Peran Dukungan Suami sebagai Faktor Prediktor Kecemasan Ibu Primigravida dalam Menghadapi Proses Persalinan

Abstract

Ketidaknyamanan semakin bertambah pada ibu hamil trimester III yang dapat menimbulkan kecemasan terutama ibu primigravida. Tingkat kecemasan menurut World Health Organization (2020) menunjukkan 8-10% ibu hamil mengalami kecemasan dan meningkat menjadi 13% ketika menjelang persalinan. Di Puskesmas Muara Telang kunjungan ANC pada bulan Oktober-Desember 2024 sebanyak 132 ibu hamil primigravida trimester III. Dari wawancara dengan 5 ibu hamil primigravida trimester III tersebut mengalami kecemasan yang salah satunya akibat dukungan suami. Dukungan suami penting untuk kehamilan istri karena terkadang istri dihadapkan pada situasi ketakutan dan kesendirian, sehingga suami diharapkan untuk selalu memotivasi dan menemani ibu hamil.

Penelitian ini untuk mengetahui hubungan dukungan suami sebagai faktor predictor kecemasan ibu hamil primigravida dalam menghadapi proses persalinan dengan jenis penelitian kuantitatif dengan desain analitik korelasi pendekatan cross-sectional. Populasi penelitian ini yaitu seluruh ibu hamil trimester III di Puskesmas Muara Telang pada bulan April-Mei 2025 sejumlah 33 responden. Sampelnya sejumlah 31 responden. Teknik sampling Accidental sampling. Instrumen yang digunakan kuisioner kemudian dianalisis univariat dan bivariat  dengan uji sperman rank.

Hasil analisis Sperman Rank dengan nilai Sig. (2-tailed) sebesar 0,000 karena nilai Sig. (2-tailed) < 0,05 dan diperoleh angka koefisien korelasi sebesar -0.672 artinya ada hubungan yang signifikan antara dukungan suami dengan kecemasan ibu hamil primigravida trimester III dalam menghadapi persalinan di UPTD Puskesmas Muara Telang. Hasil analisis tersebut diharapkan ibu hamil lebih memperhatikan keadaannya dan suami dapat selalu memberikan dukungan kepada ibu seperti mengantar ibu melakukan pemeriksaan kehamilan serta mendampingi proses persalinan sehingga dapat mengurangi kecemasan. 

Discomfort increases during the third trimester of pregnancy, potentially leading to anxiety, particularly among primigravida mothers. According to the World Health Organization (2020), 8–10% of pregnant women experience anxiety, a figure that rises to 13% as labor approaches. Interviews with five of these women revealed that they were experiencing anxiety, partly due to issues regarding husband support. Husband support is crucial during pregnancy, as wives may face situations involving fear and feelings of isolation; thus, husbands are expected to provide constant motivation and companionship. This quantitative study employed a cross-sectional, correlational analytical design to determine the relationship between husband support and anxiety among third-trimester primigravida women facing childbirth. The study population consisted of all third-trimester pregnant women at the Muara Telang Community Health Center during April and May 2025 (33 individuals), with a final sample of 31 respondents selected via accidental sampling. Data were collected using a questionnaire and analyzed through univariate and bivariate methods, specifically the Spearman rank test. The Spearman rank analysis yielded a Sig. (2-tailed) value of 0.000 (less than 0.05) and a correlation coefficient of -0.672, indicating a significant relationship between husband support and anxiety among third-trimester primigravida women regarding childbirth at the Muara Telang Community Health Center. These findings suggest that pregnant women should pay close attention to their well-being, while husbands should consistently provide support—such as accompanying their wives to prenatal check-ups and during labor—to help alleviate anxiety.