The Influence of Job Demands and Work Stress on Prenatal Mental Health Among Pregnant Employees: A Cross-Sectional Study

Authors

  • Susanti Susanti Universitas Batam

DOI:

https://doi.org/10.59680/anestesi.v4i2.2343

Keywords:

Job Demands, Occupational Health, Pregnant Women, Psychological Stress, Working Women

Abstract

Mental health during pregnancy is a crucial aspect affecting maternal well-being and fetal development. Pregnant women who remain actively employed may experience various work-related pressures that can impact their psychological well-being. Work environment factors such as job demands and job stress can increase the risk of emotional problems during pregnancy. However, research examining these factors among pregnant employees is limited. This study aims to analyze the influence of job demands and job stress on prenatal mental health among pregnant employees. This study was conducted in Batam City Regency and involved 80 pregnant employees who met the inclusion criteria. A quantitative study with a cross-sectional design was used. Data were collected using a structured questionnaire consisting of the Job Content Questionnaire to measure job demands, the Perceived Stress Scale to assess job stress, and the Edinburgh Postnatal Depression Scale to evaluate prenatal mental health. Data analysis was performed using multiple linear regression. The results showed that job demands and job stress affected prenatal mental health among pregnant employees, with job stress showing a stronger influence. Higher levels of job pressure and stress were associated with increased psychological distress during pregnancy. These findings highlight the importance of supportive workplace policies, workload adjustments, and stress management programs to improve the mental well-being of pregnant workers and support nursing practice in maternal health care.

References

Abdou, A. H., El-amin, M. A. M., Farouq, E., Mohammed, A., Saleh, A., Albohnayh, M., Alismail, A. M., Almulla, M. O., Alsaqer, J. S., Mahmoud, M. H., Ibrahim, A., & Elshazly, A. (2024). Work stress, work-family conflict, and psychological distress among resort employees: A JD-R model and spillover theory perspectives. Frontiers in Psychology, 15, 1326181, 1-14. https://doi.org/10.3389/fpsyg.2024.1326181

Anca, R., Strete, G. E., Suciu, L. M., Ghiga, D. V., Andreea, S., & Claudiu, M. (2022). Psychological stress perceived by pregnant women in the last trimester of pregnancy. International Journal of Environmental Research and Public Health, 19(14), 1-10. https://doi.org/10.3390/ijerph19148315

Andersen, D. R., Mette, A., Momsen, H., Pedersen, P., & Maimburg, R. D. (2022). Reflections on workplace adjustments for pregnant employees: A qualitative study of the experiences of pregnant employees and their managers. BMC Pregnancy and Childbirth, 1-9. https://doi.org/10.1186/s12884-022-04749-1

Bakker, A. B., Vries, J. D. De, & Bakker, A. B. (2021). Job demands-resources theory and self-regulation: New explanations and remedies for job burnout. Anxiety, Stress, & Coping: An International Journal, 34(1), 1-21. https://doi.org/10.1080/10615806.2020.1797695

Budiarti, A., Hastuti, P., Fatimawati, I., & Sulistyawati, R. (2025). Determinants of psychological disorders among pregnant women in Indonesia: A cross-sectional study on the roles of social support, parity, and anxiety. Journal of Applied Nursing and Health, 7(3), 595-603. https://doi.org/10.55018/janh.v7i3.388

Chauhan, A., & Potdar, J. (2022). Maternal mental health during pregnancy: A critical review. Cureus, 14(10). https://doi.org/10.7759/cureus.30656

Choe, J. H., Yun, S. J., & Kim, H. Y. (2024). High-risk pregnancy nursing: Analyzing the impact of prenatal stress, maternal-fetal attachment, and social support on prenatal depression. The Open Nursing Journal, 18, e18744346318130, 1-10. https://doi.org/10.2174/0118744346318130240620115100

Claes, S., Vandepitte, S., Clays, E., & Annemans, L. (2023). How job demands and job resources contribute to our overall subjective well-being. Frontiers in Psychology, 14, 1220263, 1-11. https://doi.org/10.3389/fpsyg.2023.1220263

Colciago, E., Merazzi, B., Panzeri, M., Fumagalli, S., & Nespoli, A. (2020). Women's vulnerability within the childbearing continuum: A scoping review. European Journal of Midwifery, 4(18), 1-9. https://doi.org/10.18332/ejm/120003

Corchero-Falcón, M. R., Gómez-Salgado, J., & García-Iglesias, J. J. (2023). Risk factors for working pregnant women and potential adverse consequences of exposure: A systematic review. International Journal of Public Health, 68, 1605655. https://doi.org/10.3389/ijph.2023.1605655

Davis, E. P., Narayan, A. J., & Behavior, H. (2021). Pregnancy as a period of risk, adaptation, and resilience for mothers and infants. HHS Public Access, 32(5), 1625-1639. https://doi.org/10.1017/S0954579420001121

Dewi, Y., Armono, R. D., & Fatimah, F. (2024). The influence of job stress, job demands, and motivation on job satisfaction of Bantul Community Health Center Employees II. Journal of Management and Digital Business, 4(1), 66-79. https://doi.org/10.53088/jmdb.v4i1.912

Discovery, P. (2025). Comprehensive review of the impact of maternal stress on fetal development. Pediatric Discovery, 3(3), 1-13. https://doi.org/10.1002/pdi3.70004

Dulla, N., Priyadarshini, S., Sahoo, M., Mishra, S., & Panda, S. (2025). Challenges of prepartum working professionals amid the pandemic: Navigating non-work responsibilities, burnout, work-life imbalance, and emotional exhaustion. Covid, 5(9), 1-23. https://doi.org/10.3390/covid5090144

Gusak, N., Kendall, S., & Nizalova, O. (2024). Understanding of perinatal mental health and its psychosocial determinants through Ukrainian women's experience. European Journal of Midwifery, 8(29), 1-9. https://doi.org/10.18332/ejm/188194

Gynning, B. E., Karlsson, E., Teoh, K., Gustavsson, P., Christiansen, F., & Brulin, E. (2025). Do job resources buffer the harmful effects of job demands on burnout complaints? A 1-year cohort study of Swedish healthcare professionals. International Journal of Nursing Studies Advances, 9(August), 100397. https://doi.org/10.1016/j.ijnsa.2025.100397

Jalal, S. M., Alsebeiy, S. H., Mousa, N., & Alshealah, J. (2024). Stress, anxiety, and depression during pregnancy: A survey among antenatal women attending primary health centers. Healthcare, 12, 2227, 1-14. https://doi.org/10.3390/healthcare12222227

Jamil, A., Sehat, R. M., Johari, Y. C., Hussein, W. S., Hasin, H., & Mara, U. T. (2023). Exploring the link between job stress and performance: Identifying the root causes. International Journal of Academic Research in Accounting, Finance & Management Sciences, 13(3), 501-522. https://doi.org/10.6007/IJARAFMS/v13-i3/19073

Karasek, R., & Amick, B. (1998). The Job Content Questionnaire (JCQ): An instrument for internationally comparative assessments of psychosocial job characteristics. Journal of Occupational Health Psychology, 3(4), 322-355. https://doi.org/10.1037/1076-8998.3.4.322

Karl, M., Schaber, R., Kress, V., Kopp, M., Martini, J., Weidner, K., & Garthus-Niegel, S. (2020). Precarious working conditions and psychosocial work stress act as a risk factor for symptoms of postpartum depression during maternity leave: Results from a longitudinal cohort study. BMC Public Health, 20, 1505, 1-11. https://doi.org/10.1186/s12889-020-09573-w

Khamidullina, Z., Marat, A., Muratbekova, S., Mustapayeva, N. M., & Aimagambetova, G. (2025). Postpartum depression epidemiology, risk factors, diagnosis, and management: An appraisal of the current knowledge and future perspectives. Journal of Clinical Medicine, 14(7), 1-16. https://doi.org/10.3390/jcm14072418

Kool, L., Jong, E. I. F., Mastenbroek, N. J. J. M., Schellevis, G., & Jaarsma, D. A. D. C. (2023). Midwives' occupational wellbeing and its determinants: A cross-sectional study among newly qualified and experienced Dutch midwives. Midwifery, 125, 103776. https://doi.org/10.1016/j.midw.2023.103776

Lee, D. Y., & Jo, Y. (2023). The job demands-resource model and performance: The mediating role of employee engagement. Frontiers in Psychology, 14, 1194018, 1-14. https://doi.org/10.3389/fpsyg.2023.1194018

Li, Y., Chen, C., & Yuan, Y. (2025). Evolving the job demands-resources framework to JD-R 3.0: The impact of after-hours connectivity and organizational support on employee psychological distress. Acta Psychologica, 253, 104710. https://doi.org/10.1016/j.actpsy.2025.104710

Mensah, A. (2021). Job stress and mental well-being among working men and women in Europe: The mediating role of social support. International Journal of Environmental Research and Public Health, 18(2494), 1-18. https://doi.org/10.3390/ijerph18052494

Mona, S., Dasaryandi, K. R., & Susanti. (2025). Application of combined SEFT and SPEOS therapy to reduce anxiety and enhance breast milk production in postpartum mothers: Literature review. ICCMS (Proceedings International Collaborative Conference on Multidisciplinary Science), 2(2), 417-425. https://doi.org/10.70062/iccms.v2i2.181

Mona, S., Dasaryandi, K. R., & Susanti. (2025b). The effect of combined SEFT and SPEOS therapy on anxiety and breast milk production in postpartum women: A quasi-experimental study. Majalah Kesehatan Indonesia, 6(3), 119-126. https://doi.org/10.47679/makein.2025272

Moon, J., & Jung, H. (2025). Factors influencing depression among female professional caregivers as per employment type (Full-time vs. Part-time). Healthcare, 13(17), 1-12. https://doi.org/10.3390/healthcare13172242

Mukhlis, H., Harlianty, R. A., & Madila, L. (2024). Job stress and its influence on university staff's quality of life: The importance of work-life balance and coworker support. Majalah Kesehatan Indonesia, 5(2), 71-80. https://doi.org/10.47679/makein.2024213

Musso, F., Karl, J. A., Fischer, R., Druic, E., & Stan, A. (2022). Testing the effectiveness of the health belief model in predicting preventive behavior during the COVID-19 pandemic: The case of. Frontiers in Psychology, 12(January), 1-16. https://doi.org/10.3389/fpsyg.2021.627575

Nakamura, Y., Tsuno, Y. S., Wada, A., Nagasaka, K., Kawajiri, M., & Takeishi, Y. (2022). Occupational stress is associated with job performance among pregnant women in Japan: Comparison with similar age group of women. BMC Pregnancy and Childbirth, 22, 749, 1-8. https://doi.org/10.1186/s12884-022-05082-3

Nakamura, Y., Wada, A., Tsuno, Y. S., Nagasaka, K., & Kawajiri, M. (2023). Occupational stress and related factors among childless working women in their 20s-40s: A pregnancy perspective. Environmental and Occupational Health Practice Yasuka, 5(1), 1-12. https://doi.org/10.1539/eohp.2022-0017-OA

Novi Yulianti, & Susanti, S. (2025). Hubungan antara tingkat kecemasan ibu hamil trimester III dengan tekanan darah selama kehamilan. Jurnal Siti Rufaidah, 3(2), 49-56. https://doi.org/10.57214/jasira.v3i2.200

Park, M. Y., & Lee, J. (2024). Psychological well-being interactively affected by long working hours and caregiving activities. Safety and Health at Work, 15(4), 458-463. https://doi.org/10.1016/j.shaw.2024.10.006

Scholze, A., & Hecker, A. (2024). The job demands-resources model as a theoretical lens for the bright and dark side of digitization. Computers in Human Behavior, 155(October 2023), 108177. https://doi.org/10.1016/j.chb.2024.108177

Shamir, M. (2020). Social support, happiness, work-family conflict, and state anxiety among single mothers during the COVID-19 pandemic. Humanities and Social Sciences Communications, 2024, 1-12. https://doi.org/10.1057/s41599-024-03764-1

Sic, A., Cvetkovic, K., & Manchanda, E. (2024). Neurobiological implications of chronic stress and metabolic dysregulation in inflammatory bowel diseases. Diseases, 12(9), 1-21. https://doi.org/10.3390/diseases12090220

Susanti, Hassan, H. C., & AlJaberi, M. A. (2024). Health education and prenatal yoga are effective in lowering pregnancy anxiety. Malaysian Journal of Medicine and Health Sciences, 20(7), 133-137.

Susanti, Hassan, M. M., Al-Jaber, M. A., Elba, F., Binti Aron, R. A., & Poddar, S. (2024). Effect of complementary care pregnancy exercise to level of anxiety in pregnant women. JK Practitioner, 29(1), 42-46.

Susanti, S., & Sari, I. N. (2020). The correlation number of parity on third trimester of pregnancy to anxiety in confronting birth labour. Jurnal Midpro, 12(2), 259-264. https://doi.org/10.30736/md.v12i2.234

Susanti, S., Hassan, H. C., & Aljaberi, M. A. (2023). Self-efficacy and anxiety level of third-trimester primigravida. International Journal of Health Sciences, 1(3), 370-380. https://doi.org/10.59585/ijhs.v1i3.143

Susanti, Silvia Mona, & Ana Faizah. (2024). Makna pendampingan persalinan berbasis masyarakat (MPPBM) pada kader kesehatan di wilayah kerja puskesmas Baloi Permai. Jurnal Ilmu Kesehatan Dan Gizi, 2(3), 254-261. https://doi.org/10.55606/jig.v2i3.4344

T, R. Y., Nafisa, E., Harja, P., Azachra, A. C., Merlinda, E., Fadia, P., Wahyuni, R. T., & Dewi, V. F. (2023). The effect of hormones on physiological and psychological adaptations during pregnancy. Journal for Quality in Women's Health, 6(2), 100-112. https://doi.org/10.30994/jqwh.v6i2.223

Tama, K. A., Kusrini, P., Estiningtyas, Q., Adnani, S., Susiarno, H., & Adepoju, V. A. (2025). The influence of maternal mental health disorders on pregnancy outcomes: A scoping review. Public Health Indonesia, 11(2), 226-237. https://doi.org/10.36685/phi.v11i2.975

Wang, L., Yang, N., Zhou, H., Mao, X., & Zhou, Y. (2022). Pregnant women's anxiety and depression symptoms and influence factors in the COVID-19 pandemic. Frontiers in Psychology, 13, 855545, 1-8. https://doi.org/10.3389/fpsyg.2022.855545

Zahara, M., & Abdullah, A. (2025). Analysis factors that influence prenatal stress levels and the impact of preparation on labour and delivery. Malahayati International Journal of Nursing and Health Science, 8(6), 723-732. https://doi.org/10.33024/minh.v8i6.868

Zhang, J. (2024). The impact of stress on sleep quality: A mediation analysis based on longitudinal data. Frontiers in Psychology, 15(October), 1-13. https://doi.org/10.3389/fpsyg.2024.1431234

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Published

2026-04-27

How to Cite

Susanti Susanti. (2026). The Influence of Job Demands and Work Stress on Prenatal Mental Health Among Pregnant Employees: A Cross-Sectional Study. Jurnal Anestesi, 4(2), 147–160. https://doi.org/10.59680/anestesi.v4i2.2343

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