Main Article Content
Abstract
Purpose: This study aims to explore the relationship between the level of anxiety in pregnant women and the incidence of baby blues syndrome during the postpartum period. The primary focus is to understand the psychological and physiological mechanisms underlying the transition from prenatal anxiety to postpartum emotional disorders.
Research Method: This study employs a qualitative approach, incorporating a systematic literature review of scientific articles published between 2015 and 2025. The analysis was conducted on secondary data from national and international journals, considering the psychosocial, hormonal, and neurobiological frameworks related to anxiety in pregnant women and baby blues.
Results and Discussion: Findings indicate that anxiety during pregnancy is significantly correlated with an increased risk of postpartum baby blues syndrome. Factors such as lack of social support, cultural pressure on the role of mothers, and hormonal fluctuations contribute to the occurrence of emotional disturbances after childbirth. This study also confirms that emotional unpreparedness during pregnancy is an important indicator of mental stability in mothers during the postpartum period.
Implications: The results of this study suggest the need for anxiety screening in antenatal services, training for healthcare workers in the early detection of emotional disorders, and strengthening psychosocial interventions as preventive measures. These findings also encourage the development of more holistic maternal mental health policies.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
- Anggraini, D. (2024). Hubungan Dukungan Suami, Peran Bidan Dan Pengetahuan Ibu Terhadap Kejadian Baby Blues Pada Ibu Nifas Di BPM Bidan Lena Jakarta. Indonesian Scholar Journal of Nursing and Midwifery Science (ISJNMS), 3(11), 1491–1496. https://doi.org/10.54402/isjnms.v3i11.506
- Arzamani, N., Soraya, S., Hadi, F., Nooraeen, S., & Saeidi, M. (2022). The COVID-19 pandemic and mental health in pregnant women: a review article. Frontiers in Psychiatry, 13, 949239. https://doi.org/10.3389/fpsyt.2022.949239
- Bestari, A. D., Westriningrum, L., Didah, D., Gumilang, L., & Mandiri, A. (2025). Faktor-Faktor yang Berhubungan dengan Resiko Depresi Postpartum pada Ibu Nifas di Kota Bandung. Malahayati Nursing Journal, 7(2), 658–674. https://doi.org/10.33024/mnj.v7i2.17747
- Braithwaite, E. C., Oftedal, A., Kaasen, A., Ayorech, Z., & Bekkhus, M. (2025). A history of depression and prenatal depression are associated with a lower likelihood of breastfeeding initiation and maintenance, and more breastfeeding problems. Archives of Women’s Mental Health, 28(1), 139–146. https://doi.org/10.1007/s00737-024-01479-5
- Briscoe, L., Lavender, T., & McGowan, L. (2016). A concept analysis of women’s vulnerability during pregnancy, birth, and the postnatal period. Journal of Advanced Nursing, 72(10), 2330–2345. https://doi.org/10.1111/jan.13017
- Chechko, N., Losse, E., Frodl, T., & Nehls, S. (2024). Baby blues, premenstrual syndrome, and postpartum affective disorders: intersection of risk factors and reciprocal influences. BJPsych Open, 10(1), e3. https://doi.org/10.1192/bjo.2023.612
- Evans, K., Spiby, H., & Morrell, C. J. (2020). Developing a complex intervention to support pregnant women with mild to moderate anxiety: application of the Medical Research Council framework. BMC Pregnancy and Childbirth, 20(1), 777. https://doi.org/10.1186/s12884-020-03469-8
- Fahey, J. O., & Shenassa, E. (2016). Understanding and meeting the needs of women in the postpartum period: the perinatal maternal health promotion model. Journal of Midwifery & Women’s Health, 58(6), 613–621. https://doi.org/10.1111/jmwh.12139
- Fairlie, T. G., Gillman, M. W., & Rich-Edwards, J. (2009). High Pregnancy-Related Anxiety and Prenatal Depressive Symptoms as Predictors of Intention to Breastfeed and Breastfeeding Initiation. Journal of Women’s Health, 18(7), 945–953. https://doi.org/10.1089/jwh.2008.0998
- Fekadu Dadi, A., Miller, E. R., & Mwanri, L. (2020). Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: a systematic review and meta-analysis. PloS One, 15(1), e0227323. https://doi.org/10.1371/journal.pone.0227323
- Health, O. W. (2003). Pregnancy, childbirth, postpartum, and newborn care: a guide for essential practice. World Health Organization.
- Henderson, A., Harmon, S., & Newman, H. (2016). The Price Mothers Pay, Even When They Are Not Buying It: Mental Health Consequences of Idealized Motherhood. Sex Roles, 74(11), 512–526. https://doi.org/10.1007/s11199-015-0534-5
- Kendall-Tackett, K. (2024). Breastfeeding and Perinatal Mental Health. In The Routledge International Handbook of Perinatal Mental Health Disorders (pp. 89–110). Routledge.
- Koksal, I., Acikgoz, A., & Cakirli, M. (2022). The Effect of a Father’s Support on Breastfeeding: A Systematic Review. Breastfeeding Medicine, 17(9), 711–722. https://doi.org/10.1089/bfm.2022.0058
- Mones, S. Y., Lada, C. O., Jutomo, L., Trisno, I., & Roga, A. U. (2023). The Influence of Individual Characteristics, Internal and External Factors of Postpartum Mothers with Baby Blues Syndrome in Rural and Urban Areas in Kupang City. 0966(1), 1–9. https://doi.org/10.36349/easjnm.2023.v05i01.001
- Naharani, A. R., Setyatama, I. P., Masturoh, M., & Siswati, S. (2023). Hubungan Dukungan Keluarga Dengan Kejadian Post Partum Blues Pada Ibu Nifas Di Desa Dukuhwaru Kabupaten Tegal. Bhamada: Jurnal Ilmu Dan Teknologi Kesehatan (E-Journal), 14(1), 87–91. https://doi.org/10.36308/jik.v14i1.451
- Nurcahya, B. (2024). Hubungan Tingkat Pengetahuan Ibu Post Partum dengan Baby Blues Syndrom berdasarkan Tingat Kecemasan di Rumah Sakit Marinir Cilandak Tahun 2022. Journal of Nursing Education and Practice, 3(4), 141–147. https://doi.org/10.53801/jnep.v3i3.218
- Obrochta, C. A., Chambers, C., & Bandoli, G. (2020). Psychological distress in pregnancy and postpartum. Women and Birth, 33(6), 583–591. https://doi.org/https://doi.org/10.1016/j.wombi.2020.01.009
- Olivia, L. (2023). Tingkat Kecemasan, Pengetahuan, dan Dukungan Keluarga dengan Kesiapan menghadapi Persalinan pada Era Pandemi Covid-19: Level of Anxiety, Knowledge and Family Support with Readiness for Childbirth in the Covid-19 Pandemic Era. Open Access Jakarta Journal of Health Sciences, 2(10), 936–946. https://doi.org/10.53801/oajjhs.v2i10.189
- Pierce, S. K., Reynolds, K. A., Hardman, M. P., & Furer, P. (2022). How do prenatal people describe their experiences with anxiety? A qualitative analysis of blog content. BMC Pregnancy and Childbirth, 22(1), 398. https://doi.org/10.1186/s12884-022-04697-w
- Rahmawati, R., Junuda, J., Saida, S., & Akifah, A. (2025). Interventions to address baby blues among postpartum mothers: A systematic review of effectiveness and implementation. African Journal of Reproductive Health, 29(2), 160–180. https://www.ajrh.info/index.php/ajrh/article/view/5271?utm
- Reck, C., Stehle, E., Reinig, K., & Mundt, C. (2009). Maternity blues as a predictor of DSM-IV depression and anxiety disorders in the first three months postpartum. Journal of Affective Disorders, 113(1), 77–87. https://doi.org/https://doi.org/10.1016/j.jad.2008.05.003
- Roddy Mitchell, A., Gordon, H., Atkinson, J., Lindquist, A., Walker, S. P., Middleton, A., Tong, S., & Hastie, R. (2023). Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. JAMA Network Open, 6(11), e2343711–e2343711. https://doi.org/10.1001/jamanetworkopen.2023.43711
- Samosir, F. J., Pane, P. Y., Zebua, J. V. C., Manalu, P., & Dalimunthe, S. Y. (2025). Kesehatan mental ibu memengaruhi pemberian ASI eksklusif pada bayi: Scoping review. Ibnu Sina: Jurnal Kedokteran Dan Kesehatan-Fakultas Kedokteran Universitas Islam Sumatera Utara, 24(1), 111–124. https://doi.org/10.30743/ibnusina.v24i1.721
- Schupay, B. B. (2013). The Baby Blues: Mothers’ Experiences After Adoption. University of South Florida.
- Silva, M. M. D. J., Nogueira, D. A., Clapis, M. J., & Leite, E. P. R. C. (2017). Anxiety in pregnancy: prevalence and associated factors. Revista Da Escola de Enfermagem Da USP, 51, e03253. https://doi.org/10.1590/S1980-220X2016048003253
- Utami, F. P., & Nurfita, D. (2022). Postpartum blues reviewed by the risk factors in Indonesia. Journal of Ideas in Health, 5(4), 766–775. https://doi.org/10.47108/jidhealth.vol5.iss4.258
- Watanabe, M., Koji, W., Yumi, S., Yutaka, A., Noritada, K., Hiroshi, O., & and Tanaka, K. (2008). Maternity blues as predictor of postpartum depression: A prospective cohort study among Japanese women. Journal of Psychosomatic Obstetrics & Gynecology, 29(3), 211–217. https://doi.org/10.1080/01674820801990577
- Winingsih, G. A. M., Salmah, U., Masni, Indriasari, R., Amiruddin, R., & Birawida, A. B. (2021). Prevent postpartum blues with the implementation of breastfeeding father education model to increase the frequency of breastfeeding in mothers: A systematic review. Gaceta Sanitaria, 35, S400–S403. https://doi.org/https://doi.org/10.1016/j.gaceta.2021.10.061
- Wulan, N., Mawati, I. P., & Sutandi, A. (2023). Analisis faktor yang berhubungan dengan kejadian baby blues syndrome pada ibu postpartum. Journal of Nursing Practice and Education, 4(1), 194–201. https://doi.org/10.34305/jnpe.v4i1.952
- Yolanda, H., Surmiasih, Putri, R. H., & Palupi, R. (2020). Faktor-faktor yang berhubungan dengan baby blues syndrome pada ibu pasca persalinan. Tesis Ridha Rizki, 04(01), 1–92. https://doi.org/10.53801/jnep.v4i1.355
- Yuhaeni, N., & Indawati, E. (2024). Analisis Faktor yang Berhubungan dengan Kejadian Baby Blues Syndrom pada Ibu Nifas di Klinik Cempaka Medical Center Tambun Bekasi Tahun 2023. Malahayati Nursing Journal, 6(4), 1351–1372. https://doi.org/10.33024/mnj.v6i4.11139
References
Anggraini, D. (2024). Hubungan Dukungan Suami, Peran Bidan Dan Pengetahuan Ibu Terhadap Kejadian Baby Blues Pada Ibu Nifas Di BPM Bidan Lena Jakarta. Indonesian Scholar Journal of Nursing and Midwifery Science (ISJNMS), 3(11), 1491–1496. https://doi.org/10.54402/isjnms.v3i11.506
Arzamani, N., Soraya, S., Hadi, F., Nooraeen, S., & Saeidi, M. (2022). The COVID-19 pandemic and mental health in pregnant women: a review article. Frontiers in Psychiatry, 13, 949239. https://doi.org/10.3389/fpsyt.2022.949239
Bestari, A. D., Westriningrum, L., Didah, D., Gumilang, L., & Mandiri, A. (2025). Faktor-Faktor yang Berhubungan dengan Resiko Depresi Postpartum pada Ibu Nifas di Kota Bandung. Malahayati Nursing Journal, 7(2), 658–674. https://doi.org/10.33024/mnj.v7i2.17747
Braithwaite, E. C., Oftedal, A., Kaasen, A., Ayorech, Z., & Bekkhus, M. (2025). A history of depression and prenatal depression are associated with a lower likelihood of breastfeeding initiation and maintenance, and more breastfeeding problems. Archives of Women’s Mental Health, 28(1), 139–146. https://doi.org/10.1007/s00737-024-01479-5
Briscoe, L., Lavender, T., & McGowan, L. (2016). A concept analysis of women’s vulnerability during pregnancy, birth, and the postnatal period. Journal of Advanced Nursing, 72(10), 2330–2345. https://doi.org/10.1111/jan.13017
Chechko, N., Losse, E., Frodl, T., & Nehls, S. (2024). Baby blues, premenstrual syndrome, and postpartum affective disorders: intersection of risk factors and reciprocal influences. BJPsych Open, 10(1), e3. https://doi.org/10.1192/bjo.2023.612
Evans, K., Spiby, H., & Morrell, C. J. (2020). Developing a complex intervention to support pregnant women with mild to moderate anxiety: application of the Medical Research Council framework. BMC Pregnancy and Childbirth, 20(1), 777. https://doi.org/10.1186/s12884-020-03469-8
Fahey, J. O., & Shenassa, E. (2016). Understanding and meeting the needs of women in the postpartum period: the perinatal maternal health promotion model. Journal of Midwifery & Women’s Health, 58(6), 613–621. https://doi.org/10.1111/jmwh.12139
Fairlie, T. G., Gillman, M. W., & Rich-Edwards, J. (2009). High Pregnancy-Related Anxiety and Prenatal Depressive Symptoms as Predictors of Intention to Breastfeed and Breastfeeding Initiation. Journal of Women’s Health, 18(7), 945–953. https://doi.org/10.1089/jwh.2008.0998
Fekadu Dadi, A., Miller, E. R., & Mwanri, L. (2020). Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: a systematic review and meta-analysis. PloS One, 15(1), e0227323. https://doi.org/10.1371/journal.pone.0227323
Health, O. W. (2003). Pregnancy, childbirth, postpartum, and newborn care: a guide for essential practice. World Health Organization.
Henderson, A., Harmon, S., & Newman, H. (2016). The Price Mothers Pay, Even When They Are Not Buying It: Mental Health Consequences of Idealized Motherhood. Sex Roles, 74(11), 512–526. https://doi.org/10.1007/s11199-015-0534-5
Kendall-Tackett, K. (2024). Breastfeeding and Perinatal Mental Health. In The Routledge International Handbook of Perinatal Mental Health Disorders (pp. 89–110). Routledge.
Koksal, I., Acikgoz, A., & Cakirli, M. (2022). The Effect of a Father’s Support on Breastfeeding: A Systematic Review. Breastfeeding Medicine, 17(9), 711–722. https://doi.org/10.1089/bfm.2022.0058
Mones, S. Y., Lada, C. O., Jutomo, L., Trisno, I., & Roga, A. U. (2023). The Influence of Individual Characteristics, Internal and External Factors of Postpartum Mothers with Baby Blues Syndrome in Rural and Urban Areas in Kupang City. 0966(1), 1–9. https://doi.org/10.36349/easjnm.2023.v05i01.001
Naharani, A. R., Setyatama, I. P., Masturoh, M., & Siswati, S. (2023). Hubungan Dukungan Keluarga Dengan Kejadian Post Partum Blues Pada Ibu Nifas Di Desa Dukuhwaru Kabupaten Tegal. Bhamada: Jurnal Ilmu Dan Teknologi Kesehatan (E-Journal), 14(1), 87–91. https://doi.org/10.36308/jik.v14i1.451
Nurcahya, B. (2024). Hubungan Tingkat Pengetahuan Ibu Post Partum dengan Baby Blues Syndrom berdasarkan Tingat Kecemasan di Rumah Sakit Marinir Cilandak Tahun 2022. Journal of Nursing Education and Practice, 3(4), 141–147. https://doi.org/10.53801/jnep.v3i3.218
Obrochta, C. A., Chambers, C., & Bandoli, G. (2020). Psychological distress in pregnancy and postpartum. Women and Birth, 33(6), 583–591. https://doi.org/https://doi.org/10.1016/j.wombi.2020.01.009
Olivia, L. (2023). Tingkat Kecemasan, Pengetahuan, dan Dukungan Keluarga dengan Kesiapan menghadapi Persalinan pada Era Pandemi Covid-19: Level of Anxiety, Knowledge and Family Support with Readiness for Childbirth in the Covid-19 Pandemic Era. Open Access Jakarta Journal of Health Sciences, 2(10), 936–946. https://doi.org/10.53801/oajjhs.v2i10.189
Pierce, S. K., Reynolds, K. A., Hardman, M. P., & Furer, P. (2022). How do prenatal people describe their experiences with anxiety? A qualitative analysis of blog content. BMC Pregnancy and Childbirth, 22(1), 398. https://doi.org/10.1186/s12884-022-04697-w
Rahmawati, R., Junuda, J., Saida, S., & Akifah, A. (2025). Interventions to address baby blues among postpartum mothers: A systematic review of effectiveness and implementation. African Journal of Reproductive Health, 29(2), 160–180. https://www.ajrh.info/index.php/ajrh/article/view/5271?utm
Reck, C., Stehle, E., Reinig, K., & Mundt, C. (2009). Maternity blues as a predictor of DSM-IV depression and anxiety disorders in the first three months postpartum. Journal of Affective Disorders, 113(1), 77–87. https://doi.org/https://doi.org/10.1016/j.jad.2008.05.003
Roddy Mitchell, A., Gordon, H., Atkinson, J., Lindquist, A., Walker, S. P., Middleton, A., Tong, S., & Hastie, R. (2023). Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. JAMA Network Open, 6(11), e2343711–e2343711. https://doi.org/10.1001/jamanetworkopen.2023.43711
Samosir, F. J., Pane, P. Y., Zebua, J. V. C., Manalu, P., & Dalimunthe, S. Y. (2025). Kesehatan mental ibu memengaruhi pemberian ASI eksklusif pada bayi: Scoping review. Ibnu Sina: Jurnal Kedokteran Dan Kesehatan-Fakultas Kedokteran Universitas Islam Sumatera Utara, 24(1), 111–124. https://doi.org/10.30743/ibnusina.v24i1.721
Schupay, B. B. (2013). The Baby Blues: Mothers’ Experiences After Adoption. University of South Florida.
Silva, M. M. D. J., Nogueira, D. A., Clapis, M. J., & Leite, E. P. R. C. (2017). Anxiety in pregnancy: prevalence and associated factors. Revista Da Escola de Enfermagem Da USP, 51, e03253. https://doi.org/10.1590/S1980-220X2016048003253
Utami, F. P., & Nurfita, D. (2022). Postpartum blues reviewed by the risk factors in Indonesia. Journal of Ideas in Health, 5(4), 766–775. https://doi.org/10.47108/jidhealth.vol5.iss4.258
Watanabe, M., Koji, W., Yumi, S., Yutaka, A., Noritada, K., Hiroshi, O., & and Tanaka, K. (2008). Maternity blues as predictor of postpartum depression: A prospective cohort study among Japanese women. Journal of Psychosomatic Obstetrics & Gynecology, 29(3), 211–217. https://doi.org/10.1080/01674820801990577
Winingsih, G. A. M., Salmah, U., Masni, Indriasari, R., Amiruddin, R., & Birawida, A. B. (2021). Prevent postpartum blues with the implementation of breastfeeding father education model to increase the frequency of breastfeeding in mothers: A systematic review. Gaceta Sanitaria, 35, S400–S403. https://doi.org/https://doi.org/10.1016/j.gaceta.2021.10.061
Wulan, N., Mawati, I. P., & Sutandi, A. (2023). Analisis faktor yang berhubungan dengan kejadian baby blues syndrome pada ibu postpartum. Journal of Nursing Practice and Education, 4(1), 194–201. https://doi.org/10.34305/jnpe.v4i1.952
Yolanda, H., Surmiasih, Putri, R. H., & Palupi, R. (2020). Faktor-faktor yang berhubungan dengan baby blues syndrome pada ibu pasca persalinan. Tesis Ridha Rizki, 04(01), 1–92. https://doi.org/10.53801/jnep.v4i1.355
Yuhaeni, N., & Indawati, E. (2024). Analisis Faktor yang Berhubungan dengan Kejadian Baby Blues Syndrom pada Ibu Nifas di Klinik Cempaka Medical Center Tambun Bekasi Tahun 2023. Malahayati Nursing Journal, 6(4), 1351–1372. https://doi.org/10.33024/mnj.v6i4.11139