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Introduction: Postpartum haemorrhage is one of the leading causes of maternal mortality in Indonesia. Adequate pregnancy screening (Antenatal Care/ANC) plays a vital role in preventing and managing pregnancy complications, including postpartum bleeding. Objective: This study aims to analyze the relationship between pregnancy examination (ANC) and the incidence of postpartum bleeding based on data from the Indonesian Demographic and Health Survey (SDKI) 2017. Methods: This research method is quantitative observational analytic through cross-sectional techniques with research. Result: shows a relationship between quantity or frequency and the incidence of bleeding with a p-value of 0.05. However, there is no relationship with the quality of the pregnancy checkup (p-value 0.548). Even though it is not related, the quality of the pregnancy checkup has a risk of bleeding incidents with POR: 0.872 (CI 95%: 0.558-1.363), which means that mothers who do not receive services according to the 10T standard have a 1.3 times risk of bleeding during childbirth. Conclusion: Adequate pregnancy screening (ANC), both in terms of frequency and quality, plays a vital role in reducing the risk of postpartum bleeding. Efforts to improve access and quality of ANC should be a priority in maternal health programs in Indonesia.

The high maternal mortality rate in Indonesia has led the Indonesian government to develop a mobile application for maternal and child health (MCH). However, this application received a bad rating on the applications distribution platform, and even some of its features could not function properly. Therefore, this study aims to design the MCH application. This study used the user-centered design (UCD) methodology with three iterations and applied Shneiderman's eight golden rules. Participants involved in the data collection and evaluation process were health workers, health experts, and pregnant women. The first iteration's evaluation will produce a low-fidelity prototype (wireframe), whereas the second and third iteration's evaluations will produce a refined high-fidelity clickable prototype. The resulting prototype has several major features, including notes entry, information and education, reminders, a blood supplement tablet tracker, and monitoring of fetal development. Evaluation in the first iteration utilized interviews to validate the wireframe, whereas the second and third iterations utilized usability testing and system usability scale (SUS). In the second iteration, the final SUS score was 71.2, or "good," while in the third iteration, the final SUS score was 85.4, or "excellent." This research is expected to contribute to two areas: serving as a reference for pregnancy application interface designs, especially for MCH applications, as well as the improvement and development of pregnancy health applications using the UCD methodology.

Latar Belakang: Bayi berat lahir rendah adalah suatu kondisi ketika bayi lahir dengan berat di bawah 2.500 gram tanpa menghitung usia gestasi. Banyak faktor yang dapat menyebabkan bayi berat lahir rendah, salah satunya adalah kualitas antenatal care ibu selama kehamilan. Objektif: Tujuan penelitian ini adalah untuk mengetahui hubungan kejadian bayi berat lahir rendah dengan kualitas antenatal care di wilayah kerja Puskesmas Andalas tahun 2021. Metode: Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional pada 43 ibu yang melahirkan tahun 2021 di wilayah kerja Puskesmas Andalas yang dilaksanakan pada bulan Juni 2023. Subjek pada penelitian ini dipilih dengan teknik purposive sampling. Pengumpulan data dilakukan dengan melakukan wawancara menggunakan kuesioner antenatal care dan observasi buku KIA. Data dianalisis menggunakan uji chi-square. Hasil: Hasil penelitian menunjukkan frekuensi bayi berat lahir rendah sebesar 16,3%, dan pada umumnya ibu mendapatkan kualitas antenatal careyang baik. Analisis bivariat menunjukkan tidak terdapat hubungan antara kejadian bayi berat lahir rendah dengan kualitas antenatal care di wilayah kerja Puskesmas Andalas tahun 2021. Kesimpulan: Tidak ada hubungan antara kualitas antenatal care dengan berat lahir rendah, sehingga perlu diperhatikan faktor penyebab berat lahir rendah lainnya agar kejadian bayi berat lahir rendah dapat dicegah.

Introduction: Indonesia's maternal mortality rate is still above the target of the Sustainable Development Goals (SDGs). Meanwhile, the trend of maternal mortality in Indonesia during the COVID- 19 pandemic in 2021 increased sharply from 4,627 to 6,865 cases in 2021. Aims: This study was conducted to analyze the relationship between the quality of maternal health services on the incidence of maternal COVID and maternal mortality during the COVID pandemic in East Java, Indonesia. Methods: The research was conducted in East Java Province in 2021. The sample was randomly selected as many as 35 samples from a total of 38 samples of Regencies / Cities. The data used secondary data sourced from data from the East Java Health Office. Data analysis used Person Correlation analysis with Chi-Square analysis method. Results: The first hypothesis did not find a relationship between quality of Antenatal Care services and Maternal COVID cases (p- value: 0.195, r: -0.087). The second hypothesis has a significant relationship between the Maternal COVID and the Maternal Mortality (p- value: 0.040, r: 0.548). Also, the third hypothesis showed a substantial correlation between Maternal Mortality and quality of Antenatal Care (p- value: 0.001, r: -0.555). Conclusion: There is a strong relationship between the high Maternal COVID cases and the quality of access to antenatal care services to the high Maternal COVID cases during the pandemic. There needs to be a strategy to improve the quality and access of antenatal care services in reducing the high maternal mortality rate.

Visit K4 is an antenatal care service during pregnancy in the third trimester. K4 services aim to detect disorders or abnormalities during pregnancy in order to minimize the risk of maternal and infant mortality. In 2021 the Sewon II Health Center has the lowest K4 achievement of (74.6%). The low visit of pregnant women is influenced by several factors. Factors that affect the level of antenatal care visits include age, parity, education, occupation and ownership of health insurance. The study aims to determine the factors that influence the achievement of K4 Antenatal care visits for pregnant women at the Sewon II Health Center in 2022. The study used a quantitative analytic observational case control design with a population of 592 respondents. Simple random sampling technique and a sample of 48 respondents, 24 cases and 24 controls, the instrument was a data collection form and analyzed using the Chi-square test and Fisher's test. The results showed that there was a relationship between K4 visits and age (p=0.048) and parity (p=0.000), and there was no relationship between education (p=0.701), employment (p=0.079) and JKN ownership (p=0.701). The conclusion of the study is that there is a relationship between age and parity with K4 visits, but there is no relationship between education, employment and JKN ownership with K4 visits. [ABSTRACT FROM AUTHOR]

Background: Quality antenatal care services play a very important role in reducing MMR and IMR. With quality antenatal care, mothers and babies can get essential services, identify risk factors immediately, and get access to emergency help amid the COVID-19 pandemic as it is now. The quality of health services is related to patient satisfaction. Satisfaction can provide a good start, create repeat patient visits and provide recommendations for other pregnant women patients. Objective: Analyzing the relationship between perceptions of the quality of antenatal care services and patient satisfaction of pregnant women at the Public Health Center during the COVID-19 pandemic. Method: this type of research is an observational analytic with a cross-sectional design. The number of samples is 73 respondents, the sample is taken by non-probability sampling with consecutive sampling technique. The independent variable is the perceived quality of antenatal services. The dependent variable is patient satisfaction. The instrument used was a google form questionnaire, and the data analysis using the Spearman rank test. Result: the majority of respondents gave good perceptions on the dimensions of reliability, responsiveness, assurance, empathy, and direct evidence. Respondents with good perceptions were more than half satisfied, while respondents with sufficient perceptions were mostly dissatisfied with antenatal care services. Spearman's rank test results for each dimension obtained P=0.001 (P

Background: Gestational weight gain that does not follow the standards can cause long-term problems for maternal and fetal outcomes. Research has found that most pregnant women cannot achieve gestational weight gain according to health standards. Objectives: This review explores the perspectives of pregnant women and antenatal care providers regarding gestational weight gain and nutritional needs. Methods: A systematic review follows the PRISMA guidelines. Several databases were accessed, namely PubMed, Google Scholar, and ScienceDirect databases, using a combination of the following Medical Subject Heading terms and relevant keywords. The inclusion criteria applied were studies written in English, evaluating the relevant topics, providing full text, and the study was published starting in 2019-2023. Results: A total of 12 articles were reviewed. Respondents were midwives, family doctors, obstetricians, health trainers, administrative officers, and pregnant and postpartum women. The nutritional status of pregnant women studied included normal and obese pregnant women. Obstacles encountered in counseling are patient attitudes, sociocultural issues (sensitive issues), accessibility of resources, and lack of communication training with patients and across professions. Sociocultural, economic status, and interpersonal factors such as social support influence patient beliefs, attitudes, and experiences. Patients may remember their positive experiences in health facilities, but there is also a fear of discrimination they face. Conclusions: This study finds the need for training in counseling and cross-professional communication techniques to health service providers regarding gestational weight gain. Appropriate counseling increases patient comfort during pregnancy and prevents adverse effects that arise during and after pregnancy.

Breastfeeding is an activity of providing nutrition for newborns which requires of skills, so they need of accompaniment from health workes to achieve first thousand days of life periode (kemenkes,2016). Based on World Health Organization (2016) fluctuation of exclusive breastfeeding still very far from target of 80%. The purpose of this study to find out about relationship between breastfeeding education classes with mother with toddler breastfeeding at the Benteng health center, Nusaniwe, Ambon City. Correlative descriptive reasearch method with approach cross sectional. The sampling technique use purposive sampling as many as 260 mother who had toddlers. The research sample is mother who had toddler with a sample of 158 respondent. Data collection tools is used form of questionnaire. Data analysis was carried out using chi square test with trusted level a = 0,05. The result of this study were obtained about education classes of Antenal Care most result are who follow education classes (79,1%). Post partum education classes most result are who follow education classes (68,4%). Result for breastfeeding 6 months are (84,8%), result for breastfeeding >6month-1years are (79,7%) and result for breastfeeding >1-2years are (53,8%). The result statistics of Chi Square test showed a significant relationship between Antenal Care education classes with breastfeeding for 6 months (p value 0.012), then there is a significant relationship between Anetal Care education classes with breastfeeding >6month-1years (p value 0.035), nothing relationship between Anetal Care education classes with breastfeeding >1-2years (p value 0.328), nothing relationship between Post Partum education classes with breastfeeding 6 months (p value 0.340), Post partum education classes with breastfeeding >6month-1years (p value 0.832), and Post Partum education classes with breastfeeding >1-2years (p value 1.000).

Early neonatal deaths, defined as deaths of newborn babies between zero and seven days, have undoubtedly triggered a big challenge in developing countries. This current analysis aimed to determine the effect of birth interval (i.e., the time between two successive live births) on adverse pregnancy outcomes such as early neonatal death by using reproductive calendar data containing information on birth history for five years preceding Indonesia Demographic and Health Survey 2017. Merely singleton and non-first live births were included in the analysis (n=11, 599). Logistic regression models for the complex sample were utilized to measure the associations between birth interval and early neonatal deaths after adjusting for potential confounders. Early neonatal mortality was associated with birth interval. Newborns with shorter birth intervals (< 24 months) and longer birth intervals (36 months or more) had 2.68 times (95% CI: 1.15-6.28) and 3.08 times (95% CI: 1.37-6.92), respectively, higher odds of early neonatal deaths compared with newborns birth spaced of 24-35 months. Among mothers who received at least one antenatal care visit, there was a decrease in the odds of early neonatal deaths for shorter and longer birth intervals. The results suggest that the promotion of optimal birth interval, the utilization of antenatal care services, and the improvement of contraceptive services are all important to prevent adverse pregnancy outcomes.

Background: Previous research has found that husband support can increase the participation of the wife's antenatal care (ANC) to prevent an increase in maternal mortality. Meanwhile, in the eastern region, the effort to provide pregnant women's health services tends to be lower than in Indonesia's other areas. Aims: The study analyzed regional disparities of husbands' support in wives' ANC in eastern Indonesia. Methods: Secondary data from the 2017 Indonesian Demographic and Health Survey were used in the study. In eastern Indonesia, the analytic units were wives aged 15 to 49, married, and pregnant in the previous five years. The study analyzed 2,005 respondents as a sample. In addition to the husband's support, the study examined region (province), residence, age, education, occupation, wealth, and parity as the independent variable. In the final stage, the study used a binary logistic regression test. Results: A husband in East Nusa Tenggara has 1.556 times the probability of a husband in Papua for a support wife's ANC (95% CI 1.082-2.237). Maluku husbands are 0.528 times less likely to support their wife's ANC than Papua husbands (95% CI 0.363-0.768). North Maluku husbands are 0.476 times less likely than Papua husbands to support their wife's ANC (95% CI 0.320-0.709). Meanwhile, there was no significant difference in the husband's support between West Papua and Papua. Conclusion: Regional disparities of husband's support in wife's ANC existed in eastern Indonesia.

Background: One in four mothers experience unwanted pregnancy. It causes great risks for mothers and children, such as malnutrition, neglected, violence and even death. During pregnancy, a woman is expected to take the initiative and change her behavior by taking adequate care. Antenatal care is a part of maternal and child health services that are vital in early detection and monitoring of fetal well-being as an efforts to improve the health of mothers and babies during pregnancy, childbirth and postpartum. The mother's intention towards her pregnancy, whether desired or not, is related to the mother's behavior during pregnancy. Unintended pregnancy can obstruct the achievement of adequate antenatal care..Objectives: This study aims to determine the relationship between unintended pregnancy and antenatal care behaviorMethods: This study used a cross-sectional design with the secondary data from 2017 Indonesian Demographic Health Survey. The dependent variable in this study was antenatal care behavior which is a composite of the first antenatal visit, frequency of antenatal visit and iron consumption. There were 14.223 women of childbearing age 15-49 years which eligible for this study’s criteria. The collected data was analyzed with chi square and logistic regression models of risk factors testResults: Mothers with unintended pregnancies have a bigger opportunity to do unhealthy antenatal care behavior (OR = 2.338: 95% CI 1.707- 3.203) compared to intended pregnancies. The effect of unintended pregnancy on antenatal care behavior varies according to maternal age (OR- 1.267: 95% CI 1.034-1.553), parity (OR= 0.579: 95% CI 0.430-0.780) and residency (OR= 1.490: 95% CI 1.226- 1.811).Conclusions: There is a relationship between unintended pregnancy and antenatal care behavior. Mothers with unintended pregnancies is 2.338 times more likely to have unhealthy antenatal behavior care. We also found that this effect differs according to the maternal age, parity and residency.

Angka kematian ibu (AKI) adalah salah satu indikator yang dapat menggambarkan kesejahteraan masyarakat disuatu negara. Untuk memperoleh informasi yang akurat pemerintah menyediakan program kelas ibu hamil untuk mendukung peningkatan pengetahuan ibu hamil yang komprehensif dan berkesinambungan. Desa tellumpoccoe sendiri rutin melakukan pemeriksaan Antenatal Care baik di Puskesmas maupun posyandu. Namun saat ini tidak ditunjang dengan pelaksanaan kelas ibu hamil. Metode kegiatan di lakukan melalui langkah antara lain pelatihan bidan dan kader posyandu, sosialisasi kelas ibu hamil dan pelaksanaan kelas ibu hamil. Kegiatan ini dilaksanakan pada tanggal 06-31 Desember 2021. Desa tellumpoccoe memiliki 11 orang ibu hamil dan 5 orang kader posyandu yang tersebar di 4 dusun. Ibu hamil di desa Tellumpoccoe tercatat rutin memeriksakan kehamilannya dan di bekali buku KIA. Kelas ibu hamil adalah kelompok belajar ibu hamil dengan umur kehamilan antara 20 minggu sampai 32 minggu dengan jumlah peserta maksimal 10 orang per kelas. Di kelas ini ibu hamil akan belajar bersama, diskusi dan tukar pengalaman tentang kesehatan ibu dan anak secara menyeluruh dan sistematis serat dapat dilaksanakan secara terjadwal dan berkesinambungan. Setelah di lakukan kegiatan di dapatkan hasil peserta memiliki pengetahuan dalam kategori baik (93%). Sehingga dapat disimpulkan peserta dapat menerima materi yang di berikan. Sosialisai terkait kelas ibu hamil dapat membantu ibu agar dapat menjalani kehamilan yang sehat.

Background: The maternal mortality rate in Indonesia is still high and still far from the established target of SDG's, which is 307 maternal deaths per 100,000 live births. Adequate antenatal cares are needed to reduce maternal mortality. This study aims to determine the quality of antenatal care (ANC) services at public health centers by the framework of systems (Input, process, and output). Methods: This study is a descriptive study with qualitative designs. Data collection was conducted in 12 health centers and the sample size is 12 midwives in the health centers. Midwives were interviewed about input, process and output components related to integrated antenatal program (ANC Terpadu 10T). In addition, it was observed also the availability of facilities, infrastructure and K1 and K4 rate related to ANC in health centers. Results: Human resources in the implementation of the integrated antenatal program by midwives at the Surabaya's Health Center still do not meet the minimum health human resources standards. Public Health Centers observed have facilities and infrastructure to support integrated antenatal care.

Introduction: Although it has proven to be helpful, the attendance of pregnant mothers in Antenatal Classes (AC) was still low, so an ineffective breakthrough application of AC was needed according to the mother's wishes and interests. Objective: The study aimed to compare various models of practical AC for pregnant mothers to improve behavior prevention of high-risk pregnancies. Method: This study is quasi-experimental with a nonequivalent control group and pre-posttest design. The population of all pregnant mothers in Semarang City, with 181 samples, was divided into three groups (Extended, Virtual and Conventional). Measurements were carried out four times to see the mean score increasing, and the results of the last measurement were analyzed using the One Way ANOVA test to compare the effectiveness of these three groups. Results: There was an increase in the mean value of all dimensions of the behavior of high-risk prevention based on its measurement stages. The extended model has the highest improvement, followed by the Virtual model. Statistically, there was a better chance in all behavioral dimensions after the intervention. There were differences in all dimensions of maternal behavior between the extended and the conventional model. In contrast, only knowledge and practice differed in the virtual model but not in attitudes, beliefs, and intentions. Conclusion: Extended and virtual models of AC effectively improved high-risk prevention behaviors better than conventional models. Although the increase was not as high as the extended model, the virtual model has an excellent opportunity to be developed as a strategy to overcome time constraints for mothers and health providers.

ABSTRACT Background : K1 antenatal care visits at gestational age less than 13 weeks has a very important meaning for pregnant women as well as maternal and child health programs because of their contribution to the prevention of maternal deaths. Coverage of K1 in Puskesmas Watukapu still has a gap of 28.05%.This study aims to determine the factors that influence the K1 antenatal care visit. Methode : The research method was analytic observational with cross sectional design. The sample in this study were all pregnant women trimesters 2 and 3 who came to visit the POLI KIA Puskesmas Watukapu.The sample size of 70 respondents was taken by non-probability sampling technique with consecutive sampling.The independent variable was K1 antenatal care visit, while the dependent variable were age, knowledge, education, parity, attitude, husband's support and family support.Research instrument with questionnaire. Bivariate data analysis used chi square test and multivariate test used multiple logistic regression test. Results:this study found that the proportion of K1 antenatal care visits was 62.4%. Bivariate statistical test results knowledge P = 0,000 (p 0,005), husband support P = 0,000 (P 0.005), education P = 0.004 (P

High-risk pregnancy is a pregnancy with problems that cause complications for the mother and baby. Efforts to improve health services for pregnant women to detect high risks can carry out pregnancy checks according to established ANC service. Objective The research purposed to the relationship between ANC compliance and high-risk pregnancy during the covid-19 pandemic at Puskesmas Sukorame, Kediri. Quantitative research method with cross sectional approach. The population of all pregnant women TM III with a sample of 49 people who met the inclusion-exclusion criteria and determined by consecutive sampling. The research instrument used a questionnaire sheet and KSPR. The research data were analyzed using Chi Square statistical test. Results based of chi square test with α = 0,1 and df = 2 was clarified that score of X2count (4,63) > X2table (4,605), which meant H0 was rejected and Ha was accepted. concluded there is a the relationship between ANC compliance and high-risk pregnancy during the covid-19 pandemic at Puskesmas Sukorame, Kediri.

Quality Antenatal Care (ANC) services can prevent complications during pregnancy, but during the Covid-19 pandemic, there is a policy for mothers to postpone ANC visits. The purpose of the study was to find out how the influence of ANC services during the Covid-19 pandemic on the incidence of complications in pregnant women. The research method used is an analytical survey with a Cross-Sectional approach. The number of samples is 110 pregnant women respondents. The statistical test used is the Chi-Square test. The results showed that the age of pregnant women was 92.1% of healthy reproductive age, high school education level was 90.4%, some pregnancies experienced by mothers 2 were 66.7%, work as housewives were 67%. The biggest complication that occurs in pregnant women is anemia (40%). The provision of quality ANC services with 10T has a positive influence on the incidence of complications in pregnancy during the pandemic (p-value

Pendahuluan: Secara umum terjadi peningkatan depresi pada Ibu hamil disebabkan oleh kunjungan ANC tidak tepat dan adanya pengalaman kurang menyenangkan pada kehamilan dan persalinan sebelumnya. Tujuan penelitian adalah untuk mengetahui hubungan kunjungan ANC dan pengalaman persalinan terhadap depresi pada ibu hamil di Puskesmas Sawah Lebar Kota Bengkulu. Metode: Penelitian ini merupakan penelitian analitik kuantitatif dengan design cross sectional, Sampel pada penelitian ini adalah Ibu hamil Trimeter II dan III di Wilayah Kerja Puskesmas Sawah Lebar Bengkulu yang berjumlah 158 responden. Tehnik pengambilan sampel pada penelitian ini menggunakan teknik simple random sampling. Data yang digunakan dalam penelitian dikumpulkan menggunakan kuesioner dan dianalisis secara univariat dan bivariat menggunakan SPSS. Hasil: dari 158 orang responden ditemukan sebanyak 99 orang (62,7%) ibu yang tidak tepat dalam melakukan Kunjungan ANC, 86 orang (54,4%) ibu yang mengalami penyulit dalam persalinan sebelumnya, 81 orang (51,3%) ibu yang tidak mengalami depresi saat hamil, ibu hamil yang melakukan kunjungan ANC tidak tepat sebesar 57 orang (36%) mengalami depresi, dan ibu hamil yang memiliki pengalaman persalinan dengan penyulit 50 orang (31,6%) mengalami depresi. Kesimpulan: Ada Pengaruh antara Kunjungan ANC dan Pengalaman Persalinan dengan Depresi Pada Ibu Hamil di Wilayah Kerja Puskesmas Sawah Lebar Kota Bengkulu.

Children with stunting in Indonesia and other low-middle countries remains a serious problem. This study aimed to identify the association between maternal education, maternal age, maternal height, preceding birth interval, and ANC clinic visits and stunting among vulnerable children in Kupang Regency, Indonesia. A cross-sectional study was conducted of two villages in Kupang Regency. The study sample comprised female ex-refugees from Timor Leste who had children aged 24–59 months. The subjects were chosen using consecutive sampling, with a total number of 154. Data were collected from both primary and secondary sources. There was a significant relationship between maternal education (p = 0.014), maternal height (p = 0.003), preceding birth interval (p = 0.001), ANC clinic visits (p = 0.009) and stunting. In contrast, maternal age showed no significant association (p = 0.611). Further studies are needed to help eradicate stunting by intervening in the reduction of risk factors. Abstrak Faktor-faktor Ibu terkait Stunting pada Anak-Anak yang Rentan. Anak-anak yang mengalami stunting di Indonesia dan negara-negara berpenghasilan rendah masih menjadi masalah serius. Tujuan penelitian ini adalah mengidentifikasi hubungan antara pendidikan ibu, usia ibu, tinggi badan ibu, jarak melahirkan dan kunjungan antenatal care (ANC) dengan stunting pada anak rentan usia 24–59 bulan di Kabupaten Kupang, Indonesia. Metode penelitian yang digunakan adalah cross-sectional yang dilakukan di dua desa di Kabupaten Kupang. Sampel dalam penelitian ini adalah para ibu mantan pengungsi Timor Leste yang memiliki anak usia 24–59 bulan. Teknik sampling yang digunakan adalah consecutive sampling, sebanyak 154 responden. Data diperoleh dari sumber primer dan sekunder. Terdapat hubungan yang signifikan antara pendidikan ibu (p = 0,014), tinggi ibu (p = 0,003), jarak kelahiran (p = 0,001), kunjungan ANC (p = 0,009) dengan stunting. Namun tidak ada hubungan antara usia ibu dengan stunting (p = 0,611). Penelitian selanjutnya dibutuhkan untuk memberantas stunting melalui intervensi untuk menurunkan faktor risiko. Kata Kunci: anak, antenatal care, ibu, Indonesia, pengungsi, stunting, usia ibu

Purpose: The study aims to describe factors related to the readiness of health workers with respect to implementation of a mobile Pregnancy Monitoring System in Primary Health Care (PHC) sites of the South Tangerang District in Banten Province, Indonesia using a socio-technical approach. Methods: A cross-sectional survey design was used among respondents who were involved during the antenatal care process. The participants (n=210) completed the questionnaire that measured information needs regarding the socio-technical aspect of readiness and factors affecting the readiness. The data was analysed using logistic regression analysis. Result: The findings of this study showed that the majority of the health workers who were involved in the antenatal care process were ready to implement the mobile pregnancy monitoring system. Having social media (P= .013) and willingness (P= .007) to be involved in IT implementation are associated with IT readiness, while there is no significant association between demographic factors to the readiness of the health workers. Conclusion: Since there is no connectivity between the demographic factors to readiness, thus the supportive factors such as having a social media and willingness are easier to resolve than inferring from the demographic factors.

Maternity nurses are authorized health workers that provide antenatal care, but their roles and function in antenatal care services are not recognized by the public. This research aims to reveal the experience of pregnant women during antenatal visits in private clinic maternity nursing. Six pregnant women selected using purposive sampling underwent an in-depth interview in this descriptive phenomenological study. Data were analyzed through thematic content analysis with Moustakas approach. Three themes were identified in this study: 1) women experience good communication with maternity nurses; 2) women receive family-centered nursing care; 3) the schedule, cost, facility, and types of service meet the participants’ needs. This study suggests for nurses to improve their competencies in delivering antenatal care according to clients’ needs. Abstrak Pengalaman Kehamilan Wanita Selama Masa Perawatan Antenatal di Klinik Mandiri Keperawatan Maternitas. Perawat spesialis maternitas adalah petugas kesehatan berwenang yang menyediakan perawatan antenatal, tetapi peran dan fungsinya dalam layanan perawatan antenatal belum dikenal oleh masyarkat. Penelitian ini bertujuan untuk mengungkapkan pengalaman ibu hamil selama kunjungan antenatal di klinik mandiri keperawatan maternitas. Enam ibu hamil yang dipilih menggunakan purposive sampling menjalani wawancara mendalam dalam studi fenomenologis deskriptif ini. Data dianalisis melalui tematik konten analisis dengan pendekatan Moustakas. Tiga tema diidentifikasi dalam penelitian ini: 1) ibu hamil mengalami komunikasi yang baik dengan perawat maternitas; 2) wanita menerima asuhan keperawatan yang berpusat pada keluarga; 3) jadwal, biaya, fasilitas, dan jenis pelayanan sesuai keinginan ibu hamil. Studi ini menyarankan bagi perawat untuk meningkatkan kompetensi mereka dalam memberikan pelayanan antenatal sesuai dengan kebutuhan klien. Kata Kunci: antenatal care, ibu hamil, perawat maternitas

ENHANCING OF ANC AND UTILIZATION OF TOGA IN PREGNANCY AT SAWANGAN DEPOK. Women’s and children’s health problems today remain a global challenge and need remedial action. Maternal death is the death of a woman during pregnancy or death within 42 days of termination of pregnancy. Antenatal care (ANC) is an attempt to prevent the causes of morbidity and mortality in pregnant women and children. During pregnancy various physiological changes occur in pregnant women, this certainly has an impact on the psychology and health of pregnant women. TOGA (Family medicinal plants) can be used to help overcome this uncomfortable situation. Plants that can be used by pregnant women include, such as ginger, red spinach, red betel, green betel, tomatoes, and broccoli. There is a possibility of abnormalities such as bleeding, preeclampsia, and infection during pregnancy. Therefore there is a need for monitoring in the form of Antenatal Care during pregnancy and the mother’s understanding of early detection of the risk of abnormalities during pregnancy. This community service is carried out to increase community knowledge around the Sawangan Depok Community Health Center about the importance of ANC and the use of TOGA in pregnant women as well as training in the introduction of several abnormalities and emergencies during pregnancy through counseling with lecture media, pamphlets and pocketbooks on ANC and the use of TOGA. This activity went well and the results can be seen there is an increase in the results of the posttest compared to the pretest, and statistically, there are significant differences.

Background: Antenatal care coverage (ANC) in Indonesia has been constantly increasing over the years according to the country’s national survey data; however, there is a huge gap in coverage between women with different background characteristics. Purpose: The objective of this study is to determine the association between women’s empowerment and ANC coverage in Indonesia in 2017. Methods: This study used data sourced from the Indonesian Demographic Health Survey (IDHS) 2017 with a cross-sectional study design. The population study was married women aged 15–49 years who had delivered children in the two years before the survey was conducted. About 6,397 samples were obtained by a total sampling method that met inclusion and exclusion criteria. Variables analysed in this study were women’s empowerment and antenatal care coverage. The data analysis used were chi square and multiple logistic regression analysis. This study was conducted in February–April 2019 in all provinces in Indonesia which were the location of the IDHS 2017. Results: The result of multivariate analysis claimed an association that was statistically significant (p value = 0.00) between women’s empowerment and ANC coverage, with adjusted prevalence ratio = 1.05 (95% CI: 1.02–1.08). Conclusion: The conclusion of this study is that less empowered women were 1.05 times more likely to not receive complete and standardised antenatal care compared to women who were more empowered.

Tujuan penelitian ini adalah untuk mengetahui hubungan frekuensi antenatal care dengan Program Persiapan Persalinan dan Pencegahan Komplikasi (P4K). Jenis penelitian kuantitatif non eksperimen. Populasi adalah ibu hamil trimester III di Kabupaten Pekalongan. Pengambilan sampel dengan cluster random sampling sejumlah 71. Analisa data dengan uji chi square. Hasil penelitian p value = 0,00 (OR: 8,40), berarti ada hubungan yang signifikan antara frekuensi ANC dengan persiapan persalinan. Ibu hamil yang tidak rutin melakukan ANC berisiko 8,40 kali kurang dalam mempersiapkan persalinannya.

Angka kematian ibu yang tinggi disebabkan dua hal pokok yaitu masih kurangnya pengetahuan mengenai penyebab dan penanggulangan komplikasi dalam kehamilan, persalinan, nifas, serta kurang meratanya pelayanan antenatal care. Faktor yang mempengaruhi ketidakpatuhan ibu hamil dalam melakukan antenatal care salah satunya karena kurangnya pengetahuan ibu hamil, sikap ibu dalam memotivasi dirinya untuk melakukan antenatal care. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan tentang tanda bahaya kehamilan trimester III dengan motivasi ibu melakukan antenatal care. Penelitian ini menggunakan metode cross sectional dengan cara pendekatan, observasi, atau pengumpulan data sekaligus pada suatu saat (point time approach). Teknik sampling menggunakan Total Sampling. Besar sampel 30 responden yang memenuhi kriteria retriksi. Teknik pengumpulan data menggunakan kuesioner. Teknik analisis data menggunakan uji Somer ‘d dengan  0,05. Hasil penelitian menunjukkan responden dengan pengetahuan dalam kategori kurang dengan motivasi sedang sebanyak 20.0% dari total responden, sedangkan responden dengan pengetahuan dalam kategori baik dengan motivasi tinggi sebanyak 20.0%. Hasil uji statistik dengan menggunakan Somers 'd didapatkan nilai p sebesar 0.004 (p

Objectives: This research want to identify some factors that increasing risk of maternal death in pregnant woman with heart disease. Materials and Methods: This study was a retrospective analytic study with cross sectional design, with total sampling 92 patient with heart disease in pregnancy at maternity room Dr. Soetomo hospital, Surabaya, during periode January until December 2017. Results: Prevalency of pregnancy with heart disease in dr. Soetomo hospital about 0,5% with mortality that caused by heart disease 14% from all maternal death. Factors that increase risk of maternal death are non adequate antenatal visit number (OR 1,7;CI 95%), delay of detecting heart disease (OR 2,5;CI 95%), complication such as severe pulmonal hypertension (OR 61,4;CI 95%), Eisenmenger syndrome (OR 2,9;CI 95%), Decompensatio Cordis Functional Class IV (OR 1,2;CI 95%), and Thrombo-embolism (OR 9;CI 95%). Conclusion: Mortality rate in pregnancy with heart disease is 14% of all maternal mortality. Risk of maternal death increased by non adequate antenatal visit and delay in heart disease detection, and also medical complications. Detection of heart disease since before pregnant with pre-conceptional councelling and a good managed multidisciplinary antenatal care supposed to decrease morbidity and mortality.

Neonatal death rate for the most horrific death of an infant born alive in terms of age 0 until 28 the day. Indonesia th stage 77 the infant mortality in the world , with the death neonatal 14 per 1000 live births, while the purpose of sdgs is decreased the value of the death of neonatal until 12 per 1000 live births in years 2030. West sumatra rank the fifteenth neonatal mortality and kepulauan mentawai ranked ten. Mentawai island regency ranked ten in west. The purpose of this research is knew risk factors cause of the accident death neonatal in the island mentawai. This research use design case control .Sample case was mother with death neonatal in seribu island mentawai 2017 which consisted of 19 people .Sample control is mother with live births diwilayah island regency mentawai 2017 which consisted of 38 people .The research was done in analysis univariat and bivariat by test statistics chi-square .The results of the studies there are a significant relation exists the distance pregnancy ( p = 0,022 ), antenatal care ( p = 0,011 ), asphyxia ( p = 0,003 ), of his body weight of low birth ( p = 0,000 ) with the death of the neonatal . There was no correlation significant ( for p = 0,624 ), education ( 0,222 ), of parity ( 0,073 ), living to health facilities ( p = 0,255 ), culture ( p = 0,153 ). There was no correlation between the ages of significant, education, parity, living to health facilities, culture. There is a significant relation exists between the pregnancy, antenatal care, asphyxia, low birth weight.Angka kematian neonatal adalah kematian bayi lahir hidup dalam usia 0 sampai 28 hari. Indonesia menduduki peringkat ke 77 Angka Kematian bayi di dunia, dengan angka kematian neonatal 14 per 1000 Kelahiran Hidup, sedangkan tujuan SDGs adalah menurunkan angka kematian neonatal hingga 12 per 1000 Kelahiran Hidup pada tahun 2030. Sumatera Barat peringkat kelima belas angka kematian neonatal dan Kabupaten Kepulauan Mentawai menduduki peringkat sepuluh. Tujuan penelitian ini adalah diketahuinya faktor risiko penyebab kejadian kematian Neonatal di Wilayah Kabupaten Kepulauan Mentawai. Penelitian ini mengunakan desain case control. Sampel kasus adalah ibu dengan kematian neonatal di wilayah Kabupaten Kepulauan Mentawai tahun 2017 yang berjumlah 19 orang. Sampel kontrol adalah ibu dengan kelahiran hidup diwilayah kabupaten kepulauan Mentawai tahun 2017 yang berjumlah 38 orang. Analisis penelitian dilakukan secara univariat dan bivariat dengan uji statistik chi-square. Hasil penelitian terdapat hubungan yang signifikan jarak kehamilan (p=0,022), antenatal care (p=0,011), asfiksia (p=0,003), BBLR (p=0,000) dengan kematian neonatal. Tidak terdapat hubungan yang signifikan umur (p=0,624), pendidikan (0,222), paritas (0,073), jarak rumah ke fasilitas kesehatan (p=0,255), budaya (p=0,153). Tidak terdapat hubungan yang signifikan antara umur, pendidikan, paritas, jarak rumah ke fasilitas kesehatan, budaya. Terdapat hubungan yang signifikan antara jarak kehamilan, antenatal care, asfiksia, berat badan lahir rendah.

The cause of infant mortality is mostly due to perinatal matters. Almost 2-27% of all perinatal death is caused by prematurity with low birth weight (BBLR). Reducing mortality rate on perinatal can be achieved by observing all pregnant women and fi nding as well as addressing infl uenced factors of neonatal safety. This research aims to identify correlation between frequencies of Antenatal Care (ANC) with incidence of prematurity. This is an observational study with case-control design using retrospective approach. Total population was 1335 and of 156 was choosen as research respondents deviding into 78 as case respondents and 78 as control groups. The result of statistic analysis showed that p value=0,837 (p>0,05) means frequencies of ANC did not have correlation with prematurity. Conclusion, (1) during the period of 1 January 2011 and 29 February 2012, it found 207 (8,13%) premature baby delivered, (2) at about 80,8% mother who delivered premature baby had normal ANC 4 times or more with the pattern 1-1-2 in every semester, (3) statistically ANC was not having correlation with premature baby.