Abstract :
Background: Anxiety during pregnancy is a common mental health concern arising from physiological and psychological changes that may adversely affect both maternal and fetal well-being. Primigravida women may experience heightened anxiety due to their first exposure to pregnancy, whereas anxiety among multigravida women may be shaped by previous pregnancy experiences. Anxiety that is not adequately managed during pregnancy may result in significant physical and psychological consequences, including prolonged labor, preeclampsia, postpartum depression, and developmental impairments in the infant.
Objective: This study aimed to compare anxiety levels between primigravida and multigravida pregnant women in the working area of Bola Community Health Center Sikka Regency.
Methods: This quantitative study employed an analytical observational design with a cross-sectional approach. Stratified random sampling was used to recruit 40 pregnant women, consisting of 18 primigravida and 22 multigravida participants. Data were analyzed using the Shapiro–Wilk test for normality and the Mann–Whitney test for group comparison.
Results: No significant difference in anxiety levels was observed between primigravida and multigravida participants, with p-value 0.095 (p > 0.05).
Conclusion: Anxiety levels did not differ significantly between primigravida and multigravida pregnant women in the working area of Bola Community Health Center Sikka Regency.
Keywords :
Anxiety, multigravida., pregnancy, Primigravida.References :
- Prawirohardjo S. Midwifery Science. 4th ed. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo; 2010.
- Arikalang F, Wagey FMM, Tendean HMM. An Overview of Anxiety Levels among Primigravida and Multigravida Pregnant Women in Facing Childbirth in Indonesia. e-CliniC. 2023;11(3):283–92.
- Glover V. Prenatal Mental Health And The Effects Of Stress On The Foetus And The Child. Should Psychiatrists Look Beyond Mental Disorders? World Psychiatry. 2020;19(3):331–2.
- Iqbal IM, Wati YR, Yulianti AB. Comparison of Anxiety Levels between Primigravida and Multigravida Pregnant Women at RSUD Majalaya. Glob Med Heal Commun. 2015;3(2):93–100.
- Gelaye B, Rondom M, Arya R, Williams M. Epidemiology Of Maternal Depression, Risk Factors, And Child Outcomes In Low-Income And Middle-Income Countries. HHS Public Access Lasent Psychiatry. 2016;3(10):973–82.
- Perinatal Mental Health [Internet]. 2025. Available from: https://www.who.int/teams/mental-health-and-substance-use/promotion-prevention/maternal-mental-health
- Hidayah A, Sumini GT, Santutri Bedha Y. Differences In Anxiety Levels Of Primigravida And Multigravida Pregnant Women In The Third Trimester When Facing Childbirth At Al Islam H.M Mawardi Hospital, Sidoarjo in 2020. Hosp Majapahit. 2021;13(1):112–21.
- Prayitno SH, Aningsih S. Differences in Anxiety Levels Between Primigravida and Multigravida Pregnant Women in Facing Childbirth. JK J Kesehat 2017;3(1):286–96.
- Shakarami A, Mirghafourvand M, Abdolalipour S, Jafarabadi MA, Iravani M. Comparison of Fear, Anxiety and Self-Efficacy of Childbirth among Primiparous and Multiparous BMC Pregnancy Childbirth [Internet]. 2021;21(1):1–9. Available from: https://doi.org/10.1186/s12884-021-04114-8
- Jannah M, Fitria I, Nuraina. The Relationship Between Parity and Maternal Anxiety Prior to Childbirth: A Cross-Sectional Study at PMB Rosdiana, Jeunieb District, Bireuen Regency. 2025;4(2):205–12.
- Asmariyah A, Novianti N, Suriyati S. Anxiety Levels of Pregnant Women During the COVID-19 Pandemic in Bengkulu City. J Midwifery. 2021;9(1):1–8.

