Anxiety, Depression, and Sleep Quality of Third Trimester Pregnant Women

Objective: Third trimester pregnant women often have sleep disturbances because of the anxiety and depression before labor. The purpose of this study is to identify the correlation between anxiety and sleep quality, as well as between depression and sleep quality of third trimester pregnant women. Methods: This study is descriptive correlation design with cross sectional approach. The sampling technique is 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. Results: Almost of all third trimester pregnant women had mild to moderate anxiety (97,3%) and poor sleep quality (93,6%). Only one pregnant women had mild depression (0,9%). Anxiety was associated with sleep quality (p value < 0,05), but depression was not (p value > 0,05). In addition, pregnant women who had mild to moderate anxiety were 40,8 times more likely to report poor sleep quality (OR=40,8). Conclusion: The result shows that there was a significant correlation between anxiety and sleep quality but no significant correlation between depression and sleep quality of third trimester pregnant women. It recommends 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.