VP37.16: Pyramid to inverted pyramid to “tube” of pregnancy care: is this a way forward for antenatal care after 2021?

ABSTRACT Background Antenatal care is the name of a compulsory learning module for midwife students in order to create competent midwives. However, the Covid-19 pandemic presents a challenge in changing the learning system for Antenatal care. The learning system is carried out remotely using information technology or e-learning. Teaching is given without reducing the quality of teaching. The challenges faced in such conditions include assessing student motivation in learning, especially in the antenatal care module to achieve learning goalsPurpose to determine the learning motivation of midwifery students towards e-learning-based pregnancy care modules in the covid-19 pandemic era.Methods The research method used descriptive research with cross sectional approach. This research was conducted in February until April 2020 in the D4 Midwifery Study Program FK Unpad. The population in this study were midwifery 1 semester 2 students. The sample in this study was a population of 33 people. The sampling technique uses total sampling.Data collection was carried out by providing a questionnaire before lecturing the pregnancy care module. While, the learning evaluation questionnaire was given after the pregnancy care module was finished.Data analysis used univariate data presented in the form of a frequency distribution table.The results of this study found that midwifery students stated strongly agree on intrinsic motivational factors and personal relevance of 21 people and on career motivation factors of 19 people. Thus, there were 28 midwifery students who understood the material for pregnancy care modules using the e-learning-based blended learning method.The conclusion of this study is that there are motivational factors, namely intrinsic motivation factors and personal relevance as well as career motivation factors possessed by midwifery students on the e-learning based blended learning method in the pregnancy care module.Suggestions in this study to conduct further research analysis about the effectiveness of e-learning learning in the new normal period towards the learning outcomes of midwifery students. Key word:learning motivation, pregnancy care modules, e-learning ABSTRAK Latar Belakang Asuhan kehamilan merupakan nama modul pembelajaran wajib bagi mahasiswa bidan agar tercipta bidan yang kompeten. Namun, pandemi covid-19 memberikan tantangan dalam merubah sisitem pembelajaran asuhan kehamilan. Sistem pembelajaran dilakukan dengan jarak jauh dengan menggunakan teknologi informasi atau e-learning, Pengajaran diberikan tanpa mengurangi kualitas pengajaran.Tantangan yang dihadapi dalam kondisi seperti ini salah satunya menilai motivasi mahasiswa dalam pembelajaran terutama pada modul asuhan kehamilan untuk mencapai tujuan pembelajaran Penelitian ini bertujuan untuk mengetahui motivasi belajar mahasiswi kebidanan terhadap modul asuhan kehamilan berbasis e-learning di era pandemi covid-19.Metode penelitianyang digunakan adalah penelitian deskriptif dengan pendekatan cross sectional. Penelitian ini dilakukan pada bulan Februari s.d April 2020 di Program Studi D4 Kebidanan FK Unpad. Populasi pada penelitian ini adalah mahasiswi kebidanan tahun 1 semester 2. Sampel dalam penelitian ini merupakan populasi sebanyak 33 orang. Teknik pengambilan sampel dengan menggunakan total sampling. Pengumpulan data dilakukan dengan memberikan kuesioner motivasi sebelum perkuliahan modul asuhan kehamilan. Sedangkan kuesioner evaluasi pembelajaran diberikan setelah selesai perkuliahan modul asuhan kehamilan. Analisis data menggunakan data univariat yang disajikan dalam bentul tabel distribusi frekuensi.Hasil penelitian ini didapatkan bahwa mahasiswi kebidanan menyatakan sangat setuju pada faktor motivasi intrinsik dan relevansi pribadi sebanyak 21 orang dan pada faktor motivasi karir sebanyak 19 orang. Dengan demikian, mahasiswi kebidanan yang memahami materi modul asuhan kehamilan dengan metode pembelajaranblended learning berbasise-learning sebanyak 28 orang.Simpulan pada penelitian ini bahwa terdapat faktor motivasi, yaitu faktor motivasi intrinsik dan relevansi pribadi serta faktor motivasi karir yang dimiliki oleh mahasiswi kebidanan terhadap metode pembelajaranblended learning berbasise-learning pada modul asuhan kehamilan.Saran pada penelitian ini untuk dilakukan analisis penelitian lebih lanjut tentang efektifitas pembelajaran e-learningdi masa new normal terhadap hasil belajar mahasiswi kebidanan. Kata Kunci: motivasi belajar, modul asuhan kehamilan, e-learning

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An Evidence based Assessment of Pharmacist’s Intervention on Pregnancy Care Knowledge and Practice among the Study Subjects of Dakshina Kannada

International Journal of Research and Review ◽

10.52403/ijrr.20210760 ◽

2021 ◽

Vol 8 (7) ◽

pp. 420-435

Author(s):

Rafna Rafeek PM ◽

Roshna. P ◽

Ateendra Jha

Keyword(s):

Folic Acid ◽

Antenatal Care ◽

Birth Defects ◽

Medical Science ◽

Folic Acid Supplementation ◽

Dietary Change ◽

Meeting Report ◽

Acid Supplementation ◽

Pregnancy Care ◽

Adequate Knowledge

Pregnancy care consists of prenatal (before birth) and postpartum (after birth) healthcare for expectant mothers. Antenatal / prenatal care can be defined as the care provided by trained health-care professionals to pregnant women and adolescent girls in order to make sure the best health conditions for both mother and baby throughout the pregnancy. The components of ANC include: risk identification, prevention and management of pregnancy-related or concurrent diseases, and health education and health promotion. 1 According to Indian government guidelines, every pregnant should make use of 3 or more antenatal care visits along with 90 or more IFA tablets and 2 or more TT injections. According to joint WHO and MOD meeting report, birth defects account for 7% of all neonatal mortality and 3.3 million under five deaths. The prevalence of birth defects in India is 6-7% which translates to around 1.7 million birth defects annually. Objectives: The main objective of the study was to find out the knowledge level of the subjects on pregnancy care, to educate the community subjects on pregnancy care and to Evaluate Pregnancy Information leaflet on pregnancy care Methodology: A questionnaire-based interview was executed on 100 study subjects in Mangalore region. Study duration was 6 months. Ethical approval was obtained from Ethics Committee of Srinivas Institute of Medical Science and Research Center. The study population included in the study were adults above 18 years of age, who can understand English/Malayalam and belonging to the family with one or more pregnancy either in past, present or to be in future. Data was analyzed with the help of excel 17 and SPSS 20. Result and Discussion: In our study, survey was carried out on 100 subjects of Mangalore region All the study subjects were female. Out of 100 subjects 58 participants were in between 31 years to 50 Years of age while 19 participants were in 18-30 Years age group. The subjects in the present study do not have adequate knowledge regarding antenatal care, folic acid supplementation, TT injection and dietary change, irrespective to their educational level. The study found that 75% of the subjects were not aware of the antenatal care and about 100% were unknown regarding the necessity of antenatal check- up. ANC visit should be an essential part of the antenatal care but our study found that about 13% of the study subjects were not going for check- up. On pharmacist intervention and proper counselling, in our follow up interview we found that unawareness has reduced to 17%, while 84% realized the need for check-up. Conclusion: In our study we found that the respondents do not have adequate knowledge regarding antenatal care, folic acid supplementation, TT injection and dietary change. The age, literacy of the mother significantly influences antenatal care and ANC service utilization. To improve effective utilization of ANC services we need to raise awareness through counselling, improve the quality of ANC service, along with effective monitoring and evaluation. Pharmacist plays a major role in increasing awareness among mothers in pregnancy and further emphasizing the importance of ANC. Keywords: Antenatal care, Knowledge, Awareness.

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Group Pregnancy Care for refugee background women: a codesigned, multimethod evaluation protocol applying a community engagement framework and an interrupted time series design

BMJ Open ◽

10.1136/bmjopen-2020-048271 ◽

2021 ◽

Vol 11 (7) ◽

pp. e048271

Author(s):

Elisha Riggs ◽

Jane Yelland ◽

Fiona K Mensah ◽

Lisa Gold ◽

Josef Szwarc ◽

...

Keyword(s):

Time Series ◽

Antenatal Care ◽

Life Stage ◽

Community Based Participatory Research ◽

Interrupted Time Series ◽

Evaluation Framework ◽

Pregnancy Care ◽

Series Design ◽

Time Series Design ◽

Interrupted Time Series Design

IntroductionPregnancy and early parenthood are key opportunities for interaction with health services and connecting to other families at the same life stage. Public antenatal care should be accessible to all, however barriers persist for families from refugee communities to access, navigate and optimise healthcare during pregnancy. Group Pregnancy Care is an innovative model of care codesigned with a community from a refugee background and other key stakeholders in Melbourne, Australia. Group Pregnancy Care aims to provide a culturally safe and supportive environment for women to participate in antenatal care in a language they understand, to improve health literacy and promote social connections and inclusion. This paper outlines Froup Pregnancy Care and provides details of the evaluation framework.Methods and analysisThe evaluation uses community-based participatory research methods to engage stakeholders in codesign of evaluation methods. The study is being conducted across multiple sites and involves multiple phases, use of quantitative and qualitative methods, and an interrupted time series design. Process and cost-effectiveness measures will be incorporated into quality improvement cycles. Evaluation measures will be developed using codesign and participatory principles informed by community and stakeholder engagement and will be piloted prior to implementation.Ethics and disseminationEthics approvals have been provided by all six relevant authorities. Study findings will be shared with communities and stakeholders via agreed pathways including community forums, partnership meetings, conferences, policy and practice briefs and journal articles. Dissemination activities will be developed using codesign and participatory principles.

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Accessing and engaging with antenatal care: an interview study of teenage women

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04137-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Anna Wong Shee ◽

Natasha Frawley ◽

Carolyn Robertson ◽

AnneMarie McKenzie ◽

Julie Lodge ◽

...

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Social World ◽

Naturalistic Inquiry ◽

Substantial Impact ◽

Face To Face ◽

Pregnancy Care ◽

Early Motherhood ◽

Care And Support ◽

Continuity Of Carer

Abstract Background Pregnant teenagers in rural and regional areas experience distinct disadvantages, that are not simply a function of their age, and these have a substantial impact on their health and that of their baby. Studies demonstrate that antenatal care improves pregnancy outcomes amongst pregnant women, especially adolescents. Understanding teenager’s views and experiences of pregnancy and motherhood is important to ensure antenatal care meets young women’s needs. This study explored teenage women’s experiences and perceptions of barriers and facilitators to engaging in pregnancy care in rural and regional Victoria, Australia. Methods Between February–October 2017, pregnant women aged ≤19 years were purposively recruited from one regional and two rural health services in Victoria. Semi-structured, face-to-face interviews guided by naturalistic inquiry were conducted and an inductive approach to analysis was applied. Results Four key themes emerged from the analysis of the transcripts of 16 interviews: Valuing pregnancy care, Interactions with Maternity Service, Woman-centred care, and Support systems. Teenage women primary motivation to attend care was to ensure their baby’s wellbeing and lack of engagement occurred when the relevance of antenatal care was not understood. Appointment flexibility and an accessible location was important; most participants were reliant on others for transport. Continuity of carer and respectful, non-judgement communication by staff was highly valued. Many young women had fractured families with pregnancy diminishing their social world, yet having a baby gave them purpose in their lives. Conclusion Maternity services and health professionals that provide flexible, adaptable women-centred care and support through pregnancy and early motherhood will assist young women’s engagement in antenatal care.

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Husban Behavior in Pregnancy-Postpartum Care and Wife’s Reproductive Health

KnE Life Sciences ◽

10.18502/kls.v4i13.5265 ◽

2019 ◽

Author(s):

Rosmala Nur ◽

Sulaiman Mamar ◽

Indah Puspasari Kiay Demak ◽

Fadhliah . ◽

Nurhaya S. Patui ◽

...

Keyword(s):

High Risk ◽

Reproductive Health ◽

Early Detection ◽

Antenatal Care ◽

Health Problems ◽

Postpartum Care ◽

P Value ◽

Pregnancy Care ◽

Risk Pregnancy ◽

In Pregnancy

Background: In the process pregnancy-postpartum, the role of the husband is very important and necessary. It is highly expected for the husbands to accompany their wives, so that their wives can have healthy pregnancy which is later able to give birth a healthy baby and the mothers can survive. Objectives: The purpose of this study is to ﬁnd out the effect of husband’s knowledge regarding Antenatal Care (ANC) and Early High-Risk Detection, husband behavior in the pregnancy-postpartum care with reproductive health problems experienced by wife and to determine which variable that has the greatest effect among the three variables. Metohdes: This research is an analytical observation, carried out in the working area of Tinggede Health Center which includes 3 villages namely Sunju, Tinggede and South Tinggede the research target is all husbands who have pregnant wife (second pregnancy) and have children under two years old with a total of 180 husbands. The survey was carried out on 180 husbands. Data collection is carried out through interviews, observations and FGDs. Data analysis technique with Chi Square value test (p <0.05). Results: The results showed that the level of husband’s knowledge about Antenatal Care and early detection of high risk was low, 58.88% and 56.66%, respectively. Husband behavior in pregnancy care was also categorized as less healthy/bad, i.e., 55.55%, and the prevalence of wife’s respondents who experienced reproductive health problems was 57.7%. Husband’s knowledge about ANC, early detection of high-risk pregnancy, and husband behavior in pregnancy care had a signiﬁcant relationship to reproductive health problems (p<0.05). The highest frequency of husband’s participation in the pregnancy-postpartum care is making referrals to the healthcare facilities by 79%, Husband behavior in pregnancy care has the greatest effect on maternal reproductive health problems with a P value = 0.001. Conclusion: It can be concluded that the husband’sknowledgeregardingANCandearlydetectionofpregnancyandpostpartum periodhasaneffectonmaternalreproductivehealthinSigiRegency, CentralSulawesi. It’s expected that the development of models for improving husband’s Information, AdvocacyandCommunication(IAC)of reproductive health could be a preventive effort in improving women’s reproductive health.

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Accessing and Engaging with Antenatal Care: An Interview Study of Teenage Women

10.21203/rs.3.rs-757800/v1 ◽

2021 ◽

Author(s):

Anna Wong Shee ◽

Natasha Frawley ◽

Carolyn Robertson ◽

Anne Marie McKenzie ◽

Julie Lodge ◽

...

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Pregnancy Outcomes ◽

Social World ◽

Structured Interviews ◽

Substantial Impact ◽

Pregnancy Care ◽

Early Motherhood ◽

Care And Support ◽

Continuity Of Carer

Abstract BackgroundPregnant teenagers in rural and regional areas experience distinct disadvantages, that are not simply a function of their age, and these have a substantial impact on their health and that of their baby. Studies demonstrate that antenatal care improves pregnancy outcomes amongst pregnant women, especially adolescents. Understanding teenager’s views and experiences of pregnancy and motherhood is important to ensure antenatal care meets young women’s needs. This study explored teenage women’s experiences and perceptions of barriers and facilitators to engaging in pregnancy care in rural and regional Victoria, Australia.MethodsBetween February - October 2017, semi structured interviews were conducted with pregnant women aged ≤ 19 years from rural and regional areas. Interviews were audio-taped, professionally transcribed and thematic analysis undertaken.ResultsFour key themes emerged from the analysis of the transcripts of 16 interviews: Valuing pregnancy care, Interactions with Maternity Service, Woman-centred care, and Support systems. Teenage women primary motivation to attend care was to ensure their baby’s wellbeing and lack of engagement occurred when the relevance of antenatal care was not understood. Appointment flexibility and an accessible location was important; most participants were reliant on others for transport. Continuity of carer and respectful, non-judgement communication by staff was highly valued. Many young women had fractured families with pregnancy diminishing their social world, yet having a baby gave them purpose in their lives.ConclusionMaternity services and health professionals that provide flexible, adaptable women-centred care and support through pregnancy and early motherhood will assist young women’s engagement in antenatal care.

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Contribution of Men in Safe Motherhood

International Journal of Public and Private Perspectives on Healthcare Culture and the Environment ◽

10.4018/ijppphce.2020010103 ◽

2020 ◽

Vol 4 (1) ◽

pp. 27-40

Author(s):

Vincent Sebastian Pande

Keyword(s):

Social Sciences ◽

Data Analysis ◽

Reproductive Health ◽

Antenatal Care ◽

Safe Motherhood ◽

Main Question ◽

Pregnancy Care ◽

Reproductive Health Education ◽

Interview Methods ◽

In Pregnancy

This study sought to ascertain the different ways in which men contribute to safe motherhood, particularly during pregnancy care. The main question was to what extent men play their roles during pregnancy care? In order to solve this question, the study employed simple random and purposive techniques to select a sample size of 165 respondents among the four selected wards in Dodoma Municipality. Questionnaires and interview methods were used to collect data from the selected respondents. Data analysis was done using statistical package for social sciences version 20 and the results were presented in tables. From the analysis, it was found that majority of men are beginning to take care of their wives during their pregnancy, supporting them on aspects of finance, emotional, and with advice. The findings further reveal that men still have little contribution on issues related to antenatal care visits. This implies that reproductive health education should be promoted to the community and to men in specific in order to raise their awareness and involvement in pregnancy care.

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