Evaluating the anxiety levels of complicated and uncomplicated near term and aterm gravid patients undergoing abdominal delivery and the outcome. The study design used was cross-sectional. This study was done in the Obstetrics and Gynecology Department of RSUP Prof. DR. R. D Kandou and networking hospitals in Manado from March to August 2021. The total population was 32 patients divided into two groups 16 uncomplicated deliveries and 16 complicated deliveries. Anxiety assessment was carried out using cortisol and HAM and the immediate outcomes of the mother and the baby were evaluated. It was found that the anxiety level based on the cortisol level was significantly higher in pregnant women undergoing abdominal delivery / cesarean section with preoperative complications. (Mean+SD 19.656±57766 vs 9.706±43675 p=0.000) with planned emergency CS (20.162±63179vs 10.932±49560 p=0.000) and with history of dystocia (18.880±25956 vs 13.904±74608 p=0.022). Cortisol levels above 19.4 μg/dL from each group, was only found in the ≥ 35 years age group, complicated labor, emergency cesarean section, and without history of infertility. There was a significantly positive correlation between serum cortisol levels and HAM-A scores (r = 0.509 p = 0.003). There was no poor immediate outcome for the mother and baby after labor. The anxiety level based on cortisol levels was significantly higher in the group with complications, planned emergency cesarean section, and with a history of dystocia. There was no immediate poor outcome for the baby at birth, the same for maternal outcome.