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"Ibu hamil trimester tiga seringkali mengalami gangguan tidur karena kecemasan dan depresi menjelang persalinan. Penelitian ini bertujuan untuk mengidentifikasi hubungan kecemasan dan depresi dengan kualitas tidur ibu hamil trimester tiga.Desain penelitian menggunakan deskriptif korelatif dengan pendekatan cross sectional. Teknik sampling yang digunakan adalah consecutive sampling dengan melibatkan 110 ibu hamil trimester tiga di UPT Puskesmas Kecamatan Cimanggis dan Sukmajaya. Pengambilan data menggunakan instrumen Zung Self-Rating Anxiety Scale, The Zung Self-Rating Depression Scale, dan The Pittsburgh Sleep Quality Index.Hasil penelitian menunjukkan adanya hubungan yang signifikan antara kecemasan dengan kualitas tidur (p value < 0,05) namun tidak ada hubungan yang signifikan antara depresi dengan kualitas tidur (p value > 0,05) pada ibu hamil trimester tiga. Peneliti merekomendasikan perawat dan tenaga kesehatan lainnya agar dapat memberikan edukasi mengenai manajemen kecemasan dan kualitas tidur ibu hamil khususnya pada periode trimester tiga.

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Third trimester pregnant women often have sleep disturbances because of the anxiety and depression before labor. The purpose of this study was to identify the correlation between anxiety and sleep quality, as well as between depression and sleep quality of third trimester pregnant women.This study used descriptive correlation design with cross sectional approach. The sampling technique used was consecutive sampling which involved 110 third trimester pregnant women in UPT Puskesmas Kecamatan Cimanggis and Sukmajaya. To obtain the data, Zung Self-Rating Anxiety Scale, The Zung Self-Rating Depression Scale, and The Pittsburgh Sleep Quality Index instrument were used.The result showed that there was a significant correlation between anxiety and sleep quality but there was no significant correlation between depression and sleep quality of third trimester pregnant women. It is recommended that nurses and other health providers should give an education about anxiety management and quality of sleep to pregnant women in third trimester of pregnancy."

"Tidur merupakan kebutuhan dasar manusia yang harus dipenuhi. Ibu hamil mengalami adaptasi fisik dan psikososial, yang salah satunya mempengaruhi pemenuhan kebutuhan tidur selama masa kehamilan. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara kecemasan dan kesejahteraan spiritual dengan kualitas tidur pada ibu hamil trimester tiga. Desain penelitian ini adalah cross-sectional. Sampel penelitian berjumlah 114 orang ibu hamil trimester tiga, yang dilakukan secara consecutive sampling. Instrumen yang digunakan adalah Pittsburg Sleep Quality Index untuk kualitas tidur, Spiritual Well-Being Scale untuk mengukur kesejaheraan spiritual, dan Zung-Self Anxiety Scale yang telah dimodifikasi untuk mengukur kecemasan. Analisis yang digunakan adalah chi-square. Hasil penelitian menunjukkan adanya hubungan antara kecemasan dengan kualitas tidur p value = 0,031 yaitu bahwa semakin tinggi kecemasan maka semakin buruk kualitas tidurnya dan adanya hubungan antara kesejahteraan spiritual dengan kualitas tidur p value = 0,001 yaitu bahwa semakin tinggi kesejahteraan spiritual maka semakin baik kualitas tidurnya. Direkomendasikan agar perawat dalam memberikan asuhan keperawatan kepada ibu hamil juga memperhatikan kesejahteraan spiritual, serta memberikan intervensi untuk menurunkan kecemasan, sehingga kualitas tidur ibu hamil meningkat.

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Sleep is a basic human need that must be fulfilled. Pregnant women experience physical and emotional changes that affect the fulfillment of sleep needs during pregnancy. This study aimed to identify the correlation between anxiety, spiritual well being and sleep quality in the third trimester pregnant women. The design of this study was cross sectional. The sample were 114 pregnant women selected by consecutive sampling. The instruments used were the Pittsburg Sleep Quality Index for sleep quality, the Spiritual Well Being Scale for measuring spiritual well being, and the Zung Self Anxiety Scale that had been modified to measure anxiety. Data were analyzed using chi square.

The results of the study showed a significant correlation between anxiety and sleep quality p value 0.031, the higher anxiety, the lower the quality of sleep also the correlation between spiritual well being and sleep quality p value 0.001 the higher spiritual well being, better the quality of sleep. It is recommended that nurses in providing nursing care for pregnant women to also pay attention to their spiritual well being, as well as giving intervention to decrease anxiety level, so that the pregnant womens quality of sleep can be improved."

"Kehamilan melibatkan peningkatan hormon dan adaptasi biologis. Hal ini menyebabkan penurunan daya ingat yang disebut baby brain. Kehamilan merupakan saat yang rentan dalam peningkatan kecemasan dan kualitas tidur yang buruk. Kecemasan dan kualitas tidur buruk yang terus menerus terjadi dapat berdampak pada penurunan daya ingat. Tujuan penelitian ini untuk melihat hubungan antara kualitas tidur dan kecemasan terhadap baby brain pada wanita hamil trimester ketiga. Penelitian ini menggunakan desain cross sectional dengan metode consecutive sampling. Jumlah sampel penelitian 110 responden. Instrumen yang digunakan yaitu kuesioner Pittsburgh Sleep Quality Index, Zung Self-Rating Anxiety Scale dan Everyday Memory Questionnaire. Sebagian besar wanita hamil trimester ketiga memiliki tingkat kecemasan ringan 80,9 dan kualitas tidur yang buruk 67,3. Hasil penelitian menunjukkan terdapat hubungan antara kualitas tidur dengan baby brain p=0,003 serta kecemasan dengan baby brain p=0,000 . Penelitian ini merekomendasikan pentingnya memperhatikan aspek fisik dan psikologis ibu hamil, mengembangkan intervensi yang berkontribusi positif dalam menurunkan kecemasan dan meningkatkan kualitas tidur, mengidentifikasi faktor-faktor lain yang mempengaruhi baby brain selama kehamilan.

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Pregnancy involves increased hormones and biological adaptation. It lowers memory, referred to as baby brain. Pregnancy is a vulnerable period in terms of increased anxiety and poor sleep quality. Continuous anxiety and poor sleep quality may lower memory. The purpose of this study was to examine the relations between sleep quality and anxiety with baby brain in third trimester pregnant women.

This study used cross sectional design with consecutive sampling method. Total research sample was 110 respondents. The instruments were the Pittsburgh Sleep Quality Index, Zung Self Rating Anxiety Scale and Everyday Memory Questionnaire. Most pregnant women in the third trimester had mild anxiety 80,9 and poor sleep quality 67,3.

The research result showed relations between sleep quality and baby brain p 0,003 and anxiety and baby brain p 0,000. This study recommended the importance of paying attention to the physical and psychological aspects of pregnant women, developing intervention which contributes positively in reducing anxiety and improving sleep quality, identifying other factors influencing baby brain during pregnancy. "

"Ketidaknyamanan fisik yang dirasakan selama kehamilan yang dapat menyebabkan berbagai dampak, salah satunya adalah dapat memperburuk kualitas tidur serta menimbulkan kecemasan pada ibu hamil. Oleh karena itu, penelitian ini memiliki tujuan untuk mengetahui hubungan antara ketidaknyamanan fisik selama kehamilan dengan kualitas tidur serta tingkat kecemasan pada ibu hamil trimester III di DKI Jakarta. Penelitian ini merupakan penelitian kuantitatif cross sectional dengan metode consecutive sampling untuk mengumpulkan total 115 sampel. Kuesioner yang digunakan dalam penelitian ini terdiri dari karakteristik pasien atau data demografi, kuesioner Maternal Physical Discomfort Scale (MPDS), Sleep Quality Index (PSQI), dan Pregnancy Related Anxiety Questionnaire (PRAQ). Mayoritas responden mengalami ketidaknyamanan fisik sedang (53,9%), kualitas tidur yang buruk (55,7%), serta tingkat kecemasan ringan (51,3%). Berdasarkan hasil uji korelasi spearman, didapatkan bahwa terdapat hubungan yang signifikan antara ketidaknyamanan fisik selama kehamilan dengan kualitas tidur (p value = 0,004) dan tingkat kecemasan (p value = 0,00). Hasil penelitian ini dapat digunakan sebagai acuan untuk mengembangkan asuhan keperawatan maupun program kesehatan pada ibu hamil terutama yang sudah memasuki trimester III yang berkaitan dengan ketidaknyamanan fisik, kualitas tidur, serta kecemasan selama kehamilan.

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The physical discomfort felt during pregnancy can cause various impacts, one of which is that it can worsen sleep quality and cause anxiety in pregnant women. Therefore, this study aims to determine the relationship between physical discomfort during pregnancy and sleep quality and anxiety levels in third trimester pregnant women in DKI Jakarta. This research is a quantitative cross-sectional study with consecutive sampling method to collect a total of 115 samples. The questionnaire used in this study consisted of patient characteristics or demographic data, the Maternal Physical Discomfort Scale (MPDS) questionnaire, the Sleep Quality Index (PSQI), and the Pregnancy Related Anxiety Questionnaire (PRAQ). The majority of respondents experienced moderate physical discomfort (53.9%), poor sleep quality (55.7%), and mild anxiety (51.3%). Based on the results of the Spearman correlation test, it was found that there was a significant relationship between physical discomfort during pregnancy and sleep quality (p value = 0.004) and anxiety levels (p value = 0.00). The results of this study can be used as a reference for developing nursing care and health programs for pregnant women, especially those who have entered the third trimester related to physical discomfort, sleep quality, and anxiety during pregnancy."

"Kecemasan dan depresi merupakan gangguan perasaan hati (mood) yang sering dialami oleh ibu hamil. Penelitian ini bertujuan untuk menggambarkan tingkat kecemasan dan depresi pada ibu hamil trimester tiga. Desain penelitian ini yaitu deskriptif kuantitatif dengan melibatkan sampel ibu hamil yang berada di wilayah kerja UPT Puskesmas Cimanggis, dan Sukmajaya sebesar 96 responden yang dipilih dengan teknik consecutive sampling. Hasil penelitian dianalisis menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa sebagian besar ibu hamil mengalami kecemasan ringan dan tidak menunjukkan gejala depresi. Peneliti merekomendasikan untuk dilakukan pendidikan terkait persalinan dan manajemen kecemasan untuk mencegah perparahan kecemasan sehingga mampu mengurangi komplikasi selama persalinan.

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Anxiety and depression becomes one of those mood disorders occured on pregnant women. This research aimed to indicate level of anxiety and depression of women with third trimester pregnancy. This research used quantitative descriptive method and included 96 sampel of women with third trimester pregnancy chosen by consecutive sampling. This research took place in UPT Puskesmas Cimanggis and Sukmajaya. The datas were described using univariat analysis. Data showed that the majority of the respondent had a mild anxiety and indicated no sign of depression. This research suggested to increase prenatal education and anxiety management to avoid anxiety leveling thus can reduce complication during labor."

"Ibu hamil seringkali mengalami kecemasan pada masa kehamilan, khususnya pada primigravida. Oleh karena itu, penelitian ini bertujuan untuk mengidentifikasi hubungan kecemasan dengan kualitas tidur pada ibu hamil primigravida. Populasi pada penelitian ini adalah seluruh ibu hamil primigravida  di Kota Jakarta Timur. Sampel pada penelitian ini berjumlah 105 ibu hamil primigravida yang memenuhi kriteria inklusi dari lima puskesmas kecamatan yang terpilih yaitu puskesmas kecamatan kramat jati, pulo gadung, duren sawit, cakung dan jatinegara. Penelitian ini menggunakan desain cross sectional, dengan teknik purposive sampling. Instrumen yang digunakan untuk mengukur kecemasan ialah kuesioner Generalized Anxiety Disorder-7(GAD-7) (r = 0,876) dan instrumen Pittsburg Sleep Quality Index (PSQI) (r = 0,79) untuk mengukur kualitas tidur. Analisis data menggunakkan analisis univariat serta bivariat (uji korelasi pearson) dengan penggunaan program SPSS dan tingkat kemaknaan 0,05. Uji korelasi pearson  menunjukkan adanya hubungan bermakna antara kedua variabel (r = 0.390, p-value = 0.001).

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Pregnant women often experience anxiety during pregnancy, especially primigravida. Therefore, this study aims to identify the relationship between anxiety and sleep quality in primigravida pregnant women. The population in this study were all primigravida pregnant women in East Jakarta. The sample in this study amounted to 105 primigravida pregnant women who met the inclusion criteria from five selected sub-district health centers, namely Kramat Jati, Pulo Gadung, Duren Palm, Cakung and Jatinegara District Health Centers. This study used a cross sectional design, with purposive sampling technique. The instruments used to measure anxiety were the Generalized Anxiety Disorder-7 (GAD-7) questionnaire (r = 0.876) and the Pittsburgh Sleep Quality Index (PSQI) (r = 0.79) instrument to measure sleep quality. Data analysis used univariate and bivariate analysis (Pearson correlation test) with the use of SPSS program and a significance level of 0.05. Pearson correlation test showed a significant relationship between the two variables (r = 0.390, p-value = 0.001)."

"Kualitas tidur yang buruk dipercaya dapat mempengaruhi kondisi fisik, psikologis, dan kognitif. Penelitian ini membahas tentang hubungan kualitas tidur mahasiswa dengan tingkat stres, kecemasan, dan depresi. Desain yang digunakan adalah analitik dengan pendekatan potong lintang. Penelitian ini melibatkan 220 mahasiswa keperawatan sebagai responden yang dipilih dengan teknik stratified random sampling. Instrumen yang digunakan adalah Pittsburgh Sleep Quality Index (PSQI) dan Depression, Anxiety, and Stress Scale-21 (DASS-21). Hasil penelitian menunjukkan adanya hubungan antara kualitas tidur dengan tingkat kecemasan (p<0.001), tetapi tidak ada hubungan kualitas tidur dengan stres dan depresi (p=0,12; p=0,086). Akan tetapi, ditemukan bahwa mahasiswa berkualitas tidur buruk memiliki tingkat stres dan depresi yang lebih tinggi. Kegiatan untuk menurunkan tingkat kecemasan, stres, dan depresi yang tepat perlu diprogramkan secara terstruktur di program studi, dan perlu penelitian lebih lanjut tentang terapi yang tepat untuk meningkatkan kualitas tidur.

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Poor sleep quality is believed can affect the physical, psychological, and cognition. This study aimed to determine the correlation between sleep quality and levels of stress, anxiety, and depression. Design of this study was analytical with cross sectional approach. This study used Pittsburgh Sleep Quality Index (PSQI) and Depression, Anxiety, and Stress Scale-21 (DASS-21) as instruments. There were 220 nursing students who participated and chosen by stratified random sampling technique. The results showed there were an association between sleep quality with levels of anxiety (p<0,001). Although, there were no correlation between sleep quality with stress and depression (p=0.12 and p=0.086), it was found that students which have bad sleep quality also have the higher level in stress and depression. The structured activities to reduce levels of anxiety, stress, and depression should be programmed by study program. Researcher suggested for next research to explore how to improve sleep quality."

"Ibu hamil merupakan kelompok berisiko mengalami gangguan tidur karena ketidaknyamanan fisik dan emosional, terutama ibu hamil trimester ketiga. Penelitian ini bertujuan untuk memberikan gambaran kualitas tidur ibu hamil yang mengikuti dan tidak mengikuti latihan yoga kehamilan. Penelitian ini menggunakan desain deskripitif dengan jumlah sampel 86 responden, terdiri dari 43 ibu hamil yang mengikuti dan tidak mengikuti latihan yoga kehamilan. Instrumen yang digunakan tidur adalah The Pittsburgh Sleep Quality Index. Hasil penelitian menunjukkan jumlah responden yang memiliki kualitas tidur baik lebih banyak terdapat pada kelompok responden yang mengikuti latihan yoga kehamilan dengan perbandingan 4:1. Bedasarkan penelitian ini, diharapkan pelayanan keperawatan dapat memperluas akses pelayanan terapi komplementer, khususnya yoga kehamilan di pelayanan kesehatan maupun komunitas.

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Pregnant women, especially those in the third trimester of pregnancy, are in a risk group that experience sleep disturbances as a result of physical and emotional discomfort. This study was descriptive study aimed to depict the quality of sleep in pregnant women who did and did not partake in prenatal yoga. There were 86 respondents and they were divided into two equal groups of 43. The instrument used for this study was 'The Pittsburgh Sleep Quality Index'. The result of this study showed the number of respondents who had good quality of sleep was greater on the group that participated in prenatal yoga, with a resultant comparison rate of 4:1. Based on this study, nursing institution could be expected to broaden complementary therapy service, especially prenatal yoga in both healthcare and community."

"[ABSTRAKPenelitian ini bertujuan untuk mengetahui hubungan asupan vitamin A dan kadar retinol dengan status anemia pada dua kelompok ibu hamil trimester tiga, yaitu kelompok anemia dan non anemia. Penelitian ini merupakan penelitian potong lintang yang dilaksanakan di sepuluh puskesmas kecamatan Jakarta Timur dan merupakan bagian dari penelitian besar Departemen Gizi Fakultas Kedokteran Universitas Indonesia yang berjudul “Peran Gizi, Faktor Maternal dan Pelayanan Kesehatan pada Ibu Hamil Trimester Ketiga terhadap Komposisi Mikrobiota Ibu dan Berat Lahir Bayi: Studi Kohort di Jakarta”. Pengambilan data dilakukan pada bulan April hingga Mei 2015. Sebanyak 113 subjek ibu hamil trimester tiga dengan usia kehamilan diatas 32 minggu ikut dalam penelitansetelah memenuhi kriteria penelitian dan dibagi dalam dua kelompok berdasarkan kadar hemoglobin yaitu anemia (Hb<11g/dL) dan non anemia (Hb≥11g/dL). Setelah itu dilakukan pengukuran antropometri, wawancara asupan, pemeriksaan hemoglobin, dan serum retinol. Data yang dikumpulkan meliputi karakteristik demografi, antropometri, asupan makanan (makronutrien dan mikronutrien), kadar hemoglobin, dankadar serum retinol. Rentang usia subjek dalam penelitian ini adalah 19-44 tahun. Sebagian besar subjek (59,6%) memiliki tingkat pendidikan menengah (lulus SMP atau SMA). Rerata usia kehamilan pada subjek penelitian ini adalah 34,32 ± 1,86 minggu pada kelompok anemia dan 35,18±1,73 minggu pada kelompok non anemia.Rerata asupan protein pada kedua kelompok ibu masih berada di bawah AKG yaitu <77g/hari. Rerata asupan lemak pada kelompok anemia lebih tinggi daripada kelompok non anemia (p=0,04). Asupan Fe kedua kelompok sudah sesuai dengan AKG yaitu 40mg/hari (p=0,82). Asupan folat pada kelompok anemia lebih rendahdan kurang dari AKG dibandingkan kelompok non anemia (p=0,16).Asupan vitamin B12, hampir tidak ada perbedaan rerata antara dua kelompok dan sudah sesuai dengan AKG. Median asupan vitamin A pada kelompok non anemia lebih tinggi dari kelompok anemia (p=0,52). Rerata kadar retinol pada kelompok anemia adalah 1,40±0,50 dan pada kelompok non anemia adalah 1,45±0,44. (p=0,55).Tidak didapatkan hasil yang bermakna setelah dilakukan analisis multivariat sebagai kontrol perancu.

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ABSTRACTThe aim of the study was to determine the relationship between vitamin A and retinol levels with anemia status in two groups of three trimester pregnant women, namely the anemic and non anemic. This was a cross-sectional study conducted in ten sub-district Government Health Centre in East Jakarta and which part of a large research department of Nutrition Faculty of Medicine, University of Indonesia, entitled "The Role of Nutrition, Maternal Factors and Maternal Health Services with the Composition of the Microbiota in Third Trimester Maternal and Infant Birth Weight : The study cohort in Jakarta". Data was collected from April untill May 2015. A total of 113 third trimester pregnant women with gestational age above 32 weeks (35.0 ± 1.8) were participated in research after met the study criterions. They were divided into two groups based on the levels of hemoglobin which were anemic (Hb<11g /dL) and non anemic(Hb≥ 11g / dL), and continue with anthropometric examination, interview and Hb measurement. The data collected included demographic characteristics, anthropometry, food intake (macronutrients and micronutrients), hemoglobin, and serum retinol. The age range of the subjects in this study was 19-44 years old. Most subjects (59.6%) had secondary education (graduated from high school or high school). The mean gestational age of the subjects was 34.32 ± 1.86 weeks in anemic group and 35.18 ± 1.73 weeks in non anemic. Mean of protein intake in both groups are still under RDA which < 77g/day. The mean of fat intake in anemic group was higher than non-anemic group (p=0.04). Iron intake in both groups are in accordance with the RDA which 40mg/day (p=0.82). Folate intake was lower in anemia group than non-anemic group (p=0.16). There was no difference between vitamin B12 intake in both group andwere in accordance with RDA. The median of vitamin A intake in non-anemic group was higher than non-anemic group (p = 0.52). The mean retinol serum levels in anemic group was 1.40 ± 0.50 and non-anemic group was 1.45 ± 0.44. (P = 0.55). No significant results obtained from multivariate analysis in order to control the confounders., The aim of the study was to determine the relationship between vitamin A and retinol levels with anemia status in two groups of three trimester pregnant women, namely the anemic and non anemic. This was a cross-sectional study conducted in ten sub-district Government Health Centre in East Jakarta and which part of a large research department of Nutrition Faculty of Medicine, University of Indonesia, entitled "The Role of Nutrition, Maternal Factors and Maternal Health Services with the Composition of the Microbiota in Third Trimester Maternal and Infant Birth Weight : The study cohort in Jakarta". Data was collected from April untill May 2015. A total of 113 third trimester pregnant women with gestational age above 32 weeks (35.0 ± 1.8) were participated in research after met the study criterions. They were divided into two groups based on the levels of hemoglobin which were anemic (Hb<11g /dL) and non anemic(Hb≥ 11g / dL), and continue with anthropometric examination, interview and Hb measurement. The data collected included demographic characteristics, anthropometry, food intake (macronutrients and micronutrients), hemoglobin, and serum retinol. The age range of the subjects in this study was 19-44 years old. Most subjects (59.6%) had secondary education (graduated from high school or high school). The mean gestational age of the subjects was 34.32 ± 1.86 weeks in anemic group and 35.18 ± 1.73 weeks in non anemic. Mean of protein intake in both groups are still under RDA which < 77g/day. The mean of fat intake in anemic group was higher than non-anemic group (p=0.04). Iron intake in both groups are in accordance with the RDA which 40mg/day (p=0.82). Folate intake was lower in anemia group than non-anemic group (p=0.16). There was no difference between vitamin B12 intake in both group andwere in accordance with RDA. The median of vitamin A intake in non-anemic group was higher than non-anemic group (p = 0.52). The mean retinol serum levels in anemic group was 1.40 ± 0.50 and non-anemic group was 1.45 ± 0.44. (P = 0.55). No significant results obtained from multivariate analysis in order to control the confounders.]"

"ABSTRAKPenelitian ini bertujuan untuk mengidentifikasi hubungan antara karakteristik ibuhamil(usia, tingkat pendidikan, pekerjan) dengan tingkat kecemasan di RSUDPasar Rebo. Penelitian ini menggunakan desain penelitian deskriptif korelasidengan rancangan potong lintang/ cross sectional. Jumlah sampel penelitiansebanyak 47 orang. Instrumen yang digunakan adalah Hamilton Rating AnxietyScale (HRAS) untuk mengukur tingkat kecemasan pada ibu hamil trimester III.Hasil penelitian menunjukkan tidak ada hubungan antara karakteristik ibu hamilprimigravida trimester ketiga (umur, tingkat pendidikan, pekerjan) dengan tingkatkecemasan. Bagi penelitian selanjutnya, agar melakukan penelitian dengankarakteristik dan lokasi yang berbeda.

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AbstractThis study aims to identify the relationship between maternal characteristics (age,formal education, profesional) with the level of anxiety in Pasar Rebo Hospital.This study used a descriptive correlation study design with a cross-sectionaldesign / cross sectional. Number of the sample by 47 people. The instrument usedis the Hamilton Anxiety Rating Scale (HRAS) to measure anxiety levels in thethird trimester pregnant women. The results showed no relationship between thecharacteristics of the third trimester primigravida pregnant women (age, educationlevel, job retention) with the level of anxiety. For the next research, in order tomake the research with different characteristics and location.;"