Penyuluhan Tentang Persiapan Persalinan Pada Ibu Hamil Trimester III Di Puskesmas Sukamaju Bandar Lampung

ABSTRAK Persiapan persalinan yang direncanakan bersama bidan diharapkan dapat mengurangi ketidaksiapan ibu saat persalinan dan meningkatkan ibu akan menerima asuhan yang optimal. Penelitian untuk mengetahui hubungan pengetahuan dengan perilaku ibu hamil trimester III dalam persiapan persalinan. Penelitian ini adalah penelitian deskriptif analitik dengan rancangan Cross Sectional. Populasi adalah semua ibu hamil trimester III berjumlah 12 ibu hamil, Sampel penelitian adalah total populasi yaitu 12 ibu hamil. Penelitian menunjukkan pengetahuan ibu hamil sebagian besar memiliki pengetahuan baik sebanyak 12 (100%) dan perilaku ibu hamil dalam persiapan persalinan sebagian besar perilaku positif sebanyak 12 (100%). Kesimpulan: ada hubungan pengetahuan dengan perilaku ibu hamil trimester III dalam persiapan persalinan di Puskesmas Sukamaju, Bandar Lampung. Kata Kunci : Pengetahuan, Perilaku, Persiapan Persalinan ABSTRACT It is hoped that the preparation for childbirth that is planned with the midwife will reduce the unpreparedness of the mother during childbirth and increase the mother's acceptance of optimal care. Research to determine the relationship between knowledge and behavior of third-trimester pregnant women in preparation for delivery. This research is a descriptive-analytic study with a cross-sectional design. The population was all pregnant women in the third trimester, amounting to 12 pregnant women. The research sample was the total population, namely 12 pregnant women. The study showed that most of the pregnant women had good knowledge as much as 12 (100%) and the behavior of pregnant women in preparation for labor was mostly positive behavior as many as 12 (100%). Conclusion: there is a relationship between knowledge and behavior of third-trimester pregnant women in preparation for childbirth at Puskesmas Sukamaju, Bandar Lampung. Keywords: Knowledge, Behavior, Birth Preparation

Evaluating the Effectiveness of Childbirth Preparation Courses on Women’s Self-Efficacy among Ultra-Orthodox Jewish Religious Women in Israel

Background: This study examined the effectiveness of a birth preparation course on coping with childbirth among primigravid ultra-orthodox Jewish women in Israel. Methods: In total, 130 ultra-orthodox 25–35-week primigravid women were divided into a study (n = 100, participated in birth preparation courses) and a control (n = 30, did not participate in the courses) group. A questionnaire was delivered three times: T1—before the course/delivery, T2—two–three days after delivery, and T3—a month after delivery. Results: At T3, self-efficacy among the study group was higher than in the control group. Differences in self-efficacy were found over time regardless of the group (F(2,246) = 12.83, p < 0.001), as a time–group interaction effect (F(2,246) = 10.20, p < 0.01). Self-efficacy in the study group (Mean, M = 3.40, Standard deviation, SD = 0.63 at T1) dropped to M = 3.06, SD = 0.76 at T2 and rose to M = 3.34, SD = 0.64 at T3. In the control group, self-efficacy (M = 3.53, SD = 0.56 at T1) dropped to M = 3.26, SD = 0.63 at T2 and to M = 2.95, SD = 0.76 at T3. Discussion: The childbirth preparation course was found to be effective in raising self-efficacy among primigravid ultra-orthodox religious women when compared to the control group.

The AEDUCATE Collaboration. Comprehensive antenatal education birth preparation programmes to reduce the rates of caesarean section in nulliparous women. Protocol for an individual participant data prospective meta-analysis

IntroductionRates of medical interventions in normal labour and birth are increasing. This prospective meta-analysis (PMA) proposes to assess whether the addition of a comprehensive multicomponent birth preparation programme reduces caesarean section (CS) in nulliparous women compared with standard hospital care. Additionally, do participant characteristics, intervention components or hospital characteristics modify the effectiveness of the programme?Methods and analysisPopulation: women with singleton vertex pregnancies, no planned caesarean section (CS) or epidural.Intervention: in addition to hospital-based standard care, a comprehensive antenatal education programme that includes multiple components for birth preparation, addressing the three objectives: preparing women and their birth partner/support person for childbirth through education on physiological/hormonal birth (knowledge and understanding); building women’s confidence through psychological preparation (positive mindset) and support their ability to birth without pain relief using evidence-based tools (tools and techniques). The intervention could occur in a hospital-based or community setting.Comparator: standard care alone in hospital-based maternity units.OutcomesPrimary: CS.Secondary: epidural analgesia, mode of birth, perineal trauma, postpartum haemorrhage, newborn resuscitation, psychosocial well-being.Subgroup analysis: parity, model of care, maternal risk status, maternal education, maternal socio-economic status, intervention components.Study designAn individual participant data (IPD) prospective meta-analysis (PMA) of randomised controlled trials, including cluster design. Each trial is conducted independently but share core protocol elements to contribute data to the PMA. Participating trials are deemed eligible for the PMA if their results are not yet known outside their Data Monitoring Committees.Ethics and disseminationParticipants in the individual trials will consent to participation, with respective trials receiving ethical approval by their local Human Research Ethics Committees. Individual datasets remain the property of trialists, and can be published prior to the publication of final PMA results. The overall data for meta-analysis will be held, analysed and published by the collaborative group, led by the Cochrane PMA group.Trial registration numberCRD42020103857.