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

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Wong Shee ◽  
Natasha Frawley ◽  
Carolyn Robertson ◽  
AnneMarie McKenzie ◽  
Julie Lodge ◽  
...  

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.

2021 ◽  
Author(s):  
Anna Wong Shee ◽  
Natasha Frawley ◽  
Carolyn Robertson ◽  
Anne Marie McKenzie ◽  
Julie Lodge ◽  
...  

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.


Author(s):  
Ayu Sugiartini N. K. ◽  
Ari Febriyanti N. M.

Background: Pregnant women class is a means to learn together about health for pregnant women, in the form of face to face groups which aims to increase the knowledge and skills of mothers regarding pregnancy, pregnancy care, childbirth, postpartum care, newborn care, myths, infectious diseases and birth certificates. The purpose of the research was to analyse relationship between perceptions and class participation of pregnant women.Methods: This research was an analytical with crossectional design. The study sample were 50 pregnant women who had participated in class of pregnant women. Data was collected by the method of questionnaire. Data analysis was done using Chi Square test.Results: Based on the results of research on the frequency class participation of pregnant women, most of the respondent 33 (66%) had a good perception. Most of the respondents 34 (68%) were active in class participation of pregnant women. Analysis using Chi Square test showed most of the respondents who had a good perception 31 (66%) were active in class participation of pregnant women.Conclusions: This study suggest that class of pregnant women giving benefits because pregnant women become aware of pregnancy care, childbirth, postpartum and baby care and pregnancy gymnastic.


2019 ◽  
Vol 1 (2) ◽  
pp. 112
Author(s):  
Gustina Gustina

Backround: One of antenatal care to do a quality approach is physical exercise, such as meditation / yoga. Practicing pregnant yoga exercises at this time is one of the self help solutions that support the process of pregnancy, birth and even childcare that can be done in antenatal classes. care, which is a means for group learning about maternal health, in the form of face-to-face aimed at increasing knowledge and skills abouth pregnancy, childbirth, postpartum care and newborn care (Depkes, 2010).Target and uotcom: Third pregnant women in the field antenatal care, aim for improve pregnant yoga for readiness face up childbirth. Method implementation:Implementation administrative preparation, sociaization, evaluation. Results : Before doing yoga pregnancy exercise as many as 7 mothers were ready to give birth, 2 people were hesitant, and 1 person was afraid to face childbirth. After doing yoga exercise, the result: there are still doubts about 1 person, ready for 2 people and more ready for7 people. Conclusion: The results before and after the yoga pregnancy exercise can be concluded that there is a change in the readiness of mothers in facing physical and psychological labor. Suggestion : Health centre carry out pregnancy exercise regularly scheduled yoga for pregnant women, especially pregnant third trimester


Author(s):  
HAMDI HIRSI ◽  
MOHAMED MOHAMUD

Objective: The aim of the study was to assess the determinants of focused antenatal care (ANC) use among pregnant women attending delivery in Karamara Hospital at Jigjiga town, Somali region, East Ethiopia from February to March 2017. Methods: Unmatched case–control study was conduct in Karamara hospital at Jigjiga town. A total of 366 women 183 cases and 183 controls were selected by convenience sampling techniques. Data were collected by trained data collectors using face-to-face interview of women. Logistic regression model was used to determine the predictors of focused ANC nonuse. Variables with p<0.05 and 95% confidence interval were considered as statistically significant. Results: The study revealed that 80.3% of women had ANC follow-up in their last pregnancy. About 39.3% of women had FANC visit. Urban resident women (AOR=3.1, 95% CI [1.418, 7.211]), knowledge of danger signs of pregnancy (AOR=3.5, 95% CI [1.886, 6.832]), knowledge of days FANC services provision (AOR=4.4, 95% CI [1.86, 10.59]), existence of tradition believe about FANC (AOR=0.16, 95% CI [0.079, 0.347]), distance less than or equal 1 h (AOR=2.2, 95% CI [0.838, 5.850]), existence of health facility (AOR=3.14, 95% CI [1.38, 7.544]), information form health-care provider (AOR=3.6, 95% CI [1.04, 12.83]) delivery than their counterpart, and payment needed to use FANC (AOR=0.138, 95% CI [0.057, 0.331]) were significantly associated with FANC use. Conclusion: Being urban resident, knowledge about danger sign of pregnancy, time to reach nearest health facility, radio/Tv use and culture were significantly associated with FANC utilization among pregnant women. Thus, efforts should be made to improve accessibility and availability of the health facility, educating of pregnant women about danger signs of pregnancy physical, information education, and communication of the benefits of FANC service were also critical area that needs intervention.


2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja

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.


2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T


2019 ◽  
Vol 2 (1) ◽  
pp. 27-33
Author(s):  
Megawati Sinambela ◽  
Evi Erianty Hasibuan

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).


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