• Sri Wahyuni Poltekkes Kemenkes Surakarta
Keywords: Perceived Stress, Depression Syndrome, Primigravida Women


Unstable emotions are common in mothers who are unable to adjust to pregnancy, difficulty and failure to adapt during perinatal period is a stress transition. This study aims to explore association between perceived stress and depression syndrome on the third trimester of pregnancy. This study used a cross sectional design, in women primigravida third trimester pregnancy. A number of 72 participants met the inclusion criteria, completed up to the analysis. The measurement of the perceived stress used Perceived Stress Scale questionnaire and syndrome depression was measured using Edinburgh Postnatal Depression Syndrome. Statistical analysis were done to see the correlation between variables. The study results showed the prevalence of high-perceived stress among women in this study was 75%, and the depression syndrome was 37.5% among pregnant women on the third trimester of pregnancy. Between the depression and non-depression groups, there was difference in PSS scores F=5.787 (p=0.019), and there are significant differences in EPDS scores F=122.176 (p<0.001. There is a significant relationship between perceived stress with depression syndrome in third trimester of pregnancy r= 0.386 (p <0.001).

Conclusion: The higher the perceived stress is significantly correlated with the depressive syndrome in third trimester of the first pregnancy, so it is important to reduce stress during pregnancy so that the depression syndrome can be prevented.


1. Takahashi Y, Tamakoshi K. Factors associated with early postpartum maternity blues and depression tendency among Japanese mothers with full-term healthy infants. Nagoya J Med Sci 2014;76(1–2):129–38.
2. Sharma V, Sharma P. Postpartum Depression: Diagnostic and Treatment Issues. J Obstet Gynaecol Canada 2012;34(5):436–42.
3. McEwen B. Stress, adaptation, and disease. Allostasis and allostatic load. Ann N Y Acad Sci 1998;840(1):33–44.
4. Lazarus R., Folkman S. Stress, appraisal, and coping. 1985.
5. Rieger KL, Heaman MI. Factors Associated With High Levels of Perceived Prenatal Stress Among Inner-City Women. JOGNN - J Obstet Gynecol Neonatal Nurs 2016;45(2):180–95.
6. Lobel M, Dunkel Schetter C. Pregnancy and Prenatal Stress. Encycl Ment Heal 2014;3(1):1–47.
7. Hung C-H. Correlates of First-Time Mothers’ Postpartum Stress. Kaohsiung J Med Sci 2006;22(10):500–7.
8. Habel C, Feeley N, Hayton B, Bell L, Zelkowitz P. Causes of women׳s postpartum depression symptoms: Men׳s and women׳s perceptions. Midwifery 2015;31(7):728–34.
9. Munk-Olsen T, Laursen T, Pedersen C, O M, Mortensen P. New Parents and Mental Disorders: A Population-Based Register Study. JAMA 2006;296(21):2582–9.
10. Salacz P, Csukly G, Haller J, Valent S. Association between subjective feelings of distress, plasma cortisol, anxiety, and depression in pregnant women. Eur J Obstet Gynecol Reprod Biol 2012;165(2):225–30.
11. Abbaszadeh A, Pouryazdanpanah Kermani F, Safizadeh H, Nakhee N. Violence during pregnancy and postpartum depression. Pak J Med Sci Pak J Med Sci Pak J Med Sci 2011;2727(11):177–81.
12. Farías-Antúnez S, Xavier MO, Santos IS. Effect of maternal postpartum depression on offspring’s growth. J Affect Disord 2018;228(November 2017):143–52.
13. Shi P, Ren H, Li H, Dai Q. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors. Psychiatry Res 2018;261(December 2017):298–306.
14. Nam JY, Choi Y, Kim J, Cho KH, Park EC. The synergistic effect of breastfeeding discontinuation and cesarean section delivery on postpartum depression: A nationwide population-based cohort study in Korea. J Affect Disord 2017;218(March):53–8.
15. Brummelte S, Galea LAM. Postpartum depression: Etiology, treatment and consequences for maternal care. Horm Behav 2016;77:153–66.
16. Coussons-Read M. The Psychoneuroimmunology of Stress in Pregnancy. Curr Dir Psychol Sci 2012;21(5):323–8.
17. Hobel C, Goldstein A, ES B. Psychosocial stress and pregnancy outcome. Clin Obs Gynecol 2008;51(2):33–48.
18. Kendall-Tackett K. Four research findings that will change what we think about perinatal depression. J Perinat Educ 2010;19(4):7–9.
19. Cohen S. Perceived Stress Scale. Psychology 1994;1–3.
20. Cohen S, Kamarck T, Mermelstein R. A Global Measure of Perceived Stress. J. Health Soc. Behav.1983;24(4):385–96.
21. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 1987;150(6):782–6.
22. Department of Health Government of Western Australia. Using the Edinburgh Postnatal Depression Scale (EPDS), Translated into languages other than English. Child Fam Emot well-being 2006;1–271.
23. Liou S, Wang P, Cheng C. Longitudinal study of perinatal maternal stress , depressive symptoms and anxiety. Midwifery 2014;30(6):795–801.
24. Wahyuni S, Murwati, Supiati. Faktor Internal Dan Eksternal Yang Mempengaruhi Depresi Postpartum. J Terpadu ilmu Kesehat 2014;3(2):94–8.
25. Woods-Giscombé CL, Lobel M, Zimmer C, Wiley-Cené C, Corbie-Smith G. Whose Stress is Making Me Sick? Network Stress and Health in African American Women. 2014;
How to Cite
Wahyuni, S. 2018. PERCEIVED STRESS DAN SINDROM DEPRESI PADA IBU PRIMIGRAVIDA. Jurnal Ilmiah Bidan. 3, 2 (Aug. 2018), 21-28. DOI: