The Effect of Counselling Intervention during Antenatal Care on the Knowledge and Attitude about Danger Signs in Pregnancy: A Cross-Sectional Study in Takalar Regency -

2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.

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 5 (1) ◽  
pp. 90-103
Author(s):  
Lilis Sumardiani

The risk of maternal death is higher due to the delay factor, which is an indirect cause of maternal mortality. There are three risks of delay, namely being late in making decisions to be referred to (including being late in recognizing danger signs during pregnancy), being late to the health facilities during an emergency and being late in getting adequate services by health workers. The main causes of maternal deaths in Indonesia are bleeding (28%), eclampsia (24%), and infection (11%). The cause of maternal death can be prevented by adequate prenatal care. This study aims to describe the knowledge of attitudes of pregnant women about danger signs during pregnancy at Romauli ClinicMethod. This type of research is descriptive analytic with cross sectional approach. The total populations are all pregnant women who did the examination at Romauli Clinic from April to May are 120 pregnant women. The number of samples taken is a portion of the population, namely 25 pregnant women who are determined accidentally. The measuring instruments used are questionnaires and questionnaires. Data analysis uses 2x2 chi square test.Result. The results of this study indicate that there is an overview between knowledge and attitudes of pregnant women about danger signs duringElisabteh Health Journal : Jurnal Kesehatan, Vol. V No. 01 (Juni, 2020) : V-01 E-ISSN 2541-4992pregnancy by observing the results of statistical tests obtainead p = 0.003 <α 0.05. Because the significance value is smaller than the real level of 0.05,Duscussion. it can be concluded that there is an overview between the knowledge of the attitudes of pregnant women about danger signs during pregnancy at Romauli Clinic Marelan District Medan City.


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2020 ◽  
Vol 11 (2) ◽  
pp. 86
Author(s):  
Evi Diliana Rospia ◽  
Andari Wuri Astuti ◽  
Retno Mawarti

Preeclampsia and eclampsia are the second direct cause of maternal death worldwide, estimated to complicate 2-8% of all pregnancies, the global prevalence of preeclampsia is around 4.6%. The purpose of this scoping review is to provide an overview of studies related to antenatal support, access and services to mothers with a history of preeclampsia in pregnancy. The authors identify studies that explain preeclampsia in pregnancy from several databases namely PubMed, ProQuest, EBSCO and Springer Link. Searches are limited to studies published in English and present data for the 2009-2019 period. The identified study was reviewed using PRISMA Flowchart. Studies with qualitative and quantitative designs that explore the experiences of pregnant women regarding antenatal support, access and services were selected for review, while studies that were not experience related to antenatal support, access and services to mothers with a history of preeclampsia in pregnancy were excluded. A total of twelve articles were reviewed which obtained three sub-themes of support, namely the support of husband, family and health workers, from the theme of access obtained three sub-themes namely information search, modification programs and the availability of health workers. From the theme of antenatal care, four sub-themes are found, namely unsustainable care, lack of information, screening and feeling empowered. Pregnant women with preeclampsia need support from a partner or family and health workers. Information and screening need to be improved in antenatal care.


2021 ◽  
Vol 15 (11) ◽  
pp. 3279-3284
Author(s):  
Monika . ◽  
Israt Saba Mari ◽  
Monika Maheshwari ◽  
Shahida Shaikh ◽  
Qararo Shah Syed ◽  
...  

Background: Disturbance of haematological parameters is prevalent in pregnancy globally leading to a range of feto-maternal complications. Covid-19 infection has potential to enhance the severity of and complications impending due to anaemia in pregnancy. Objective: To determine the effects of Covid-19 infection on haematological parameters during antenatal care among pregnant women in rural Sindh. Study Design: Cross sectional study. Setting: Shaikh Zaid Institute, Chandka Medical College, Larkana. Duration: From March 1, 2021, and May 31, 2021. Materials and Method: A sample of 110 pregnant women, of 18-50 years of age, presenting in first through third trimester with single alive pregnancy, were included in the study after taking a valid written consent. The Research Evaluation Committee of SMBBMU- Larkana granted approval. Women having any haemoglobinopathy were excluded. Covid-19 test conducted through rt-PCR method. A standard questionnaire was used to collect data of two groups. Analysis was performed through SPSS Version-23. Descriptive and inferential statistics were calculated. Results: Mean ± SD age was 30.3 ± 6.99 (Range: 19 to 45) years. Both groups were identical in age. Mean ± SD gestational age was 28.12 ± 4.66 weeks (Range: 20-38). Covid-19 positive women had lower mean Hb (9.7 ± 2.11) than the covid-19 negative (10.54 ± 2.51; P = 0.158). Other haematological parameters like MCV, serum ferritin, TIBC, TLC & platelets were statistically different between groups. Women of eldest group i-e; in 41-50 years, from urban areas, second trimester (gest. age 13-24 weeks), and nulliparous had been affected more from covid-19 (P = 0.271, 0.748, 0.290 & 0.053). Frequency and severity of anaemia was more among Covid-19 positive women. Conclusion: Covid‐19 demands maternal healthcare to be extra vigilant to the haematological parameters of pregnant women during antenatal care till delivery. Keywords: Antenatal care, pregnancy, anaemia, haemoglobin, Covid‐19.


2021 ◽  
Vol 1 (2) ◽  
pp. 116-122
Author(s):  
Mst. Salma Khatun ◽  
Laskhy Rani Roy ◽  
Mst. Raziatul Humayra ◽  
Ashees Kumar Saha ◽  
Rowshan Ara

Adequate knowledge regarding danger signs during pregnancy, child birth and postpartum period plays a vital role in safeguarding mothers as well as child health. This cross sectional study was conducted by purposively selected 262 pregnant women in two hospitals in Bogura district from 1st January to 31st December, 2018 with the aim to assess the knowledge of pregnant women on danger signs related to pregnancy and child birth. Data were collected with a semi-structured questionnaire through face-to-face interview. The mean age of the respondent’s was SD = 23.37 ± 4.47 years. Most of the respondents 61.4%, (n=161) knew about danger signs during pregnancy from health workers and 65.6 % (n=172) had poor knowledge regarding danger signs during pregnancy whereas 34.4% (n=90) respondents had good knowledge. Most of the respondents 61.5%, (n=161) understood danger signs during child birth and 68.7 % (n=180) had poor knowledge regarding danger signs during child birth. Among the respondents 40.5% (n=106) understood dang.er signs after child birth and only 12.2% (n=32) respondents had good knowledge regarding danger signs after child birth. Significant association was found between age of the respondents and level of knowledge regarding danger signs during pregnancy (p=0.0001). Health education on danger signs related to pregnancy and child birth should be imparted to all pregnant women to increase their knowledge regarding this issue.


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.


2020 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Ayu Puteri Nur Perdani

Antenatal care is one form of health services for pregnant women which if done regularly can reduce both maternal and infant mortality rates, by conducting regular antenatal care it is expected that pregnant women and fetuses can be monitored for their development by health workers. This study aims to determine the relationship of regular antenatal care in third trimester pregnant women with the incidence of Pre-eclampsia in Banjarsengon Health Center, Jember Regency. This study uses a quantitative research design with a cross-sectional approach. Respondents in this study were 20 people with purposive sampling data collection techniques. Data were analyzed using exact fisher. The results of this study found that there is a relationship between regular Antenatal care in Trimester III pregnant women with the incidence of Pre-Eclampsia.


2021 ◽  
Vol 7 (3) ◽  
pp. 404-412
Author(s):  
Dian Zuiatna

Introduction: Anemia is a problem in pregnancy because in pregnancy need for nutrients increases and changes in the blood and bone marrow occur. According to WHO, 40% of mortality maternal in developing countries is related to anemia in pregnancy.Objective: to determine the factors that influence anemia in pregnant women at Batu Gana Health Center in 2020.Methode: This research used an analytic survey method with a cross-sectional approach. The population was 115 people who came to check their pregnancies at the Batugana Health Center. The sample taken by using purposive sampling amounted to 53 respondents. Data analysis used the chi-square test.Results: showed that there was a correlation between knowledge about the incidence of anemia with a p-value of.040 (<.05), there was a relationship between nutritional status and the incidence of anemia with a p-value of 0.000 (<.05), there was a relationship between compliance with iron consumption and the incidence. Anemia with a p-value of .002 (<.05) and the most dominant factor affecting the incidence of anemia was nutritional status with an Exp (B) value of 30.400, meaning that family support was 30 times more likely to affect the incidence of anemia in pregnant women.Conclusion: showed that there is an effect of knowledge, nutritional status, adherence to iron consumption on the incidence of anemia.Suggestions are expected to health workers, especially midwives and doctors to improve health services, especially pregnant women so that the health status of pregnant women can be improved so that the incidence of anemia can be avoided.  Keywords: Anemia Incidence, Knowledge, Nutritional Status, Compliance with Iron Consumption ABSTRAK Latar Belakang: Anemia merupakan masalah pada wanita di dunia termasuk Indonesia. Anemia lebih sering dijumpai dalam kehamilan karena dalam kehamilan kebutuhan akan zat-zat makanan bertambah dan terjadi perubahan-perubahan dalam darah dan sumsum tulang. Menurut WHO 40% kematian ibu di negara berkembang berkaitan dengan anemia dalam kehamilan.Tujuan: untuk mengetahui faktor-faktor yang mempengaruhi kejadian anemia pada ibu hamil di Puskesmas Batu Gana Tahun 2020.Metode: Jenis penelitian menggunakan metode survey analitik dengan pendekatan cross-sectional. Populasi adalah seluruh ibu hamil yang datang memeriksakan kehamilannya di Puskesmas Batugana yaitu sebanyak 115 orang dengan teknik pengambilan sampel yaitu purrposive sampel dengan menggunakan rumus slovin dan diperoleh jumlah sampel 53 responden. Analisis data dengan menggunakan uji chi square.Hasil:  penelitian menunjukkan ada hubungan pengetahuan terhadap kejadian anemia dengan nilai p-value 0,040 (<0,05), ada hubungan status gizi terhadap kejadian anemia dengan nilai p-value 0,000 (<0,05), ada hubungan kepatuhan konsumsi zat besi terhadap kejadian anemia dengan nilai p-value 0,002 (<0,05) dan factor yang paling dominan mempengaruhi kejadian anemia adalah status gizi dengan nilai Exp (B) 30.400 artinya dukungan keluarga 30 kali lebih cenderung mempengaruhi kejadian anemia pada ibu hamil.Kesimpulan: ada pengaruh pengetahuan, status gizi, kepatuhan konsumsi zat besi terhadap kejadian anemia.Saran diharapkan kepada petugas kesehatan khusunya Bidan dan Dokter untuk meningkatkan pelayanan kesehatan khususnya ibu hamil agar status kesehatan ibu hamil dapat  ditingkatkan sehingga kejadian anemia dapat dihindari.  Kata Kunci: Kejadian Anemia, Pengetahuan, Status Gizi, Kepatuhan Konsumsi Zat Besi


2015 ◽  
Vol 22 (01) ◽  
pp. 106-111
Author(s):  
Saima Shabbir ◽  
Masooma Zahid ◽  
Aamna Qazi ◽  
Syed Muneeb Younus

Objective: To define the self-reported oral health knowledge, attitudes and oralhygiene habits, among pregnant women getting antenatal care at Kulsoom Bai Valika HospitalKarachi. Method and Material: A cross-sectional questionnaire-based survey was conductedat the KVSS Site Hospital antenatal clinic during the period January - June 2013. The data wasanalyzed using the SPSS for Windows (version 16.0; SPSS Inc. Chicago. IL) statistical softwarepackage and was validated visually. Result: Most of the respondents revealed a reasonablelevel of oral health knowledge and positive attitudes towards oral health. However, there weregaps in the oral health knowledge of the women surveyed. The relationship between the levelof oral health knowledge and ethnicity (p=0.856), level of education (p=0.079), age category(p= 0.166), and trimester of pregnancy (p=0.219) were not statistically significant. In addition,the women’s knowledge and attitude towards oral health was not reflected in their oral hygienepractices. Conclusions: There is a need to provide oral health education for pregnant womenduring antenatal care in order to highlight the significance of good oral health in achieving goodhealth for both the mother and her baby.


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