Vol. 11 No. 10 (2025): October
Open Access
Peer Reviewed

Women's Psychological Responses in Various Conditions of Obstetric Problems; Phenomenological Analysis of Postpartum Mothers, Miscarriages, and At-Risk Pregnancy Conditions

Authors

Nanik Yuliwati , Alfa Hasanah , Een Ernalia , Lala Herawati , Yuni Hardani , Nurhayati , Awidevti Pakpahan , Putri Yunita Sari , Meika Anggraini Lestari , Siti Mutiah

DOI:

10.29303/jppipa.v11i10.12317

Published:

2025-10-25

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Abstract

Pregnancy and childbirth are pivotal experiences in a woman’s life that involve not only physiological transformations but also intricate psychological adjustments. This study aims to explore and understand women’s psychological responses under various obstetric conditions, including postpartum, miscarriage, and high-risk pregnancies. A qualitative design with a phenomenological approach was employed to capture the essence of participants’ lived experiences. Data were collected through in-depth interviews and participant observation involving a total of 73 participants, consisting of 37 postpartum mothers as primary informants and 36 key informants (partners, healthcare professionals, and family members) from several regions in West Java and Banten. Data were analyzed using Colaizzi’s thematic analysis to identify patterns of emotional reactions and coping strategies among mothers facing different post-pregnancy conditions. The findings reveal distinct variations in psychological responses depending on the type of obstetric condition experienced. Mothers who underwent miscarriage or postpartum hemorrhage demonstrated higher levels of anxiety, sadness, and emotional distress compared to those with normal deliveries. Meanwhile, mothers with adequate social and familial support exhibited greater resilience and adaptability in managing emotional challenges. Problem-focused coping strategies were more prevalent among educated mothers with strong social networks, while emotion-focused coping was commonly found in those with limited support. In conclusion, this study emphasizes that social support and education play critical roles in shaping adaptive coping mechanisms and reducing psychological distress among women experiencing diverse obstetric conditions. Strengthening psychosocial interventions and community-based support systems is recommended to improve maternal mental health outcomes.

Keywords:

Miscarriage Obstetric complications Phenomenological analysis Postpartum Psychological response

References

Achmad, I., & Hitipeuw, A. (2024). Studi Kasus: Dampak Kehamilan Remaja Terhadap Perawatan Kehamilan Dan Bayi. Jurnal Kebidanan, 4(2), 51–59. https://doi.org/10.32695/jbd.v4i2.529

Amaliah, A., & Destiwati, R. (2023). Komunikasi Antarpribadi Suami dan Istri yang Mengalami Baby Blues Syndrome Pasca Melahirkan. Al Qalam: Jurnal Ilmiah Keagamaan Dan Kemasyarakatan, 17(4), 2418. https://doi.org/10.35931/aq.v17i4.2303

Anggita, Agustina, M., & Tresya, E. (2024). Pengaruh Hypnobreastfeeding Terhadap Tingkat Kecemasan Ibu Menyusui Pada Ibu Post Partum Sectio Caesarrea Dalam Meningkatkan Produksi ASI Di RS. Simpangan Depok. Jurnal Riset Rumpun Ilmu Kedokteran, 3(1), 110–121. https://doi.org/10.55606/jurrike.v3i1.2773

Annisa, N. H., & Natalia, O. (2023). Dukungan Suami dan Depresi Postpartum. Indonesian Journal of Midwifery (IJM), 6(1), 62–70. Retrieved from https://jurnal.unw.ac.id/index.php/ijm/article/view/2220/1927

Anwar, W. A., Sururie, R. W., Fautanu, I., Wahyu, A. R. M., & Yaekaji, A. (2024). A Perkawinan Dini di Era Modern: Analisis Relevansi, Tantangan Penetapan dan Implementasi Batas Minimal Usia Nikah. DIKTUM: Jurnal Syariah Dan Hukum, 22(1), 45–69. https://doi.org/10.35905/diktum.v22i1.10362

Aufar, A. F., & Nurwati, N. (2024). Perkawinan Dini Dan Kaitannya Dengan Pendidikan Seksual. Jurnal Ilmu Kesejahteraan Sosial Humanitas, 6(1). https://doi.org/10.23969/humanitas.v6i1.2846

Białas, A., Kamecka, K., Rasmus, P., Timler, D., Kozłowski, R., & Lipert, A. (2025). Anxiety, Coping, and Self-Efficacy as a Psychological Adjustment in Mothers Who Have Experienced a Preterm Birth. Journal of Clinical Medicine, 14(12), 4174. https://doi.org/10.3390/jcm14124174

Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. Basic Books.

Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Sage Publications.

Curren, L. C., Borba, C. P. C., Henderson, D. C., & Tompson, M. C. (2022). “Making Room”: A Thematic Analysis Study of the Process of Postpartum Maternal Adjustment. Maternal and Child Health Journal, 26(5), 1142–1152. https://doi.org/10.1007/s10995-022-03393-7

Engel, G. L. (2012). The need for a new medical model: A challenge for biomedicine. Psychodynamic Psychiatry, 40(3), 377–396. https://doi.org/10.1521/pdps.2012.40.3.377

Etikan, I. (2016). Comparison of Convenience Sampling and Purposive Sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1. https://doi.org/10.11648/j.ajtas.20160501.11

Hidayah, A., Sumini, G. T., & Santutri Bedha, Y. (2021). Perbedaan Tingkat Kecemasan Ibu Hamil Primigravida Dan Multigravida Trimester Iii Dalam Menghadapi Persalinan Di Rsu Al Islam H.M Mawardi Sidoarjo Tahun 2020. Hospital Majapahit, 13(1), 112–121. https://doi.org/10.5281/zenodo.4558621

Hoff, C. E., Movva, N., Rosen Vollmar, A. K., & Pérez-Escamilla, R. (2019). Impact of Maternal Anxiety on Breastfeeding Outcomes: A Systematic Review. Advances in Nutrition, 10(5), 816–826. https://doi.org/10.1093/advances/nmy132

Kusumawati, P. D., Koesnadi, & Indrawati, I. Y. (2022). Pengaplikasian Manajemen Stres dan Kecemasan Sebagai Upaya Pencegahan Masalah Psikososial pada Ibu Hamil. Jurnal Pengabdian Kepada Masyarakat (JPKM) - Aphelion, 4(Desember), 603–608. Retrieved from http://jurnal.globalhealthsciencegroup.com/index.php/JPM

Kvale, S., & Brinkmann, S. (2015). Interviews. Sage Publications.

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer.

Mannel, R., Martens, P., & Publishers, B. (2022). Core Curriculum for Lactation Consultant Practice, Fifth Edition. Maternal & Child Nutrition, 5(2), 192–193. https://doi.org/10.1111/j.1740-8709.2008.00160.x

Mercer, R. T. (2004). Becoming a mother versus maternal role attainment. Journal of Nursing Scholarship, 36(3), 226–232. https://doi.org/10.1111/j.1547-5069.2004.04042.x

Miovech, S. M., Knapp, H., Borucki, L., Roncoli, M., Arnold, L., & Brooten, D. (1994). Major Concerns of Women After Cesarean Delivery. Journal of Obstetric, Gynecologic & Neonatal Nursing, 23(1), 53–59. https://doi.org/10.1111/j.1552-6909.1994.tb01850.x

Nisak, A. Z., Kusumastuti, D. A., & Munawati, M. (2023). Perbedaan Metode Konvensional Dan Eracs Dengan Tingkat Nyeri Pada Pasien Post Sectio Cesarea. Jurnal Ilmu Keperawatan Dan Kebidanan, 14(1), 261–268. https://doi.org/10.26751/jikk.v14i1.1689

Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic Analysis: Striving to Meet the Trustworthiness Criteria. International Journal of Qualitative Methods, 16(1). https://doi.org/10.1177/1609406917733847

Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Lippincott Williams & Wilkins.

Pratiwi, K., & Ambarwati, E. R. (2023). Wanita dengan Metode Persalinan SECTIO CAESAREA (SC) lebih Berisiko Mengalami Depresi Postpartum: Systematic Review. Jurnal Kesehatan Madani Medika, 14(01), 82–87. https://doi.org/10.36569/jmm.v14i1.332

Setianingsih, A. P., & Yuliwati, N. (2023). Hubungan Depresi Post Partum Dengan Pemberian ASI pada Bayi di Wilayah Kerja Puskesmas Carita. Health Science Journal, 7(1), 22–32. Retrieved from http://studentjournal.umpo.ac.id/index.php/HSJ

Sukirno, R. S. H. (2024). Strategi Koping Ibu Penderita Diabetes yang Hamil dan Melahirkan Bayi Besar (Makrosomia). Jurnal Ilmu Kesehatan Dharmas Indonesia, 4(2), 43–50. https://doi.org/10.56667/jikdi.v4i2.1502

Wartisa, F., Lestari, Y., Yusrawati, Y., & Yanis, A. (2025). Coping Strategies and Their Subscales: Correlation with Maternity Blues. Andalas Obstetrics And Gynecology Journal, 9(1), 30–40. https://doi.org/10.25077/aoj.9.1.30-40.2025

Author Biographies

Nanik Yuliwati, STIKes Abdi Nusantara

Author Origin : Indonesia

Alfa Hasanah, STIKes Abdi Nusantara

Author Origin : Indonesia

Een Ernalia, STIKes Abdi Nusantara

Author Origin : Indonesia

Lala Herawati, STIKes Abdi Nusantara

Author Origin : Indonesia

Yuni Hardani, STIKes Abdi Nusantara

Author Origin : Indonesia

Nurhayati, STIKes Abdi Nusantara

Author Origin : Indonesia

Awidevti Pakpahan, STIKes Abdi Nusantara

Author Origin : Indonesia

Putri Yunita Sari, STIKes Abdi Nusantara

Author Origin : Indonesia

Meika Anggraini Lestari, STIKes Abdi Nusantara

Author Origin : Indonesia

Siti Mutiah, STIKes Abdi Nusantara

Author Origin : Indonesia

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How to Cite

Yuliwati, N., Hasanah, A., Ernalia, E., Herawati, L., Hardani, Y., Nurhayati, … Mutiah, S. (2025). Women’s Psychological Responses in Various Conditions of Obstetric Problems; Phenomenological Analysis of Postpartum Mothers, Miscarriages, and At-Risk Pregnancy Conditions. Jurnal Penelitian Pendidikan IPA, 11(10), 717–725. https://doi.org/10.29303/jppipa.v11i10.12317