scholarly journals Hubungan kepatuhan antenatal care dengan pemilihan penolong persalinan di Kabupaten Natuna

2016 ◽  
Vol 32 (12) ◽  
pp. 467
Author(s):  
Sri Juana ◽  
Detty Siti Nurdiati ◽  
Atik Triratnawati

Compliance of antenatal care and election of birth helpers in NatunaPurposeThis study aimed to determine the association of ANC (Antenatal care) compliance with birth attendant choice in Natuna.MethodsThis study used a cross-sectional method. The subjects of the research were mothers in Natuna regency 2014. The variables were: independent variable (ANC compliance), the dependent variable (the birth attendant choice), and the control variables (age, maternal education, distance to the health facilities, parity). Data collection used questionnaires and interviews. The data analysis used descriptive and inferential analysis. The bivariable analysis used the chi-square test and multivariable analysis used logistic regression test with 95% of confidence interval (CI) and a significance level of p <0.05.ResultsBivariable and multivariable analysis showed significant correlations between ANC compliance with birth attendant choice. Pregnant women who did not comply doing ANC according to the standard that has been set at least four times had a chance two times more likely to give birth with the traditional birth attendant (TBA) than the pregnant women who complied to implement the ANC during pregnancy. Mothers with low education had a chance two times greater of choosing the TBA as birth attendant than women who are highly educated. Mothers with parity of >2 had a chance 1.9 times greater of choosing the TBA as birth attendant than women with parity ≤2.ConclusionsThere needs to be a control program from the health department working with community health workers to socialize awareness of the importance of the ANC. There needs to be the addition of TBA who are trained and partnered especially in remote areas because it cannot be denied there are still many people who choose TBA as a birth helper. 

2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.


2016 ◽  
Vol 1 (2) ◽  
pp. 61-70
Author(s):  
R.Oktaviance Simorangkir ◽  
Lilis Sumardiani

In the Working Area of Pancur Batu Puskesmas class, pregnant women begin to be implemented in 2016, but still found the low knowledge of pregnant women about the ideal pregnancy examination and there are pregnant women who show unimportant attitude checking pregnancy to health workers. Goals : The purpose of this research is to know the influence of maternal class on pregnant mother's knowledge and attitude about pregnancy examination and treatment. Methods : The study used a quantitative method with cross sectional design. The population of 151 pregnant women in Pancur Batu Community Health Center and 132 of them (63 pregnant women who had attended pregnant mother class and 69 pregnant women who never attended maternal class) were used as samples. Data analysis using independent t test at significance level α = 0,05. Result : The results showed the total range of knowledge scores of mothers who had followed the class of pregnant women is 7-13 with an average value of 10.08 ± 1.82, while the total range of scores of mothers who never follow the pregnant women's class is 1-9 with an average value 4,97,1,94. There is a maternal class effect on maternal knowledge of examination and treatment of pregnancy (p <3,82. There is a maternal class effect on maternal attitudes about examination and treatment of pregnancy (p3.13, while the total range of maternal scores that never follow the class of pregnant women is 27-47 with an average value of 35 , 410.001). The total score of attitudes of mothers who have attended the class of pregnant women is 41-56 with an average score of 48.24 <0.001). Conclution : It is expected that the Health Office to schedule Pancur Batu Puskesmas to carry out pregnant women's classes regularly and carried out 2 periods a year. Pancur Batu Puskesmas is expected to maintain the quality of pregnant women's classes and counseling invites all pregnant women to follow the class of pregnant women.


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Haile Zewdu Tsegaw ◽  
Endeshaw Admassu Cherkos ◽  
Marta Berta Badi ◽  
Muhabaw Shumye Mihret

Background. Maternal mortality remains unacceptably high in developing countries. One key strategy to reduce such mortality is utilization of birth preparedness and complication readiness (BP/CR) and creating awareness of BP/CR is an important step for pregnant women, their families, and the community. However, there was limited to no evidence regarding the community’s awareness on BP/CR in the study area. Therefore, this study aimed to assess knowledge on BP/CR and associated factors among pregnant women in Debremarkos town, Northwest Ethiopia, 2017. Methods. A Community based cross-sectional study was conducted from July 1 to 30/2017. A total of 441 pregnant women were included in the study. Structured and pretested questionnaire was administered through face to face interview to collect the data. Simple random sampling technique was used to select the study participants. The data were entered in to Epinfo version 7.0 and then exported to SPSS version 20.0 for analysis. Both bivariate and multivariable logistic regression model were fitted. Crude and adjusted odds ratio with 95 % confidence interval have been computed and variables with p-value < 0.05 were considered statistically significance. Results. The proportion of pregnant women having good knowledge on birth preparedness and complication readiness was found to be 45.2 with 95%CI (40.4, 50.0). In the multivariable analysis, having history of childbirth (AOR=2.17;95%CI:1.18,4.00), having intended pregnancy (AOR=2.13;95%CI: 1.16, 3.90), being governmental employee ( AOR=6.50; 95%CI: 2.50, 16.87), and having Antenatal care visits (AOR=5.50; 95%CI:2.2,13.70) were factors which were independently and significantly associated with good knowledge on birth preparedness and complication readiness. Conclusion. Proportion of pregnant women having good knowledge on birth preparedness and complication readiness was low. Putting emphasis on intended pregnancy and antenatal care visit was recommended.


2019 ◽  
Vol 11 (2) ◽  
pp. 17-28
Author(s):  
Eka Ratna Sari ◽  
Lusi Andriani ◽  
PS. Kurniawati

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.


Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.


2017 ◽  
Vol 11 (1) ◽  
pp. 89
Author(s):  
Ponco Indah Arista Sari ◽  
Agus Sulistyono ◽  
Hari Basuki Notobroto

HIV AIDS is considered as global threat due to the adverse impacts it brings to all sectors. The number of person with HIV-AIDS increases both in men and women. For pregnant women, HIV is not just a threat to the mother but also for the infant, therefore as to prevent the transmission and complication during pregnancy, screening should be made through an HIV test. The purpose of this study was to analyze the relationship between the number ofantenatal care and stigmatization on participation of pregnant women for HIV testing after counseling by Health Workers in the working area of Turi Public Health Center, Lamongan. This study applied cross sectional study. The population in this study consisted of 80 pregnant women. Simple random sampling was chosen for Sampling Technique and it was obtained as many as 42 respondents. Data collection was done using a questionnaire and interviews. Data were analyzed using frequency distribution tables and chi square test with significance level of 5% (p = 0.05). The results revealed that from as many as 42 pregnant women who made antenatal visit > 4 times, 100% of these pregnant women did not take HIV test while pregnant women who made only 2–4 times antenatal visit was as many as 16 individuals (64%) took the test, and only one pregnant woman who took the test on the first visit. Pregnant women who did not have the stigmatization, 100% took the HIV test. Statistical analysis showed no correlation between the number of antenatal visits (p = 0.000) and stigmastization (p = 0.000) of pregnant women for HIV testing after counseling by Health Workers. It is necessary to increase the provision of information and education for the pregnant women through health promotion concerning the importance of HIV testing and antenatal visits to the Health Care.Keywords: HIV test, Number of antenatal care, Stigmatization 


2018 ◽  
Vol 21 (1) ◽  
pp. 15-21
Author(s):  
Sendy Ayu Mitra Uktutias ◽  
Niniek Lely Pratiwi ◽  
Windhu Purnomo

Basic Health Research Results (Riskesdas) conducted by the Ministry of Health shows that the coverage of K4 during the last 3 years in 2010–2013 is the year 2010 by 86.85% and the year 2013 of 87.48%. The lack of utilization of ANC by pregnant women is associated with many factors, one of which is the lack of awareness of pregnant women about the importance of pregnancy care. The purpose of this study analyzed the influence of awareness of the situation of pregnant women with the frequency of antenatal visits. The research method was analytic observational with cross sectional  study design. The study sample was 38 pregnant women who lived in the working are at waru public health center’s. The sampling technique using simple random sampling. Data collection using primary data by questionnaire and secondary data with the instrument KIA book. Data were processed and analyzed by using frequency distribution and inferential analyze of linier regression with a significance level of 5% (p = 0.05). The results of linear regression analysis in pregnant women showed significant value of β 0.684 (β > 0.500), that the awareness of the situation had an effect on the frequency of antenatal care. A good situation awareness is a necessary process to influence the decision to act, it is a pregnancy test and can be seen the frequency of antenatal care of a pregnant woman. This conclusion Waru public health center’s is a health clinic located in the highlands. Still less maximal antenatal care visits because of the support and access to antenatal care. It is suggested to raise awareness of pregnant women situation through family involvement, husband as reinforcement factor in support of improvement of antenatal care examination.


2020 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Ayu Puteri Nur Perdani

Antenatal care is one form of health services for pregnant women which if done regularly can reduce both maternal and infant mortality rates, by conducting regular antenatal care it is expected that pregnant women and fetuses can be monitored for their development by health workers. This study aims to determine the relationship of regular antenatal care in third trimester pregnant women with the incidence of Pre-eclampsia in Banjarsengon Health Center, Jember Regency. This study uses a quantitative research design with a cross-sectional approach. Respondents in this study were 20 people with purposive sampling data collection techniques. Data were analyzed using exact fisher. The results of this study found that there is a relationship between regular Antenatal care in Trimester III pregnant women with the incidence of Pre-Eclampsia.


2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Nur Masruroh

The relationship with the mother's level of anxiety in the first stage of labor active phase in BPM Atik Suharijati Surabaya. Mothers who experienced the process of labor is a physiological thing, but in reality people still think childbirth is a life and death stakes. Mothers who give birth experience anxiety levels cause birth becomes pathological. This study aims to determine the relationship with the mother's level of anxiety in the first stage of labor active phase in BPM Atik Suharijati Surabaya. Design analytical research with cross sectional approach. The population around the third trimester pregnant women who face labor in BPS Atik Suharijati in April-May 2015 of 25 respondents. A sample of 12 respondents in October was taken with the technique of "purposive sampling". Independent variables and the dependent variable levels of anxiety long active phase. Collecting data using questionnaires and partograf. Data were analyzed using the Mann Whitney test with a significance level a = 0.05. The results showed nearly half (41.7%) had mild anxiety and the majority of respondents (75%) had active phase <6 hours. Statistical test results obtained  = 0.024 < = 0.05, H0 is rejected means that there is a relationship with the mother's level of anxiety in the first stage of labor active phase in BPS Atik Suharijati. The conclusions of this study is the higher the mother's level of anxiety, the more disturbing the birth process to be gone through. So that health workers are expected to continue to provide information or understanding to pregnant women about childbirth and the factors that influence it.


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