Quamila, Ashifa and Widyastiti, Nyoman Suci and Muniroh, Muflihatul (2023) PERBEDAAN TINGKAT KECEMASAN DAN KADAR KORTISOL PADA KEHAMILAN TRIMESTER II DAN III. Masters thesis, Universitas Diponegoro.

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Abstract

Background: In the second and third trimesters of pregnancy, cortisol levels double across the placenta by 30-40% to the fetus. This increase is caused because anxiety of pregnancy is a threat to the mother and fetus. And the impact of anxiety on the second and third trimester of pregnancy actually has a triple risk of experiencing postpartum blues, postpartum depression, premature pregnancy, increased risk of high blood pressure, heart disease and even abortion.
Purpose: Analyze the difference between anxiety levels and cortisol levels in the second and third trimester of pregnancy.
Method: This study is an analytical observational study with a cross sectional approach. A total of 36 research subjects were selected by non-probability sampling and consecutive sampling, namely the level of anxiety in pregnant women in the second and third trimesters at Kusuma Samarinda Clinic. Data collection was carried out with interviews and serum of pregnant women in the second and third trimesters. Cortisol level examination is carried out at the Malang Diagnostic Rampal Laboratory. The research data were analyzed for normality test using Shapiro-Wilk Test and difference test using T Test and processed with SPSS 25.
Result: The average gestational age of the second trimester has an anxiety level (EPDS) with 10.45±3.66 while the third trimester gestational age has an anxiety level (EPDS) with 11.12±3.46. And, the average gestational age of the second trimester has cortisol levels with 844.05±236.20. The average gestational age of the third trimester had cortisol levels with 877.23±217.03.
Conclusion: There was no difference in anxiety levels and cortisol levels in the second and third trimesters of pregnancy.
Keywords : Pregnancy, second trimester, third trimester, anxiety levels, cortisol levels

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