The third trimester of pregnancy is a period in which women increasingly approach childbirth, potentially causing worry and anxiety. High levels of anxiety may affect maternal psychological readiness and the ability to prepare for childbirth. A preliminary study at Santosa Hospital Bandung Kopo found that among 10 third-trimester pregnant women, 7 (70%) experienced anxiety and 6 (60%) had suboptimal childbirth readiness. This study aimed to determine the relationship between anxiety levels and childbirth readiness among pregnant women at Santosa Hospital Bandung Kopo in 2026. This quantitative study used an observational analytic design with a cross-sectional approach. The population consisted of 65 third-trimester pregnant women, and total sampling was used. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS), while childbirth readiness was assessed using a childbirth readiness questionnaire. Data were analyzed using univariate analysis and the Chi-Square test with a significance level of α=0.05. Results showed twenty-three respondents (35.4%) had no anxiety, 19 (29.2%) had mild anxiety, 15 (23.1%) had moderate anxiety, and 8 (12.3%) had severe anxiety. Forty-three respondents (66.2%) were categorized as ready for childbirth, while 22 (33.8%) were not ready. The Pearson Chi-Square test showed a value of 60.832 with p<0.001. In conclusion, there was a significant relationship between maternal anxiety level and childbirth readiness at Santosa Hospital Bandung Kopo in 2026. Lower anxiety levels were associated with better childbirth readiness.
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