Anxiety Levels and Emesis Gravidarum Severity in Pregnant Women

• Arizki Amalia Putri

  Program Studi Pendidikan Profesi Bidan, Universitas Muhammadiyah Sidoarjo

• Siti Cholifah

  Program Studi Pendidikan Profesi Bidan, Universitas Muhammadiyah Sidoarjo

• Hesty Widowati

  Program Studi Pendidikan Profesi Bidan, Universitas Muhammadiyah Sidoarjo

• Evi Rinata

  Program Studi Pendidikan Profesi Bidan, Universitas Muhammadiyah Sidoarjo

Abstract — General Background: Emesis gravidarum is one of the most common early pregnancy symptoms, influenced by hormonal, psychosocial, nutritional, and maternal factors. Specific Background: Psychological distress, particularly anxiety, is believed to exacerbate nausea and vomiting during pregnancy, but evidence in the Indonesian context remains limited. Knowledge Gap: Previous studies have not sufficiently explored the association between maternal anxiety and the severity of emesis gravidarum in first-trimester pregnancies using validated tools. Aims: This study aimed to examine the relationship between maternal anxiety levels and the severity of emesis gravidarum. Results: An analytic survey with a cross-sectional design was conducted among 30 first-trimester pregnant women selected by quota sampling. Data were collected using the Depression Anxiety Stress Scale (DASS) and PUQE-24 questionnaire. Fisher’s Exact Test revealed a significant association (p = 0.006 < α = 0.05) between maternal anxiety levels and emesis gravidarum severity. Novelty: This study provides empirical evidence on the role of psychological status, particularly anxiety, in influencing emesis gravidarum symptoms among Indonesian primigravida. Implications: The findings suggest the importance of early screening and anxiety management interventions by healthcare providers to prevent worsening conditions such as hyperemesis gravidarum.

Highlights:

1. Anxiety severity is significantly linked to emesis gravidarum levels.

2. Primigravida mothers are more vulnerable to moderate nausea and vomiting.

3. Early anxiety management may reduce the risk of hyperemesis gravidarum.

Keywords: Emesis Gravidarum, Anxiety, DASS, PUQE-24, Pregnancy

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