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Data WHO menyebutkan sebesar 15,6% ibu hamil di beberapa negara
berkembang beresiko terjadinya gangguan psikologis dan 19,8% pada ibu paska persalinan. Dampak buruk dari kecemasan ibu hami lmemicu terjadinya tekanan darah sehingga memic terjadinya rangsangan kontraksi Rahim. Akibatnya dapat meningkatkan tekanan darah sehingga memicu terjadinya preeklamsi dan keguguran.Jenis penelitian analitik dengan desain cross sectional study dilakukan di Wilayah Kerja Puskesmas Tigo Baleh Bukittinggi pada bulan September 2019-Februari 2020. Populasi seluruh ibu hamil primigravida pada bulan Januari 2019 s/d Januari 2020 berjumlah 50 orang, teknik pengambilan sampel total sampling. Data dikumpulkanmenggunakan kuesioner, dianalisis secara univariat dan bivariat dengan menggunakan uji statistik chi-square.Hasil didapatkan 74,0% ibu hamil primigravida mengalami cemas sedang dalam menghadapi persiapan persalinan.52,0% ibu hamil memiliki tingkat pengetahuan rendah.4,0% ibu hamil tidak ada mendampingi menghadapi persiapan persalinan.60,0% kesiapan persalinan kurang baik pada ibu hamil.46,0% suami memberikan dukungan kurang baik ibu hamil. Terdapat hubungan tingkat pengetahuan (p = 0,006dan OR 10,154), kesiapan persalinan(p = 0,030dan OR 5,318), dukungan suami(p = 0,004dan OR 17,600) dengan tingkat kecemasan pada ibu hamil. Tidak ada hubungan pendamping persalinan dengan tingkat kecemasan pada ibu hamil (p = 0,456dan OR 0,333).Kesimpulan penelitian ini ada hubungan tingkat pengetahuan, kesiapan, dukungan suami dengan tingkat kecemasan pada ibu hamil, dan tidak ada hubungan pendamping dengan tingkat kecemasan ibu hamil.Disarankan kepada bidan memberikan promosi kesehatan khususnyaibu hamil primigravida saat antenatal care tentang proses kehamilan, persalinan serta menyediakan jasa konsultasi yang berguna bagi ibu hamil untuk dapat terhindar dari kecemasan dalam menghadapi persalinan.

According to WHO data, it is stated that 15.6% of pregnant women in some developing countries are at risk of psychological disorders and 19.8% of mothers after childbirth. The effects of maternal anxiety trigger the occurrence of blood pressure. It may stimulate uterine contractions and increase blood pressure. It triggers preeclampsia and miscarriage. The type of this study was analytic study with cross sectional study design.It was conducted in Tigo Baleh Bukittinggi Community Health Center on September 2019-February 2020. The populations were all primigravida pregnant women from January 2019 to January 2020. They were50 people. They had been chosen by total sampling technique. The data were collected through questionnaire and it was analyzed by univariate and bivariate by using chi-square statistical test. The results of this study showed that 74.0% of primigravida pregnant women were anxiously in facing labor preparation.52.0% of pregnant women had a low level of knowledge.4.0% of pregnant women did not assist in facing labor preparation.60.0% labor preparation was not good at pregnant women.46.0% of husbands provide unfavorable support for pregnant women. Moreover, there was a relationship between the level of knowledge (p = 0.006 and OR 10.154), readiness for labor (p = 0.030 and OR 5.318), husband support (p = 0.004 and OR 17.600) toward the level of anxiety in pregnant women and there was no relationship of labor companion with the level of anxiety in pregnant women (p = 0.456 and OR 0.333). In short, there is a relationship between the level of knowledge, readiness, husband support toward the level of anxiety in pregnant women and there is no accompanying relationship with the level of anxiety of pregnant women. It is useful for pregnant to do consultation women to avoid anxiety in the face of childbirth.