• Iin Tri Marlinawati Department of Midwifery Medicine Faculty, University of Brawijaya, Malang, Indonesia



Background: Pregnancy becomes risk period in woman’s life which need to make adjustment in physical and psychological. Improper
handling can cause serious problem. Women need to be readiness before entry to next phase become a mother.
Objective: To reveal about mental readiness of pregnant women at high-risk pregnancy.
Method: This paper was review which supported by literature review from PubMed, Medline and Cinahl database research published journal from 2017-2021 which talk about pregnant women at high-risk during pregnancy and the fetus.
Results: 15-20% of pregnancies are high risk; pregnancies are complicated by the presence of a high risk or serious condition that affects the outcome of the mother and the fetuses. Women with high-risk pregnancies had 5.2x greater anxiety than women with low-risk pregnancies. High-risk pregnancies require more intensive or frequent treatments. Mental preparations need to be supported by many supporting system and holistic interventions.
Conclusion: High-risk pregnancy and childbirth are two risk factors associated with anxiety during pregnancy. The mental preparation of pregnant women needs to be supported with adequate mental health to minimize adverse outcomes, maintain normal social relationshop and interactions, physical activity, oriented interventions to bring better quality of preparation.

Keywords: mental, high-risk pregnancy, childbirth.


Mirzhakani, K., Ebadi, A, Faridhosseini, F., and Khadivzadeh, T. Well-being in High-Risk Pregnancy: An Integrative Review. BMC Pregnancy and Childbirth. 2020;20:526. Doi:

Aldrighi, Jd., Wall, ML., and Souza, SRR. Experience of Pregnant Women at an Advanced Age. Rev Gaucha Enferm. 2018;39:1-9. Doi:

Howard, LM., Ryan, EG., Trevillion, K., Anderson, F., Bick, D., Bye, A., et al. Accuracy of the Whooley Questions and the Edinburgh Postnatal Depression Scale in Identifying Depression and Other Mental Disorders in Early Pregnancy. Br J Psychiatry. 2018; 212(1): 50-56. Doi:

Harron, K., Gilbert, R., Fagg, J., Guttmann, A., and Meulen, JD. Associations Between Pre-pregnancy Psychosocial Risk Factors and Infant Outcomes: A Population-Based Cohort Study in England. Lancet Public Health. 2021;6:97-105. Doi:

Araji, S., Griffin, A., Dixon, L., Spencer, SK., Peavie, C., and Wallace, K. An Overview of Maternal Anxiety During Pregnancy and the Post-Partum Period. Journal of Mental Health and Clinical Psychology. 2020;4(4):47-56

Goetz, M., Spano, C., Schiele, C., Muller, M., Matthies, LM., Deutsch, TM., Wallwiener, M., et al. Effects of a Brief Electronic Mindfulness-Based Intervention on Relieving Prenatal Depression and Anxiety in Hospitalized High-Risk Pregnant Women: Exploratory Pilot Study. Journal of Medical Internet Research. 2020;22(8): 1-15. Doi:

Brunton, R., Simpson, N., and Dryer, R. Pregnancy Related Anxiety, Perceived Parental Self-Efficacy and the Influence of Parity and Age. International Journal of Environmental Research and Public Health. 2020;17: 1-17. Doi:

Egan, AM., Dunne, FP., Lydon, K., Conneely, S., Sarma, K., and McGuire, BE. Diabetes in Pregnancy: Worse Medical Outcomes in Type 1 Diabetes but Worse Psychological Outcomes in Gestational Diabetes. QJM: An International Journal of Medicine. 2017; 110(11): 721–727. Doi:

Napoli, A., Lamis, DA., Berardelli, I., Canzonetta, V., Sarubbi, S., Rogante, E., Napoli, PL. Anxiety, Prenatal Attachment, and Depressive Symptoms in Women with Diabetes in Pregnancy. International Journal of Environmental Research and Public Health. 2020; 17:1-11. Doi:

Lee, KW., Ching, SM., Devaraj, NK., Chong, SC., Lim, SY., Loh, HC., and Hamid, HA. Diabetes in Pregnancy and Risk of Antepartum Depression: A Systematic Review and Meta-Analysis of Cohort Studies. International Journal of Environmental Research and Public Health. 2020;17:1-15. Doi:

Osok, J., Kigamwa, P., Stoep, AP., Huang, KY., and Kumar, M. Depression and its Psychosocial Risk Factors in Pregnant Kenyan Adolescents: Across-sectional Study in a Community Health Centre of Nairobi. BMC Psychiatry. 2018;18(136):2-10. Doi:

Mbarak, B., Kilewo, C., Kuganda, S., and Sunguya, BF. Postpartum Depression Among Women with Preeclampsia and Eclampsia in Tanzania; A Call for Integrative Intervention. BMC Pregnancy and Childbirth. 2019;19:1-8. Doi:

Wilson, CA., Stoll, N., Newham, J., Rankin, J., Ismail, K., Simonoff, E., Reynolds, RM., and Howard, LM. Systematic Review or Meta-analysis is there an Increased Risk of Perinatal Mental Disorder in Women with Gestational Diabetes? A Systematic Review and Meta-analysis. Diabetic Medicine. 2020;37: 602-622. Doi:

Estrin, GL., Ryan, EG., Trevillion, K., Demilew, J., Bick, D., Pickles, A., and Howard, LM. Young Pregnant Women and Risk for Mental Disorders: Findings from an Early Pregnancy Cohort. BJPsych Open. 2019;5:1-7. Doi:

Horsch, A., Gilbert, L., Lanzi, S., Gross, J., Kayser, B., Vial, Y., Simeoni, U et al. Improving Cardiometabolic and Mental Health in Women with Gestational Diabetes Mellitus and Their Offspring: Study Protocol for My Sweet Heart Trial, a Randomised Controlled Trial. BMJ Open. 2018;8:1-18. Doi:

Ravesteyn, LM., Lambregtse, MP., Berg, VD., Hoogendijk, JG., and Kamperman, AM. Interventions to Treat Mental Disorders During Pregnancy: A Systematic Review and Multiple Treatment Meta-analysis. PLoS ONE. 2017;12(3):1-17. Doi:




How to Cite

Marlinawati, I. T. (2023). MENTAL PREPARATION OF PREGNANT WOMEN AT HIGH RISK WITH PREGNANCY. Journal of Psychiatry Psychology and Behavioral Research, 4(1), 12–15.