scholarly journals FACTORS THAT INFLUENCING THE AWARENESS OF THE FIRST ANTENATAL VISIT

2021 ◽  
Vol 4 (3) ◽  
pp. 264
Author(s):  
Maria Magdalena Awi ◽  
Dwi Purwanti ◽  
Reny I’tishom ◽  
Ninik Darsini

ABSTRACTBackground : 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), attitude P = 0,135 (P> 0,005), husband support P = 0,000 (P <0,005), family support P = 0,004 (P <0,005), age P = 0,331 (P> 0.005), education P = 0.004 (P <0.005), parity P = 0.015 (P <0.05).  Multivariate test results with  P value <0.005 was  parity with a P value of 0.017.Conclusion: There is a correlation between knowledge, education, parity, husband's support and family support to the awareness of K1 antenatal care visits with the most dominant factor is parity.  

IKESMA ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 34
Author(s):  
Nika Nur Indah Sari ◽  
Andrei Ramani ◽  
Ni’mal Baroya

Pregnant woman has a risk of mortality; therefore, it is necessary to prevent the maternal mortality by pregnancy test. PKH (Program Keluarga Harapan) is a program that supporta pregnancy test. This study aims to determine the different of antenatal care visits between pregnant women PKH participants and non PKH participants in Kalisat, Jember. This study was analytic with cross sectional approach. The data was analyzed by using chi-square test. The sample of this study were 36 pregnant women in each group randomized in 2016.The results showed that there was a significant difference between occupation status and accessibility to the antenatal care visit (completeness) between pregnant women PKH participants and non PKH participants where pregnant woman PKH participant who unemployed and have easy access are visit antenatal completely compared to pregnant woman non PKH participants. There is a difference between occupation status, husband support and accessibility to antenatal visit (accuracy) between pregnant women PKH participants and non PKH participants where pregnant woman PKH participants who unemployed have more visit antenatal care completely, and pregnant woman non-PKH participants with high husband support and easy accsess will be more appropriate visit compared with pregnant woman PKH participants. There were no differences in age, parity, education, family income, and medical history with antenatal care visit between pregnant women of PKH participants and non PKH participants.


2020 ◽  
Vol 7 (1) ◽  
pp. 29
Author(s):  
Natiqotul Fatkhiyah ◽  
Sri Tanjung Rejeki ◽  
Dwi Atmoko

ABSTRAK Salah satu penyebab Angka Kematian Ibu (AKI) adalah komplikasi dalam kehamilan maupun persalinan. Komplikasi kehamilan dan persalinan dapat dicegah dengan pemeriksaan antenatal care (ANC) secara teratur. ANC merupakan kunjungan ibu hamil dengan tenaga kesehatan untuk mendapatkan pelayanan kehamilan sesuai dengan standar yang ditetapkan. Data yang diperoleh dari puskesmas Slawi bulan Januari-Juni tahun 2019 untuk cakupan kunjungan K1 sebanyak 82,1% dan cakupan K4 sebanyak 79%.Tujuan penelitian ini untuk mengetahui kepatuhan kunjungan ANC berdasarkan faktor determinan maternal. Penelitian ini menggunakan penelitian kuantitatif dengan pendekatan cross sectional. Sampel pada penelitian sejumlah 30 ibu hamil menggunakan teknik accidental sampling dan analisis data menggunakan uji chi square. Hasil penelitian menunjukan  mayoritas usia ibu reproduktif sebesar 66,67%, status multigravida (kehamilan kedua dan ketiga) sebesar 66.67%, kehamilan normal (60%) dan telah memenuhi standar K1 sebesar 83.33% dan memenuhi standar K4 sebesar  86.67%. Ada hubungan antara usia ibu hamil dengan dengan kepatuhan kunjungan ANC (p value 0,02)  dan ada hubungan status paritas dengan kepatuhan kunjungan ANC (p value 0,04) dan tidak ada hubungan komplikasi kehamilan dengan kepatuhan kunjungan ANC.Kata kunci : ibu hamil; kepatuhan; antenatal care  ANTENATAL CARE VISIT COMPLIANCE BASED ON MATERNAL FACTORS ABSTRACTOne of the causes of maternal mortality is complications in pregnancy and childbirth. Pregnancy and childbirth complications can be prevented by regular antenatal care visit. ANC is a visit of pregnant women with health workers to get health service in accordance with established standards. Data obtained from Slawi Health Centre in January-June 2019 for coverage of Phase 1 visits was 82.1% and phase 4 coverage was 79%. The objevtive of this study was to determine the regularity of ANC based on maternal determinants. This  study was quantitative research with a cross sectional approach. The number of respondents was 30 pregnant women by using accidental sampling technique. The study was conducted in January-March 2020. Bivariate analysis used chi square test. The results showed that pregnant women who did ANC regularly amounted to 86.67%. The results showed that there was a relationship between age with antenatal care visit because the p value was 0.02, there was a relationship between parity with antenatal care visit with p value 0.04, and there was no relationship between pregnancy diagnosis with antenatal care visit because the p value was 0.08. Pregnant women are expected to perform ANC regularly for early detection of complications in pregnancy. Keywords: pregnant women; compliance; antenatal care 


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257782
Author(s):  
Jesmin Pervin ◽  
Mahima Venkateswaran ◽  
U. Tin Nu ◽  
Monjur Rahman ◽  
Brian F. O’Donnell ◽  
...  

Background Timely utilization of antenatal care and delivery services supports the health of mothers and babies. Few studies exist on the utilization and determinants of timely ANC and use of different types of health facilities at the community level in Bangladesh. This study aims to assess the utilization, timeliness of, and socio-demographic determinants of antenatal and delivery care services in two sub-districts in Bangladesh. Methods This cross-sectional study used data collected through a structured questionnaire in the eRegMat cluster-randomized controlled trial, which enrolled pregnant women between October 2018-June 2020. We undertook univariate and multivariate logistic regression analysis to determine the associations of socio-demographic variables with timely first ANC, four timely ANC visits, and facility delivery. We considered the associations in the multivariate logistic regression as statistically significant if the p-value was found to be <0.05. Results are presented as adjusted odds ratios (AOR) with 95% confidence intervals (CI). Results Data were available on 3293 pregnant women. Attendance at a timely first antenatal care visit was 59%. Uptake of four timely antenatal care visits was 4.2%. About three-fourths of the women delivered in a health facility. Women from all socio-economic groups gradually shifted from using public health facilities to private hospitals as the pregnancy advanced. Timely first antenatal care visit was associated with: women over 30 years of age (AOR: 1.52, 95% CI: 1.05–2.19); nulliparity (AOR: 1.30, 95% CI: 1.04–1.62); husbands with >10 years of education (AOR: 1.40, 95% CI: 1.09–1.81) and being in the highest wealth quintile (AOR: 1.49, 95% CI: 1.18–1.89). Facility deliveries were associated with woman’s age; parity; education; the husband’s education, and wealth index. None of the available socio-demographic factors were associated with four timely antenatal care visits. Conclusions The study observed socio-demographic inequalities associated with increased utilization of timely first antenatal care visit and facility delivery. The pregnant women, irrespective of wealth shifted from public to private facilities for their antenatal care visits and delivery. To increase the health service utilization and promote good health, maternal health care programs should pay particular attention to young, multiparous women, of low socio-economic status, or with poorly educated husbands. Clinical trial registration ISRCTN69491836; https://www.isrctn.com/. Registered on December 06, 2018. Retrospectively registered.


Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.


2019 ◽  
Vol 2 (2) ◽  
pp. 162
Author(s):  
Moh. Rivandi Dengo ◽  
Idjrak Mohamad

The coverage of Antenatal Care (ANC) visits in Gorontalo District during the last three years is as follows: the first visit of the pregnant women in 2015 reached 90%, the visit in the following year in 2016 decreased to 76%, and the visit in 2017 reached 89,86%. This research aims to find out the factors related to the decrease of Antenatal Care in accordance with the decrease in the Antenatal Care visits in the first contact of pregnant women checking K-1 in the working area of Community Health Center Bongomeme Gorontalo District in 2018. The population of the current research was all pregnant women listed in Kohort pregnant women book in the Community Health Center Bogomeme in 2018 there were 163 pregnant women participated. The research design used was a cross sectional study approach. The obtained data were subsequently examined using chi-square test by referring to p value < 0,005. The research results shown that the parity variable of the pregnancy has p value of 0,038, pregnant women knowledge has p value of 0,012, and pregnant women job has p value of 0,000. Thus, this variable has a parity of pregnancy, knowledge of pregnant women and occupation of pregnant women has a relationship with antenatal visits (K-1), while family support variables with p value of 0.478 means that this variable has no relationship with antenatal visits (K-1). The conclusion was the parity, pregnant women knowledge, and pregnant women occupation have the significant relationship with the antenatal care visits (K-1), while the family support has no significant relationship with antenatal visits (K-1). The pregnant women should maintain the pregnancy spacing, maintain the pregnancy health, and increase their knowledge.Cakupan kunjungan Antenatal Care (ANC) di Kabupaten Gorontalo selama tiga tahun terakhir adalah cakupan kunjungan pertama ibu hamil (K-1) tahun 2015 mencapai 90%, pada tahun berikutnya tahun 2016 terjadi penurunan yaitu 76% dan pada tahun 2017 mencapai 89,86%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan rendahnya kunjungan Antenatal Care pada kontak pertama pemeriksaan ibu hamil K-1 pada Wilayah Kerja Puskesmas Bongomeme Kabupaten Gorontalo tahun 2018. Adapun populasi pada penelitian ini adalah seluruh ibu hamil tercatat di buku kohort ibu hamil Puskesmas Bongomeme tahun 2018 yaitu sebanyak 163 orang ibu hamil. Desain penelitian yang digunakan adalah pendekatan cross sectional study. Data yang diperoleh kemudian dilakukan uji statistic chi square dengan melihat nilai p value < 0,005. Hasil penelitian menunjukkan bahwa variable paritas kehamilan dengan nilai p value 0,038, pengetahuan ibu hamil nilai p value 0,012, dan pekerjaan ibu hamil nilai p value 0,000. Artinya variabel paritas kehamilan, pengetahuan ibu hamil dan pekerjaan ibu hamil memiliki hubungan dengan kunjungan antenatal (K-1). Sedangkan variabel dukungan keluarga nilai p value 0,478 ini berarti variabel dukungan keluarga tidak memiliki hubungan dengan kunjungan antenatal (K-1). Disimpulkan bahwa paritas, pengetahuan ibu, pekerjaan ibu ada hubungan yang signifikan dengan kunjungan antenatal K-I, sedangkan dukungan keluarga tidak memiliki hubungan yang signifikan dengan kunjungan antenatal (K-I). Ibu hamil agar lebih menjaga jarak kehamilan, menjaga kesehatan kehamilan, meningkatkan pengetahuan ibu hamil.


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