713 This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. 1. Introduction Childbirth anxiety, a common phenomenon experienced by primigravidae, is defined as excessive worry or fear that appears before childbirth. The prevalence of childbirth anxiety varies, with a range of 20-30% according to research. This anxiety is not only an emotional phenomenon but can have a negative impact on the birthing process and the health of the mother and baby. For mothers, childbirth anxiety can increase the risk of complications during childbirth. Prolonged childbirth, childbirth with interventions such as caesarean section, and postpartum depression are some examples of complications that are more common in mothers with childbirth anxiety. Negative impacts are also felt by babies born to mothers with childbirth anxiety. Prematurity, low birth weight, and respiratory problems are some of the health risks that babies can experience. In the midst of the various negative impacts of childbirth anxiety, husband assistance during the birthing process is an effective solution. Emotional support, information, and physical assistance provided by husbands have been proven to be able to help reduce childbirth anxiety in primigravidas. 1-3 The husband's presence during childbirth provides a sense of security and comfort for the mother. Analysis of the Study of the Role of Husband's Assistance on Childbirth Anxiety in Primigravida: Observational Study at Sikakap Health Center, Mentawai Islands, Indonesia Elwitri Silvia 1* , Ratih Septiana Arpen 2 , Lasmaida Simbolon 2 1 Faculty of Health Sciences, Midwife Professional Education Study Program, Universitas Sumatera Barat, Padang Pariaman, Indonesia 2 Faculty of Health Sciences, Undergraduate Midwifery Study Program, Universitas Sumatera Barat, Padang Pariaman, Indonesia e-ISSN: 2747-2051 Archives of the Medicine and Case Reports [AMCR] https://hmpublisher.com/index.php/amcr ARTICLE INFO Keywords: Childbirth anxiety Husband's assistance Observational study Primigravida *Corresponding author: Elwitri Silvia E-mail address: elwitri.silvia.91@gmail.com All authors have reviewed and approved the final version of the manuscript. https://doi.org/10.37275/amcr.v5i3.563 A B S T R A C T Childbirth anxiety is a common phenomenon experienced by primigravidae and can have a negative impact on the birthing process and the health of the mother and baby. Husband's assistance during childbirth has been proven to help reduce childbirth anxiety. This study aims to analyze the role of the husband's assistance on childbirth anxiety in primigravida at the Sikakap Health Center, Mentawai Islands, Indonesia. This research uses an analytical observational design with a cross-sectional approach. Data was collected from 100 primigravidas who gave birth at the Sikakap Health Center, Mentawai Islands, Indonesia. Data were analyzed using the Chi- square test and logistic regression. The results of the study showed that there was a significant relationship between the husband's assistance and childbirth anxiety in primigravida (p<0.001). Primigravidas who were accompanied by their husbands during childbirth had a lower risk of childbirth anxiety compared to primigravidas who were not accompanied by their husbands (OR=0.23, 95% CI: 0.09-0.51). In conclusion, Husband's assistance has been proven to reduce childbirth anxiety in primigravida. Therefore, efforts need to be made to increase husbands' participation in childbirth assistance at the Sikakap Health Center, Mentawai Islands, Indonesia.