trimester. During pregnancy, COVID-19 can contribute to a womans mental health issues. Anxiety is often experienced regarding previous birth and delivery, fear of becoming infected with COVID-19 and transmitting it to others, and information obtained from social media regarding the susceptibility of pregnant women to COVID-19. Anxiety will impact decision making, especially concerning the selection of maternity health care facilities during the COVID-19 pandemic. This was a quantitative analytical study with cross-sectional design through survey methodology that was conducted July-November 2021 in the work area of 3 Community Health Centers (Betoambari, Katobengke and Kadolomoko) at Baubau City, Southeast Sulawesi. 72 pregnant women in the third trimester who were recorded in the MCH book were selected as the study samples through probability sampling technique. This study aims to determine the relationship between anxiety of pregnant women and the type of maternity health care facility during the COVID-19 pandemic. Data were collected using HARS (Hamilton Anxiety Rating Scale) questionnaire. The results of data analysis using the Chi-Square test obtained a p=0.001<α=0.05. There was a relationship between anxiety of pregnant women and the type of health care facility during the COVID-19 pandemic. Women with severe anxiety chose Private Practice Midwife (16.6%), women with moderate anxiety chose CHC (15.2%) and women with mild anxiety chose hospital (12.5%) as a maternity health care facility during the Covid-19 pandemic.

There was a relationship between anxiety of pregnant women and the type of maternity health care facility during the COVID-19 pandemic.This study highlights the influence of anxiety levels on the choice of delivery facilities, with women experiencing severe anxiety tending to opt for private midwives, those with moderate anxiety choosing community health centers, and those with mild anxiety preferring hospitals.These findings underscore the importance of addressing maternal anxiety during the pandemic to ensure appropriate healthcare access and positive pregnancy outcomes.

Penelitian lebih lanjut perlu dilakukan untuk menggali lebih dalam faktor-faktor spesifik yang berkontribusi terhadap kecemasan pada ibu hamil selama pandemi, seperti peran dukungan sosial dari keluarga dan komunitas. Selain itu, studi intervensi yang bertujuan untuk mengurangi kecemasan pada ibu hamil, misalnya melalui konseling psikologis atau program relaksasi, perlu dikembangkan dan dievaluasi efektivitasnya. Terakhir, penelitian kualitatif dapat dilakukan untuk memahami pengalaman dan persepsi ibu hamil mengenai layanan kesehatan bersalin selama pandemi, termasuk tantangan dan harapan mereka, guna meningkatkan kualitas pelayanan dan kepercayaan ibu terhadap fasilitas kesehatan.

  1. Psychological Science on Pregnancy: Stress Processes, Biopsychosocial Models, and Emerging Research Issues... annualreviews.org/doi/10.1146/annurev.psych.031809.130727Psychological Science on Pregnancy Stress Processes Biopsychosocial Models and Emerging Research Issues annualreviews doi 10 1146 annurev psych 031809 130727
  2. Psychological Science on Pregnancy: Stress Processes, Biopsychosocial Models, and Emerging Research Issues... doi.org/10.1146/annurev.psych.031809.130727Psychological Science on Pregnancy Stress Processes Biopsychosocial Models and Emerging Research Issues doi 10 1146 annurev psych 031809 130727
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