Factors Associated with Mental Health Status of Pregnant Women
DOI:
https://doi.org/10.37287/ijghr.v8i3.1592Keywords:
antenatal care (ANC), history of mental disorders, mental health of pregnant womenAbstract
Mental health of pregnant women is an important aspect of efforts to improve the health status of mothers and children. South Lampung Regency still faces low achievement in mental health screening of pregnant women (22.27%). This study aims to determine the factors associated with the mental health status of pregnant women in South Lampung Regency in 2025. This study employed a quantitative approach with a cross-sectional analytical design. The study population consisted of all pregnant women attending nine selected community health centers in South Lampung Regency, with a total sample of 415 respondents selected using proportional random sampling. The dependent variable, namely the mental health status of pregnant women, was measured using the Edinburgh Postnatal Depression Scale (EPDS), which has been validated in the Indonesian population and demonstrated good reliability, with Cronbach’s alpha ranging from 0.78 to 0.85, indicating satisfactory internal consistency. A cut-off score of ≥10 was applied to classify pregnant women as being at risk of depression, as this threshold is considered sensitive for community-based screening in primary health care settings. The independent variables maternal age, gestational age, residence, spousal support, frequency of antenatal care (ANC) visits, and history of mental disorders were measured using a structured questionnaire. Data analysis was conducted using univariate, bivariate (Chi-Square test), and multivariate (multiple logistic regression) analyses. The results of the chi-square test showed a significant relationship between the age of the pregnant woman (p=0.000; OR=2.755), gestational age (p=0.014; OR=1.684), place of residence (p=0.004; OR=0.544), spousal support (p=0.000; OR=0.462), frequency of ANC visits (p=0.026; OR=0.625), and history of mental disorders (p=0.000; OR=3.595) with the mental health status of pregnant women. Multiple logistic regression analysis showed that the dominant factor associated with the mental health status of pregnant women was a history of mental disorders in the family (OR=4.453). In conclusion, there is a relationship between the age of pregnant women, gestational age, place of residence, spousal support, frequency of ANC visits, and history of mental disorders with the mental health status of pregnant women. The dominant influencing variable is a family history of mental disorders.
References
Fransiska, S., Anggraini, F. A., & Sari, N. (2023). The relationship between age, knowledge, and spousal support with anxiety levels in pregnant women. Indonesian Journal of Nurse Science, 4(1), 143–152.
Handayani, R., Sari, D. P., & Nurhayati, E. (n.d.). Spousal support for the mental health of pregnant women. Journal of Reproductive Health.
Harahap, A. P., Adi, M. S., Sriatmi, A., & Purnami, C. T. (2024). Exploring perinatal mental health in Indonesia: A mixed-method study in Mataram, West Nusa Tenggara. Narra Journal, 4(1), 1–7.
Hasanah, Z., Joewono, H. T., & Muhdi, N. (2019). Risk factors for antenatal depression at the Jagir and Tanah Kali Kedinding community health centers in Surabaya. Jurnal Keperawatan Muhammadiyah, 4(2).
Hong, S. A., & Buntup, D. (2023). Maternal depression during pregnancy and postpartum period among the Association of Southeast Asian Nations (ASEAN) countries: A scoping review. International Journal of Environmental Research and Public Health, 20(6).
Huda, N., Amru, E., & D. (2024). Factors associated with antenatal care (ANC) visits in the Gandapura health center work area. Medical Vitality Journal of Health Medicine, 2(1), 206–214.
Indonesian Ministry of Health. (2021). Ministry of Health Regulation No. 21 of 2021. Ministry of Health of the Republic of Indonesia.
Lestari, D., Wahyuni, S., & Putri, R. M. (2021). Levels of depression and anxiety in pregnant women based on trimester of pregnancy. Indonesian Midwifery Journal, 12(2), 85–94.
Lestari, I., & Wahyuni, S. (2021). The relationship between partner support and anxiety in pregnant women. Indonesian Journal, 12(1), 34–43.
Marwah, D. S., Zata, K. N., Naufal, M., Fadhillah, M. I., & Fithri, N. K. (2023). Literature review. Medical and Health, 10(8), 2549–4864.
Ministry of Health of the Republic of Indonesia. (2023). Guidelines for mental health services for pregnant women in primary health care facilities. Directorate of Community Mental Health.
Ministry of Health of the Republic of Indonesia. (2025). Notification letter regarding changes to mental health screening instruments. Ministry of Health.
Nurhayati, E., Lestari, D., & Ramadhani, A. (2023). Family history of mental disorders as a risk factor for antenatal depression in pregnant women. Mental Health Nursing, 11(2), 101–110.
Pratiwi, A. D., Lestari, P., & Suryani, D. (2023). Social support and the risk of antenatal depression in pregnant women. Reproductive Health.
Qanita, L., & Effendi, R. (2024). The relationship between antepartum depression and the profile of pregnant women at the Sirnajaya Serang Baru community health center during the 2022 visit period. Muhammadiyah Journal of Midwifery, 4(2), 54–61.
Rahardjo Putri, N., Rahmah, U. A., & Perestroika, G. D. (2024). Perinatal mental health disorders in Indonesia: A systematic review of quantitative studies (2015–2024). Jurnal Kesehatan Masyarakat, 21(2).
Rahmah, N., & Hidayati, N. (2022). Social determinants of mental health in pregnant women in rural areas. National Public Health, 17(3), 198–207.
Rahmawati, A., & Susanti, E. (2023). Factors associated with mental health in pregnant women in antenatal care. National Public Health, 18(3), 157–166.
Rahmawati, N., & Lestari, D. (2023). Analysis of dominant factors in mental health of pregnant women based on a biopsychosocial approach. Reproductive Health.
Rahmawati, N., Lestari, P., & Yuliana, S. (2023). Compliance with antenatal care visits and the incidence of antenatal depression in pregnant women. Reproductive Health, 14(1), 23–32.
Rosyidah, H. (2021). Stress coping among mothers after miscarriage in Drangin Hamlet, Wonojoyo Village, Kediri District [Undergraduate thesis, IAIN Kediri].
Roddy Mitchell, A., Gordon, H., Lindquist, A., Walker, S. P., Homer, C. S. E., Middleton, A., et al. (2023). Prevalence of perinatal depression in low- and middle-income countries: A systematic review and meta-analysis. JAMA Psychiatry, 80(5), 425–431.
Sari, D. M., & Kusumawati, E. (2021). The relationship between antenatal care visits and anxiety levels in pregnant women. Indonesian Journal, 12(2), 78–87.
Sari, N. P., & Handayani, L. (2022). The relationship between gestational age and anxiety levels in pregnant women approaching childbirth. Journal of Maternal and Child Health, 16(1), 23–31.
Sari, N. P., & Pratama, R. Y. (2021). Genetic and family environmental factors on the mental health of pregnant women. Reproductive Health, 12(3), 187.
Sari, P. N., & Mulyani, S. (2021). A biopsychosocial approach in health services for pregnant women in Indonesia. National Public Health, 16(3), 145–154.
Seprianti, A., Astiti, E., & Ningtyas, W. (2024). Overview of the implementation of integrated antenatal care (ANC) at the Selemadeg Barat community health center, Tabanan Regency. Jurnal Kebidanan Kestra, 7(1), 16–23.
Sitorus, M. R. (2025). Incidence of depression in pregnant women receiving antenatal care (ANC) at rural community health centers. Journal of Comprehensive Science, 4(7), 2160–2169.
Syamantha Putri, A., Wurisastuti, T., Yunita Suryaputri, I., & Mubasyiroh, R. (2023). Postpartum depression in young mothers in urban and rural Indonesia. Journal of Preventive Medicine and Public Health, 56(3), 272–281.
Tahir, I., Hafid, R., & Antu, M. S. (2025). The relationship between family support and stress levels in pregnant women in the Limboto community health center working area. Journal of Collaborative Science, 8(4), 2031–2041.
Wang, Y., et al. (2021). Stress and triage accuracy. Journal of Emergency Nursing, 47(4).
World Health Organization. (2022a). Guide for integration of perinatal mental health in maternal and child health services. WHO.
World Health Organization. (2022b). Maternal mental health. WHO.
Wulandari, R., & Fitriani, H. (2021). Relationship between living environment and anxiety levels in pregnant women. Midwifery and Health, 6(1), 45–53.
Wulandari, S., & Hidayat, A. (2022). A biopsychosocial approach in preventing mental health disorders in pregnant women. National Public Health, 17(1), 45–54.
Wulandari, S., Hidayat, A., & Pramesti, D. (2022). Family history of mental disorders as a predictor of mental health in pregnant women. Mental Health Studies, 10(4), 289–298.
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