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"ABSTRAKPerubahan psikososial pada ibu primigravida selama kehamilan salah satu oleh pasangan. Ibu primigravida memerlukan adanya penyesuaian pasangan selama kehamilan. Penelitian ini bertujuan mengidentifikasi hubungan antara penyesuaian pasangan dengan kelekatan ibu primigravida dan janin. Penelitian cross sectional ini menggunakan teknik multistage cluster random sampling dan melibatkan 110 ibu primigravida. Hasil penelitian menunjukkan terdapat hubungan signifikan antara penyesuaian pasangan dengan kelekatan ibu dan janin p value < 0,1 . Peneliti menyarankan tenaga kesehatan, khususnya perawat maternitas agar mampu mempertahankan dan meningkatkan edukasi kehamilan terkait aspek psikososial kepada ibu primigravida dan pasangan.

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ABSTRACTOne of the reasons of psychosocial changes to primigravida during pregnancy is caused by their partners. The mother needs to make adjustments with her partners during pregnancy. The aim of this study was to identify relationship between the partner rsquo s adjustments and prenatal attachment in primigravida. This cross sectional study applied the multistage cluster random sampling technique involved 110 primigravidas. The results showed that significant relationship between the partner rsquo s adjustment and prenatal attachment in primigravida p value 0,1 . The researcher suggests that health workers, especially maternity nurses, to be able to maintain and increase pregnancy educations related to psychosocial aspects to primigravida mothers and their partner rsquo s."

"[ABSTRAKIbu hamil risiko tinggi rentan mengalami kecemasan dan depresi yang berdampak pada kelekatannya dengan janin. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara dukungan sosial dengan kelekatan ibu dan janin pada ibu hamil risiko tinggi. Penelitian cross sectional ini melibatkan 108 ibu hamil risiko tinggi yang dipilih menggunakan consecutive sampling. Hasil penelitian menunjukkan bahwa terdapat hubungan antara dukungan sosial dengan kelekatan ibu dan janin pada ibu hamil risiko tinggi (p=0.003). Ibu dengan dukungan sosial tinggi berpeluang 3,9 kali mempunyai kelekatan tinggi dengan janinnya dibandingkan ibu yang dukungan sosialnya rendah setelah dikontrol depresi (OR=3.9; 95% CI=1.66-8.99). Hasil penelitian ini menegaskan bahwa aspek psikososial perlu lebih diperhatikan dalam perawatan ibu hamil sehingga status sejahtera bagi ibu dan bayi dapat dicapai.

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ABSTRACTHigh risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby.;High risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby.;High risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby., High risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby.]"

"ABSTRAKMual muntah merupakan kejadian normal pada ibu hamil trimester pertama. Salah satu faktornya adalah psikososial. Penelitian merupakan studi cross sectional yang mengidentifikasi hubungan stres prenatal dan penerimaan kehamilan dengan mual muntah pada ibu primigravida trimester pertama. Penelitian menggunakan teknik consecutive sampling dengan responden berjumlah 110 orang. Terdapat hubungan antara stres prenatal dan penerimaan kehamilan dengan kejadian mual muntah. Layanan kesehatan direkomendasikan memperhatikan kesehatan psikososial ibu hamil dan menerapkan pengkajian mual muntah sesuai standar agar dapat mendeteksi dini komplikasi.

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ABSTRACTNausea and vomiting is a normal occurrence in first trimester pregnant women. One of the factors is psychosocial. The study was a cross sectional design that identified relationship between prenatal stress, pregnancy acceptance and nausea vomiting in first trimester primary primigravidae. The research uses consecutive sampling technique with 110 respondents. There is a relationship between prenatal stress and pregnancy acceptance with nausea vomiting. Health services are recommended to pay attention to the psychosocial health of pregnant women and apply standard nausea and vomiting assessment in order to detect early complications. "

"ABSTRAKKehamilan menjadi krisis situasional terutama bagi ibu primigravida sehingga berdampak pada kesejahteraan ibu dan janin. Penelitian ini bertujuan mengidentifikasi prenatal distress pada ibu primigravida dan faktor yang memengaruhinya. Desain penelitian berupa deskriptif analitik dengan pendekatan cross sectional pada 214 ibu primigravida di Kota Serang. Variabel independen yang diteliti diantaranya usia ibu, tingkat pendidikan, tingkat pendapatan, usia kehamilan, dukungan sosial, pengalaman masa lalu, kepuasan terhadap dukungan suami, perencanaan kehamilan serta prenatal distress sebagai variabel dependennya. Instrumen yang digunakan diantaranya Socio-demographic questionnaire, PTSD Symptom Scale PSS , Multidimensional scale of perceived social support MSPSS , London Measure of Unplanned Pregnancy Instrument LMUP , Marital Adjustment Test MAT dan Prenatal Distress Questionnaire PDQ . Hasil penelitian menunjukan mayoritas responden mengalami distress tinggi 55,6 . Usia ibu merupakan faktor yang paling berpengaruh terhadap terjadinya prenatal distress pada ibu primigravida OR=10,31; 95 CI, 4,7-22,6 . Semakin rendah usia ibu maka semakin meningkat masalah psikososialnya. Sebaliknya, semakin tinggi usia ibu maka semakin meningkat koneksi sosialnya sehingga lebih mudah menyesuaikan diri selama kehamilan. Petugas kesehatan sebaiknya lebih gencar memberikan penyuluhan pada remaja mengenai perencanaan kehamilan.

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ABSTRACTPregnancy is a crisis situation, especially for primigravida, which affects the well being of mother and fetus. The aim of this research is to identify prenatal distress in primigravida and the factors that could affect it. The research design is in the form of analytic descriptive with cross sectional approach on 214 primigravida in Serang City. The independent variables of the research are including maternal age, education level, income level, gestational age, social support, past experience, satisfaction of husband support, pregnancy planning and prenatal distress as the dependent variable. The used Instruments are Socio demographic questionnaire, PTSD Symptom Scale PSS , Multidimensional scale of perceived social support MSPSS , London Measure of Unplanned Pregnancy Instrument LMUP , Marital Adjustment Test MAT and Prenatal Distress Questionnaire PDQ . The results showed that the majority of respondents have been through severe distress 55.6 . Maternal age is the most important factor which effects on prenatal distress in primigravida OR, 10.31 95 CI, 4.7 22.6 . The lower of the mother 39 s age, the more it increases his psychosocial problems. Or vice versa, the higher of the mother 39 s age, the easier they make social connections during pregnancy. Health workers should be more aggressive giving counseling to the teenagers about the planning of pregnancy."

"Ibu hamil seringkali mengalami kecemasan pada masa kehamilan, khususnya pada primigravida. Oleh karena itu, penelitian ini bertujuan untuk mengidentifikasi hubungan kecemasan dengan kualitas tidur pada ibu hamil primigravida. Populasi pada penelitian ini adalah seluruh ibu hamil primigravida  di Kota Jakarta Timur. Sampel pada penelitian ini berjumlah 105 ibu hamil primigravida yang memenuhi kriteria inklusi dari lima puskesmas kecamatan yang terpilih yaitu puskesmas kecamatan kramat jati, pulo gadung, duren sawit, cakung dan jatinegara. Penelitian ini menggunakan desain cross sectional, dengan teknik purposive sampling. Instrumen yang digunakan untuk mengukur kecemasan ialah kuesioner Generalized Anxiety Disorder-7(GAD-7) (r = 0,876) dan instrumen Pittsburg Sleep Quality Index (PSQI) (r = 0,79) untuk mengukur kualitas tidur. Analisis data menggunakkan analisis univariat serta bivariat (uji korelasi pearson) dengan penggunaan program SPSS dan tingkat kemaknaan 0,05. Uji korelasi pearson  menunjukkan adanya hubungan bermakna antara kedua variabel (r = 0.390, p-value = 0.001).

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Pregnant women often experience anxiety during pregnancy, especially primigravida. Therefore, this study aims to identify the relationship between anxiety and sleep quality in primigravida pregnant women. The population in this study were all primigravida pregnant women in East Jakarta. The sample in this study amounted to 105 primigravida pregnant women who met the inclusion criteria from five selected sub-district health centers, namely Kramat Jati, Pulo Gadung, Duren Palm, Cakung and Jatinegara District Health Centers. This study used a cross sectional design, with purposive sampling technique. The instruments used to measure anxiety were the Generalized Anxiety Disorder-7 (GAD-7) questionnaire (r = 0.876) and the Pittsburgh Sleep Quality Index (PSQI) (r = 0.79) instrument to measure sleep quality. Data analysis used univariate and bivariate analysis (Pearson correlation test) with the use of SPSS program and a significance level of 0.05. Pearson correlation test showed a significant relationship between the two variables (r = 0.390, p-value = 0.001)."

"Pengetahuan mengenai faktor risiko dan tanda bahaya kehamilan akan memotivasi ibu hamil untuk merawat kehamilannya dengan baik. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan tentang faktor risiko dan tanda bahaya kehamilan dengan perilaku merawat kehamilan pada ibu primigravida. Jenis penelitian adalah deskriptif korelatif cross sectional diambil dengan teknik consecutive sampling. Analisa data menggunakan uji chi-square. Jumlah sampel 106 responden dari tujuh puskesmas di wilayah Depok pada bulan April-Juni 2015. Hasil penelitian menunjukkan adanya hubungan yang signifikan secara statistik antara pengetahuan tentang faktor risiko dan tanda bahaya kehamilan dengan perilaku merawat kehamilan pada primigravida (p value: 0,001: α = 0.05). Diharapkan kedepannya puskesmas dapat meningkatkan edukasi mengenai faktor risiko dan tanda bahaya kehamilan.

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The pregnant mothers who have knowledge about risk factor and obstetric danger signs will motivate her to be more concern about her pregnant conditions. The aim of this study was to determine the relationship between knowledge of risk factor and obstetric danger signs and pregnancy care behavior among primigravida. This study used descriptive correlative design approach. Sampling technique use consecutive sampling. Samples of this study are 106 third trimester primigravidas in seven Puskesmas in Depok. This result shows that there is a statistically significant relationship between knowledge of risk factor and obstetric danger signs with pregnancy care behavior among primigravida (p value: 0,001; α = 0.05). This study suggests health care professional to improve education about obstetric danger signs and pregnancy care."

"Pengetahuan mengenai faktor risiko dan tanda bahaya kehamilan akan memotivasi ibu hamil untuk merawat kehamilannya dengan baik. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan tentang faktor risiko dan tanda bahaya kehamilan dengan perilaku merawat kehamilan pada ibu primigravida. Jenis penelitian adalah deskriptif korelatif cross sectional diambil dengan teknik consecutive sampling. Analisa data menggunakan uji chi-square. Jumlah sampel 106 responden dari tujuh puskesmas di wilayah Depok pada bulan April - Juni 2015. Hasil penelitian menunjukkan adanya hubungan yang signifikan secara statistik antara pengetahuan tentang faktor risiko dan tanda bahaya kehamilan dengan perilaku merawat kehamilan pada primigravida (p value: 0,001: α = 0.05). Diharapkan kedepannya puskesmas dapat meningkatkan edukasi mengenai faktor risiko dan tanda bahaya kehamilan.

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The pregnant mothers who have knowledge about risk factor and obstetric danger signs will motivate her to be more concern about her pregnant conditions. The aim of this study was to determine the relationship between knowledge of risk factor and obstetric danger signs and pregnancy care behavior among primigravida. This study used descriptive correlative design approach. Sampling technique use consecutive sampling. Samples of this study are 106 third trimester primigravidas in seven Puskesmas in Depok. This result shows that there is a statistically significant relationship between knowledge of risk factor and obstetric danger signs with pregnancy care behavior among primigravida (p value: 0,001; α = 0.05). This study suggests health care professional to improve education about obstetric danger signs and pregnancy care."

"Dukungan sosial khususnya dukungan suami berkontribusi positif terhadap maternal fetal attachment (MFA), namun hubungan tersebut masih inkonsisten. Kehamilan merupakan proses alamiah yang dapat menjadi sumber stres bagi calon ibu. Mental health self-efficacy (MHSE) terbukti menurunkan depresi dan kecemasan, tidak terkecuali pad a ibu hamil. Oleh karena itu, penelitian ini hendak melihat hubungan antara dukungan suami dan MHSE terhadap maternal fetal attachment sekaligus melihat peran mediasi MHSE atas hubungan dukungan suami dan MFA. Penelitian dilakukan dengan menggunakan kuisioner terhadap 281 ibu hamil di wilayah Jadebotabek, khususnya wilayah Depok. Hasil analisis regresi sederhana menunjukkan adanya kontribusi yang signifikan dari dukungan suami dan MHSE terhadap MFA (p < 0.05). Hal ini berarti meningkatnya dukungan suami dan MHSE dapat meningkatkan MFA. Hasil analisis model mediasi PROCESS dari Hayes menunjukkan bahwa MHSE tidak memiliki peran sebagai mediator dalam hubungan antara dukungan suami dan MF A. Pada penelitian efikasi diri kesehatan mental hanya berperan sebagai variabel bebas yang berkontribusi terhadap MFA.

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Social support, especially husband support, contributes positively to maternal fetal attachment (MFA), but the relationship is still inconsistent. Pregnancy is a natural process that can be a source of stress for expectant mothers. Mental health self-efficacy (MHSE) has been shown to reduce depression and anxiety, including pregnant women. Therefore, this study wants to look at the relationship between husband support and MHSE on maternal fetal attachment as well as looking at the role of MHSE mediation over the relationship of husband support and MFA. The study was conducted using a questionnaire of 281 pregnant women in the Jadebotabek area, especially the Depok area. The results of the simple regression analysis showed a significant contribution from husband and MHSE support for MFA (p <0.05). This means that increased husband support and MHSE can increase MFA. The results of the analysis of the PROCESS mediation model from Hayes show that MHSE does not have a role as a mediator in the relationship between husband support and MFA."

"ABSTRAKPersalinan menjadi salah satu pemicu munculnya masalah kesehatan mental maternal. Salah satu masalahnya adalah childbirth fear yang terjadi pada seperempat ibu hamil secara global. Penelitian ini bertujuan untuk mengidentifikasi childbirth fear pada ibu primigravida dan faktor- faktor yang memengaruhinya. Desain penelitian berupa deskriptif analitik dengan pendekatan cross sectional pada 126 ibu primigravida di Kota Bekasi. Instrumen yang digunakan diantaranya Marital Adjustment Test MAT , Perceived Stress Scale PSS , Pregnancy-Related Anxiety Questionnaire PRAQ-R2 dan Wijma Delivery Experience/Expectancy Questionnaire WDEQ-A . Hasil penelitian menunjukkan lebih banyak ibu primigravida yang mengalami childbirth fear yang rendah. Kepuasan terhadap dukungan suami merupakan faktor yang paling berpengaruh terhadap terjadinya childbirth fear pada ibu primigravida OR=11.96; 95 CI, 4.3-33.1 . Ibu primigravida yang tidak puas terhadap dukungan suaminya berisiko 11.96 kali lebih besar untuk mengalami childbirth fear dibandingkan dengan ibu yang puas. Petugas kesehatan direkomendasikan untuk memfasilitasi pendampingan suami saat antenatal agar siap berperan dalam persalinan nantinya.Kata kunci :Childbirth fear; primigravida

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ABSTRACTChildbirth becomes the trigger of maternal mental health problems. One of the problem is childbirth fear which affects about one fourth of pregnant women globally. The aim of this research was to identify childbirth fear in primigravida and the influencing factors. This research used analytic descriptive design with cross sectional approach in 126 primigravida in Bekasi City. The instruments used were Marital Adjustment Test MAT , Perceived Stress Scale PSS , Pregnancy Related Anxiety Questionnaire PRAQ R2 and Wijma Delivery Experience Expectancy Questionnaire WDEQ A . Results showed that most of primigravida suffer low of childbirth fear. Satisfaction of husband support is the most influencing factor of childbirth fear in primigravida OR 11.96, 95 CI, 4.3 33.1 . Primigravida who unsatisfied with husband support was 11.96 more risky of suffered childbirth fear than whom satisfied. It is recommended that health workers could facilitate husband during antenatal so that ready to have role in later childbirth. Keyword Childbirth Fear Primigravida "

"Kondisi psikososial pada kehamilan menyangkut kondisi psikologis, kondisi sosial budaya, dan kondisi psikososial yang terjadi pada ibu primigravida. Masalah psikososial dapat diartikan setiap perubahan dalam kehidupan individu baik yang bersifat psikologis maupun sosial yang mempunyai pengaruh timbal balik dan dianggap berpotensi cukup besar sebagai faktor terjadinya gangguan kesehatan atau gangguan jiwa secara nyata (Depkes RI, 1995). Primigravida adalah kehamilan pertama (Donald, 1991). Latar belakang penelitian ini adalah ditemukannya fenomena di masyarakat bahwa ibu hamil sering mengalami pembahan perilaku, seperti ngidam, atau keinginan yang timbul saat hamil dan adanya pantangan terhadap beberapa jenis makanan.Tujuan penelitian ini untuk mengidentifikasi kondisi psikososial ibu primigravida. Metode/ desain penelitian ini adalah deskriptif sederhana dengan uji statistik tendensi sentral (mean,median dan modus). Hasil penelitian menunjukkan 80% Ibu hamil berpendidikan sekolah menengah dan 7% perguruan tinggi. Usia ibu 53% antara 21- 25 tahun dan 27% kurang dari 20 tahun. Seluruh responden menyatakan memerlukan dorongan semangat dari suami dan keluarga, senang dengan kehamilannya dan gerakan janin yang dikandungnya, semakin dicintai suami, membicarakan masa depan keluarga dengan suami, dan membutuhkan bantuan petugas kesehatan serta mempersiapkan persalinan."