Stress Levels and Pre-Eclampsia in Pregnancy

Authors

  • Shinta Novelia Department of Midwifery, Faculty of Health Science, Universitas Nasional, Indonesia
  • Rukmaini Department of Midwifery, Faculty of Health Science, Universitas Nasional, Indonesia
  • Evi Puspita Sari Department of Midwifery, Faculty of Health Science, Universitas Nasional, Indonesia

DOI:

https://doi.org/10.53713/htechj.v2i1.135

Keywords:

stress level, preeclampsia, pregnancy

Abstract

Tangerang City Hospital still has cases of preeclampsia where in 2022 there will be 5% of preeclampsia cases. Several factors are associated with the incidence of preeclampsia in pregnant women including maternal age, parity, history of hypertension, history of DM, and stress level. This study aimed to determine the relationship between stress levels and the incidence of preeclampsia in pregnant women at Tangerang City Hospital in 2023. This study is an observational analytic study with a case-control design. The population is all pregnant women aged ≥ 20 weeks who visited the RSUD Kota Tangerang during the study. A purposive sampling technique was used to enroll the sample. The research instrument used is the DASS 42 questionnaire to assess stress levels. The relationship between stress levels and pre-eclampsia was analyzed by the chi-square test. The results of the univariate study showed that the majority of pregnant women with normal stress levels (50%) had mild stress (19.4%), moderate stress (14.5%), severe stress (13.9%), and very severe stress (1.9%). The results of the bivariate study showed that there was a significant relationship between stress levels in pregnant women ≥ 20 weeks gestation (p = 0.000) and the incidence of preeclampsia. Pregnant women with mild stress levels are at risk of preeclampsia with an OR of 4.7. It is hoped that pregnant women who experience stress in their pregnancies can accompanied by their families during their pregnancy so that they can reduce the risk of preeclampsia.

References

Agustin, N. L., Kurniyawan, E. H., Kusumaningsih, A., & Deviantony, F. (2022). The Effectiveness of Occupational Therapy: Drawing on Mrs. “K” on The Ability to Control Auditory Hallucinations in The Flamboyant Room Dr. RSJ. Radjiman Wediodiningrat Lawang. D’Nursing and Health Journal (DNHJ), 3(2), 1–11. https://doi.org/10.61595/dnursing.v3i2.423

Apriliyanti, E. (2023). Hubungan Riwayat Preeklampsia, Pemeriksaan Antenatal Dan Tingkat Stres Dengan Kejadian Preeklampsia Berta Pada Ibu Hamil Di Desa Permis Tahun 2022. Ejournal.nusantaraglobal.ac.id., 2(4).

Ayuni, Homsiatur Rohmatin, & Agustina Widayati. (2023). Effect of Breathing Relaxation Techniques on Changes in Blood Pressure among Pregnant Women with Pre-Eclampsia. Health and Technology Journal (HTechJ), 1(2), 165–171. https://doi.org/10.53713/htechj.v1i2.24

Beasley, M., Thompson, T., & Davidson, J. (2003). Resilience in response to life stress: the effects of coping style and cognitive hardiness. Personality and Individual differences, 34(1), 77-95.

Cha, J., Sun, X., & Dey, S. K. (2012). Mechanisms of implantation: strategies for successful pregnancy. Nature medicine, 18(12), 1754-1767.

Hnat, M. D., Sibai, B. M., Caritis, S., Hauth, J., Lindheimer, M. D., MacPherson, C., ... & Dombrowski, M. (2002). Perinatal outcome in women with recurrent preeclampsia compared with women who develop preeclampsia as nulliparas. American journal of obstetrics and gynecology, 186(3), 422-426.

Kementerian Kesehatan RI. (2019). Pedoman Pelayanan Antenatal Terpadu. Kementerian Kesehatan RI.

Komariah, A., Sunanto, & Iis Hanifah. (2023). The Relationship between Preeclampsia and Premature Incidence Rates. Health and Technology Journal (HTechJ), 1(1), 57–62. https://doi.org/10.53713/htechj.v1i1.8

Kurniyawan, E. H., Cahyani, P. S. R., Khoiriyah, A. A., Purnomo, F. K. A., Afandi, A. T., Kurniawan, D. E., & Nur, K. R. M. (2023). Coping Mechanisms Used by Farmers to Encounter Psychosocial Problems: Literature Review. Health and Technology Journal (HTechJ), 1(4), 445–454. https://doi.org/10.53713/htechj.v1i4.84

Malakouti, J., Sehhati, F., Mirghafourvand, M., & Nahangi, R. (2015). Relationship between health promoting lifestyle and perceived stress in pregnant women with preeclampsia. Journal of caring sciences, 4(2), 155.

Ningsih, R. R., Pratiwi, M. L. E., & ST, S. (2017). Hubungan Tingkat Stress denganHipertensi pada Ibu Hamil di RSUD Muntilan (Doctoral dissertation, Universitas' Aisyiyah Yogyakarta).

Norbeck, J. S., & Anderson, N. J. (1989). Life stress, social support, and anxiety in mid‐and late‐pregnancy among low-income women. Research in nursing & health, 12(5), 281-287.

Pongmanda, P., &Yulita, H. (2018). Hubungan Status Gizi Dan Stress DenganKejadianHipertensi Pada Ibu Hamil Di Wilayah KerjaPuskesmas Lepo-Lepo Kota Kendari Tahun 2018 (Doctoral dissertation, PoltekkesKemenkes Kendari).

Pusparini, D., Kurniawati, D., & Kurniyawan, E. (2021). Hubungan Tingkat Stres dengan Kualitas Tidur pada Ibu Preeklamsi di Wilayah Kerja Puskesmas Tempurejo-Jember. Pustaka Kesehatan, 9(1), 16-24. doi:10.19184/pk.v9i1.16139

Tutik. (2019). Deteksi Dini Preeklampsia dengan Antenatal Care. Yayasan Ahmar Cendekia Indonesia.

Vollebregt, K. C., Van Der Wal, M. F., Wolf, H., Vrijkotte, T. G., Boer, K., & Bonsel, G. J. (2008). Is psychosocial stress in first ongoing pregnancies associated with pre‐eclampsia and gestational hypertension?. BJOG: An International Journal of Obstetrics & Gynaecology, 115(5), 607-615.

Yu, Yunxian, Shanchun Zhang, Guoying Wang, Xiumei Hong, Eric B. Mallow, Sheila O. Walker, Colleen Pearson, Linda Heffner, Barry Zuckerman, and Xiaobin Wang. (2013). The combined association of psychosocial stress and chronic hypertension with preeclampsia. American journal of obstetrics and gynecology, 209(5), 438-e1.

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Published

2024-02-01

How to Cite

Novelia, S., Rukmaini, & Puspita Sari, E. (2024). Stress Levels and Pre-Eclampsia in Pregnancy. Health and Technology Journal (HTechJ), 2(1), 81–86. https://doi.org/10.53713/htechj.v2i1.135