Improving Knowledge of Antenatal Care (ANC) among Pregnant Women: A Field Trial in Central Java, Indonesia

2005 ◽  
Vol 17 (1) ◽  
pp. 3-8 ◽  
Author(s):  
E. Nuraini ◽  
E. Parker
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Economic Status ◽  
Intervention Group ◽  
Control Group ◽  
New Approach ◽  
Advantages And Disadvantages ◽  
Central Java ◽  
Back Ground

The need for reducing maternal mortality has become a paramount concern in developing countries including Indonesia. One of the strategies for reducing maternal mortality in Indonesia is the provision of antenatal care (ANC). Previous studies have reported the advantages and disadvantages of ANC. The purpose of this study is to ascertain if a new approach to ANC can improve pregnant women's knowledge of its benefits. An experimental design with 60 pregnant women from 10 cluster villages is used in this study. The intervention group received the new approach to ANC, while the control group received routine ANC. The findings show that the improvement of knowledge in the intervention group is significant particularly in the knowledge about healthy pregnancy ( p=0.012), pregnancy complications ( p=0.01), safe birth ( p=0.01) and taking care of the newborn ( p=0.012). The improvement of knowledge was significantly influenced by the respondents' educational back ground ( p=0.002) and socio-economic status ( p=0.027). This study recommends that the new approach to ANC be considered to educate pregnant women regarding safe birth and it is considered as one of the strategies that may be adopted to reduce maternal mortality. Asia Pac J Public Health 2005: 17(1): 3-8.

scholarly journals Mhealth and Utilization of Health Care Services in Lagos Southwest Nigeria- A Pilot Study

2021 ◽  
Author(s):  
Gbemisola E. Osanyin ◽  
Esther O. Oluwole ◽  
Adesumbo K. Odeseye ◽  
Bosede B. Afolabi
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
Intervention Group ◽  
Control Group ◽  
Willingness To Participate ◽  
Birth Attendance ◽  
Significant Difference ◽  
Southwest Nigeria ◽  
Antenatal Attendance

Abstract Background: A third of pregnant women in Nigeria do not attend Antenatal care, hence this quasi-experimental study was carried out within 500 consenting pregnant women within the 5 administrative zones of Lagos to determine the association between Mhealth services and utilization of antenatal and skilled delivery services amongst pregnant women in Lagos, Southwest Nigeria.Methods: Participants were divided into an intervention (who received voice messages) and a control arm (did not receive voice messages). Ownership of a mobile phone and willingness to participate were the selection criteria. Data was collected using a structured interviewer administered questionnaire. Analysis was by descriptive statistics with 95% CI to identify factors associated with antenatal attendance.Results: Total respondents were 488 (response rate 97.6%). One hundred and fifty-nine (63.8%) of the intervention group found the messages useful. Using the WHO 2016 ANC model, women in the intervention group had a significantly higher frequency of antenatal care attendance than the control group (p < 0.0001). There was a statistically significant difference in antenatal attendance between the intervention and the controls (p < 0.0001). There was also a significantly lower likelihood of poorly supervised (unskilled) home deliveries within the intervention arm (p=0.011). Conclusion: Mhealth was associated with an increased antenatal attendance and skilled birth attendance at delivery. This has a significant impact in reducing morbidity and mortality indices.

scholarly journals Efektivitas Terapi Rendam Kaki Air Hangat terhadap Perubahan Penurunan Tekanan Darah Ibu Hamil Preeklampsia

2021 ◽  
Vol 8 (1) ◽  
pp. 24-31
Author(s):  
Maslahatul Inayah ◽  
Tri Anonim
Keyword(s):  
Blood Pressure ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Diastolic Blood Pressure ◽  
Blood Pressure Reduction ◽  
Intervention Group ◽  
Warm Water ◽  
Bivariate Analysis ◽  
Control Group ◽  
Pregnancy And Postpartum

Maternal Mortality Rate (MMR) can be a measuring tool to determine the quality of health services both during pregnancy and postpartum. Pregnant women with preeclampsia can cause complications that lead to increased maternal mortality and perinatal mortality. There are several attempts to control high blood pressure. This method can use pharmacological or non pharmacological.  The purpose of this study was to determine the effectiveness of warm water foot soak therapy on changes in blood pressure reduction of preeclamptic pregnant women. This type of research is a quantitative study with aresearch quasi-experimentaldesign, with adesign approach pre and post test in the intervention group and the conMtrol group. The sample for each group is 10 people, so that the total number of samples is 20 respondents.Bivariate analysis was performed using the Wilxocon test because the data distribution was not normal and the Mann-Whitney Test to determine the difference before and after the intervention was given.The results of the bivariate analysis showed that there was an effect of giving warm water foot soaking therapy to changes in the decrease in systolic and diastolic blood pressure of preeclamptic pregnant women with a value of p = 0.004 and p = 0.011 and there were differences in changes in the decrease in systolic and diastolic blood pressure between the intervention group and the control group. p = 0.001 and p = 0.007.

scholarly journals Influence of Murottal Al-Qur’an Ar-Rahman Letter to Decrease of Blood Pressure of Pregnant Women with Preeclampsia

2019 ◽  
Author(s):  
Mulastin Mulastin ◽  
Sugiharto .
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Pregnant Women ◽  
Intervention Group ◽  
Statistical Test ◽  
Control Group ◽  
P Value ◽  
Average Systolic Blood Pressure ◽  
Average Value ◽  
Central Java

Preeclampsia is one of the causes of the Maternal Mortality Rate (MMR). In Central Java Province in 2016 reached 109.65 from 100,000 live births. Data obtained from pregnant women with preeclampsia at the Kaliwungu holy health center were 64 pregnant women. One of the symptoms of preeclampsia is high blood, there are several ways to improve body condition with music therapy, and listen to murottal. The goal is to know the influence of murottal Al-Qur’an letter Ar-Rahman to blood presure of pregnant women who have preeclampsia. This type of research is an experimental study using the Quasy design experiment pretest-posttest control group design.Thepopulationofthisstudywereallpregnantwomenwhohadpreeclampsiaat Puskesmas Kaliwungu Kudus which were 64 pregnant women in September-October 2017, and the sample was pregnant women who had preeclampsia, 32 as intervention group and 32 as control group. Sampling techniques with quota sampling (non probability). Data analysis of the research with using the Independent T Test. The results of the research showed that the blood pressure were significantly higher in intervension than the case of control groups. average systolic blood pressure in the intervention group was 122.78 mmHg and the control group was 126.75 mmHg with the results of the statistical test 0.001<P value so that there was an effect. There was a decrease in systolic blood pressure of 3.97 mmHg. While the average value of diastole blood pressure in the intervention group was 82.22 mmHg and the control group was 81.92 and the results of the statistical test were 0.015<P value. There is a decrease in diastolic blood pressure of 0.3 mmHg. Which means there is an Ar-Rahman letter’s morattal influence on blood pressure decrease in pregnant women who have preeclampsia. Expected at the time of ANC or at the time of pregnant mother class to be given listening murottal technique of Ar-Rahman letter by improvingservicesforpregnantmotherforpregnantmotherwhospendspreeclampsia.

scholarly journals Evaluating the Impact of a Pragmatic Nutrition Awareness Program for Expectant Mothers upon Birth Weight of the Newborn

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Sanjeev Rastogi ◽  
Ranjana Rastogi ◽  
Devesh Rastogi ◽  
Rajiv Rastogi ◽  
Girish Singh ◽  
...  
Keyword(s):  
Birth Weight ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Intervention Group ◽  
Control Group ◽  
Effective Measure ◽  
Awareness Program ◽  
Expectant Mothers ◽  
Hospital Registry ◽  
The Impact

Poor maternal nutritional status and substandard antenatal care, which result in increased women's risk, low birth weight and stillbirth, afflict many countries with weak or emerging economies even today. Studies that address the effect of extending nutrition awareness among pregnant women to the net outcome of pregnancy remain scarce. We aimed to compare and contrast the effect of a pragmatic nutrition awareness program for expectant mothers (NAPEM) on birth weight of the newborn with a control group who received no such nutrition awareness activity. The effect of variables of mode of newborn delivery, associated complications at birth, and APGAR score of the newborn were also assessed. A pragmatic intervention trial of an antenatal care (ANC) program that consisted in nutrition awareness was conducted involving 53 pregnant women. Awareness was given through one-to-one interview and through informational literature provided to the participants in the local language. A hospital registry for deliveries undertaken during the study period was screened for identification of variables. A control group of matched pregnant women (n= 53) was obtained from the same hospital registry from preceding years, when the nutrition awareness program was not executed. A statistically significant improvement in birth weight of the newborn was observed in the intervention group, where expectant mothers were made aware about desired nutrition during pregnancy. A reduced incidence of complications associated with pregnancy was also observed in the intervention group. Providing awareness about nutritional requirements during pregnancy and suggesting the pragmatic ways to meet them was shown to be one possible effective measure to deal with pregnancy-related undernutrition. We show the efficacy of the intervention for underprivileged regions of India marked by inadequate health care delivery and lower socio-economical standards. We discuss our findings in the context of available evidence-based guidelines.

scholarly journals The effect of a maternal mentoring program on the timing of first antenatal care visit among pregnant women in Bantul, Indonesia: Results of a cluster randomized trial

2021 ◽  
Vol 11 (3) ◽  
pp. 307-315
Author(s):  
Yhona Paratmanitya ◽  
Siti Helmyati ◽  
Detty Siti Nurdiati ◽  
Emma C. Lewis ◽  
Joel Gittelsohn ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Statistical Significance ◽  
Intervention Group ◽  
Future Research ◽  
Control Group ◽  
Mentoring Program ◽  
Mixed Effect ◽  
Cluster Randomized ◽  
The Impact

Background: Antenatal care (ANC) is low in developing countries, with an estimated 20% of Indonesian women not initiating ANC during the first trimester. The present study sought to determine the impact of a mentoring program on the timing of the first ANC visit. Methods: This cluster randomized controlled trial was conducted in 3 subdistricts of the Bantul District, divided into 61 clusters per treatment arm, with a final sample size of 205 confirmed pregnant women. The mentoring program consisted of (1) health education, (2) monitoring, and (3) text-message reminders. The primary outcome was the timing of first ANC visit. A multilevel mixed-effect logistic regression model was used to measure the effect of the program on the likelihood of having an earlier first ANC visit, with statistical significance at α=0.05. Results: At the individual-level, the intervention group had a mean time of first ANC visit±2 days earlier than the control group (P<0.05). After adjusted for cluster and other covariates, the odds of starting the first ANC visit early (<39 days of gestation) was higher in the intervention group (adjusted odds ratio [AOR] 3.00; 95% confidence interval [CI] 1.17-7.72). Conclusion: Maternal mentoring can improve the timing of the first ANC visit. This program has the potential to be adopted by health care systems in settings where there is little education on the importance of ANC. Future research could extend the length of mentorship until delivery in order to better understand the relationship between mentorship and early ANC on pregnancy outcomes.

scholarly journals EFEKTIFITAS PIJAT OKSITOSIN TERHADAP INVOLUSI UTERI DAN PRODUKSI ASI PADA IBU POST PARTUM DI KECAMATAN KALIWUNGU KABUPATEN KENDAL

2018 ◽  
Vol 2 (1) ◽  
pp. 57
Author(s):  
Sri Rahayu ◽  
Aris Sugiarto
Keyword(s):  
Breast Milk ◽  
Maternal Mortality ◽  
Milk Production ◽  
Post Partum ◽  
Intervention Group ◽  
Control Group ◽  
Central Java ◽  
Breast Milk Production ◽  
Massage Treatment ◽  
Key Words Oxytocin

Abstract Bleeding is a cause of maternal mortality in Indonesia. Several efforts have been done to decrease maternal mortality, one of them is maternity counseling program (continuty of care/CoC model) in Central Java province. Post partum bleeding can be prevented by giving oxytocin, in a form of oral intranasal, intramuscular and with oxytocin massage to stimulate oxytocin hormone. Oxytocin hormone may elicit uterine contraction and help to increase breast milk production. The purpose of the research is to ascertain the effectiveness of oxytocin massage towards uteri involution and breast milk production of post partum mother. This research uses quasi experiment method with 43 mothers given the treatment and 43 post partum mothers as control. Some of breast milk production respondents who were given massage treatment show enhancement proven by weight gain from birth weight. While uteri involution shows respondents in control group experiencing abnormal involution (37,2 %) and the rests experiencing normal involution, whilst intervention group shows normal involution process (62,8%) and the rests experiencing abnormal involution process which proven by the decline of Fundus height as well as the theory. It is found that post partum mothers who were given intervention, experiencing normal uteri involution and increasing breast milk production so they can breastfeed exclusively. Key words: Oxytocin massage, uteri involution, breast milk production, post partum mother

scholarly journals The effectiveness of interactive mobile health technologies in improving antenatal care service utilization in Dodoma region, Tanzania: A quasi experimental study

2020 ◽  
Author(s):  
THERESIA JOHN MASOI ◽  
Stephen M. Kibusi ◽  
Alex Ernest ◽  
Athanase G. Lilungulu
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Service Utilization ◽  
Mobile Health ◽  
Care Service ◽  
Intervention Group ◽  
Control Group ◽  
Health Technologies ◽  
Quasi Experimental ◽  
The Mean

Abstract Background Antenatal care provides a platform for important health care functions during pregnancy, including health promotion, screening, and diagnosis and disease prevention. Timely and appropriate utilization of antenatal care can prevent complications and ensure better maternal and newborn health care. The aim of this study was to assess the effectiveness of interactive mobile health technologies in improving antenatal care service utilization in Dodoma region, Tanzania Methods A controlled quasi-experimental study was carried. Random selection of participants was employed to achieve a sample size of 450 pregnant women (Intervention=150 and Control=300). Interventions were matched to controls by gravidity and gestational age at a ratio of 1:2.The intervention group was enrolled in an interactive mobile messaging system and received health education messages. The control group continued with the standard antenatal care services being offered in local clinics. Pregnant women were followed from their initial visit to the point of delivery. Independent two-sample T-tests and logistic regression were used to test the effect of the intervention. Results The mean age of the participants was found to be 25.6 years with a range of 16 to 48 years. 77.3% of participants in the intervention group utilize ANC services as compared to 57.7% in the control group. The mean score was (M=2.77, SD 0.420) in the intervention group against (M=2.58, SD=0.495) in the control with (t=4.172, P<0.01) at 95% CI . Interactive SMS alert system,was observed to be effective on improving Antenatal care service utilization (AOR=2.164, P<0.05, 95% CI=1.351-3.466) as compared to conventional Antenatal care health education given in our health facilities. Conclusion The Interactive mobile health technologies used in this study has the potential of empowering pregnant women through greater access to information and in improving antenatal care service utilization in our setting.

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

Breastfeeding Training through Role-Play and Effects on Mother-infant Attachment Behaviours: A Randomised Controlled Trial

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Farokh Saljughi ◽  
Mitra Savabi-Esfahani ◽  
Shahnaz Kohan ◽  
Soheila Ehsanpour
Keyword(s):  
Pregnant Women ◽  
Maternal Employment ◽  
Controlled Trial ◽  
Role Play ◽  
Intervention Group ◽  
Control Group ◽  
Maternal Behaviour ◽  
Infant Attachment ◽  
Significant Difference ◽  
History Of

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.

The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients

2018 ◽  
Vol 2 (3) ◽  
pp. 57
Author(s):  
Mohamat Iskandar
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Rating Scale ◽  
Discharge Planning ◽  
Intervention Group ◽  
Sampling Technique ◽  
Control Group ◽  
Planning Program ◽  
Stroke Patients ◽  
Central Java

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital. Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength. Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients. Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412. Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress. 

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