FAKTOR PREDIKTOR PRENATAL ANXIETY PADA IBU HAMIL RESIKO TINGGI DI KABUPATEN LAMONGAN

Abstract

Background: High-risk pregnancy increases the likelihood of complications for both mother and fetus and is closely linked to psychological problems such as prenatal anxiety. Anxiety during pregnancy can negatively affect maternal health and fetal development through elevated cortisol levels.This study aimed to identify predictors of prenatal anxiety among high risk pregnant women in Lamongan Regency. Methods: Using a correlational analytic design with a cross-sectional approach, 72 high-risk pregnant women from Paciran and Dermo Lemahbang Districts were selected through purposive sampling (KSPR score ≥ 6). Data were collected using demographic questionnaires, the Maternity Social Support Scale (MSSS), and the Depression Anxiety Stress Scale (DASS-14) anxiety subscale. Data were analyzed using Spearman’s Rho and multiple linear regression with a significance level of α = 0.05. Results: Most respondents were aged 20–35 years, multiparous, had high school education, and reported high social support. Maternal age (p = 0.018) and social support (p = 0.012) showed significant associations with prenatal anxiety. Together, both variables explained 14% of the variance (R² = 0.140), with social support as the strongest predictor (p = 0.024). Conclusion: These findings highlight the importance of integrating psychological care and strengthening social support in antenatal services for high-risk pregnancies.