scholarly journals MENUJU KEHAMILAN YANG SEHAT DENGAN BEBAS ANEMIA DI ERA PANDEMI COVID-19

2021 ◽  
Vol 5 (1) ◽  
pp. 424
Author(s):  
Revinel Revinel ◽  
Aning Subiyatin
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Service Sector ◽  
Health Workers ◽  
Knowledge Score ◽  
District Health ◽  
Normal Delivery ◽  
Danger Signs ◽  
Interactive Education ◽  
The Government

ABSTRAKMasa pandemi  Covid-19 di Indonesia sangat berdampak di berbagai sektor layanan publik, terutama sektor layanan kesehatan khususnya pemanfaatan layanan Antenatal Care (ANC). Pemerintah merekomendasikan  menunda pemeriksaan kehamilan ke tenaga kesehatan kecuali ibu mengalami tanda – tanda bahaya kehamilan. Terkait dengan kondisi ibu hamil tetap harus mendapatkan informasi yang adekuat dan terpantau kesehatannya maka diperlukan kelas ibu hamil guna meningkatkan pengetahuan tentang kehamilan, persalinan, nifas dan parenting. Pengabdian kepada masyarakat  bertujuan untuk memberdayakan kelompok ibu hamil dalam meningkatkan pengetahuan dan merubah sikap dan perilaku ibu hamil agar  memahami tentang kehamilan yang sehat tanpa anemia agar dapat  mencegah komplikasi secara dini selama masa kehamilan  dan dapat mempersiapkan  persalinan normal,  mengikuti protokol kesehatan secara optimal. Metode yang diberikan melalui edukasi  interaktif, dengan pendekatan secara langsung, curah pendapat, ceramah, tanya jawab tentang pencegahan  anemia pada kehamilan, diikuti 19 ibu hamil dibagi 2 kelompok di Puskesmas kecamatan Tanah Abang. Hasilnya  menunjukkan bahwa terjadi peningkatan rata-rata skor pengetahuan sebesar dari 70,53±26,34 SD menjadi 88,94±14,48 SD. Kata kunci: anemia; ibu hamil; kelas ibu hamil.  ABSTRACTThe Covid-19 pandemic in Indonesia has greatly impacted various public service sectors, especially the health service sector, especially the use of Antenatal Care (ANC). The government recommends postponing Antenatal Care to health workers unless the mother experiences danger signs of pregnancy. Regarding the condition of pregnant women, they still have to get adequate information and their health is monitored, so a class for pregnant women is needed to increase knowledge about pregnancy, childbirth, postpartum and parenting. Community service aims to empower groups of pregnant women in increasing knowledge and changing attitudes and behavior of pregnant women in order to understand about a healthy pregnancy without of anemia in order to prevent complications early during pregnancy and be able to prepare for normal delivery, following health protocols optimally. The method provided was through interactive education, with a direct approach, brainstorming, lectures, questions and answers about preventing anemia in pregnancy, followed by 19 pregnant women divided into 2 groups at the Tanah Abang sub-district health center. The results showed that there was an increase in the average knowledge score from 70.53±26.34 SD to 88.94±14.48 SD. Keywords: anemia; pregnant women; class of pregnant women. 

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 ◽  
...  
Keyword(s):  
Health Service ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Health Workers ◽  
Community Health Service ◽  
Cross Sectional ◽  
Danger Signs ◽  
Knowledge And Attitude ◽  
In Pregnancy

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.

scholarly journals The Implementation of The Antenatal Care (ANC) In Kalijaga Public Health Center Cirebon City

2021 ◽  
Vol 8 (1) ◽  
pp. 26-30
Author(s):  
Nurmala Sari ◽  
Ani Nurhaeni ◽  
Sumarni
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Workers ◽  
Care Center ◽  
Research Use ◽  
Work Area ◽  
Arm Circumference ◽  
The Government ◽  
Descriptive Survey ◽  
Service Standards

Antenatal care is examination pregnancy in do for pregnant women during the her pregnancy to prevent complication of pregnancy and to prepare for a healthy birth. The purpose of this research conducted to determine the implementation of the antenatal care center Kalijaga Cirebon City in 2020. The kind of research use is descriptive survey. The population in research it is a whole pregnant women who performs the first visit in the work area Kalijaga Cirebon as many as 195 pregnant women with a sampleof 66 respondents. The instrument used in this study used a checklist. The research results show that pregnant women get the service measurement of the height bodies and weight as many as 60 (91%), the measurement of blood pressure 60 (91%), measurements the upper arm circumference 60 (91%), examinatin fundus uteri high 54 (82%), screening for TT immunization 47 (71%), administration of Fe tablets 39 (59%), percent the fetus and fetal heartbeat 33 (50%), a laboratory test of 43 (65%), managementof cases kasus 33 (50%) and a dialogue 60 (91%). Conclusion obtained in this research that there are pregnant women who should be given at the time of the first. Suggested health workers to improve services to pregnant women in accordance with the care of service standards that has been determined by the government.

scholarly journals Knowledge, attitude and practices for antenatal care, danger signs of pregnancy and family planning among pregnant women in a rural area of Kerala, India

2020 ◽  
Vol 8 (1) ◽  
pp. 201
Author(s):  
Nimmy N. John ◽  
Amrutha George
Keyword(s):  
Family Planning ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Area ◽  
Health Workers ◽  
Critical Role ◽  
Danger Sign ◽  
Danger Signs ◽  
Planning Methods ◽  
Family Planning Methods

Background: Maternal health services have a potentially critical role in the improvement of reproductive health. The use of health service related to availability, quality and cost of services as well as the social structures, health beliefs and personal characteristics of the users. Objective was to determine the level of knowledge, attitude, and practice related to antenatal care (ANC), danger signs and family planning among the pregnant women.Methods: This cross-sectional study was carried out in May 2020 to August 2020 in a rural area of Thrissur district of Kerala, India. 150 pregnant women (aged 18‑35 years) attending the antenatal clinics were interviewed using a predesigned, pretested questionnaire.Results: The knowledge and attitude of the participants towards antenatal care, danger signs of pregnancy and adopting family planning methods was adequate in the study population. The total score of knowledge was 80%, positive attitude was 91% and practice was 77%. The participants also had knowledge regarding pregnancy danger signs. Nearly 92% were aware of bleeding per vagina being a danger sign, 85% stated weak or no movement of baby as a danger sign, 75% knew that pain in abdomen was a danger, 68% knew excessive vomiting as a danger sign while a mere 41% reported that convulsions were a danger sign.Conclusions: The role of health workers in increasing awareness among mothers about the importance of ANC, the danger signs of pregnancy and adopting family planning methods are of paramount concern.

scholarly journals Strategi Pendidikan Kesehatan pada Ibu Hamil di Masa Pandemi

2021 ◽  
Vol 1 (2) ◽  
pp. 108-118
Author(s):  
Hasnah Hasnah ◽  
Nurhidayah Nurhidayah ◽  
Nurul Fadhilla Gani ◽  
Risnah Risnah ◽  
Arbianingsih Arbianingsih ◽  
...  
Keyword(s):  
Public Health ◽  
Health Education ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
National Development ◽  
Main Concern ◽  
Public Health Center ◽  
Danger Signs ◽  
The Government

The health of pregnant women will determine for health status of the baby. This is also a main concern for the government. Pregnant women bring prospective future generations to the nation who will productively contribute greatly to the progress of the nation. The importance of maternal health can be seen from the government’s policy that the reduction of the Maternal Mortality Rate (MMR) is one of the SDG’s 2030 targets and an indicator of the success of national development. Pregnant women are a vulnerable group, especially in pandemic situations and conditions. Various efforts were made to maintain the health of mothers and babies during pregnancy until delivery. Gowa Regency is a district with the second highest number of Covid case in South Sulawesi. Therefore, it became the basis for implementation of community service in the working area of ​​the Bajeng Public Health Center, Gowa Regency. The method used is to provide health education in the form of a gallery walk with the aim of increasing the knowledge of pregnant women in order to maintain their health. Various important themes in this counseling include: anemia in pregnant women, the risk of 4T in pregnant women, recognizing the symptoms and danger signs in pregnancy, stress management for pregnant women, and nutrition needed by pregnant women and continuing to carry out pregnancy check-up during the pandemic period. During the activities, pregnant women were enthusiastically paying attention to each material provided and actively discussing. At the end of the counseling, we immediately evaluated the knowledge of pregnant women regarding in the materials that had been given. They were very happy with these activities, and looking forward to such activities next time. Therefore, we suggest to related parties, namely the head of the public health center and health workers, to continue to carry out health education regularly and to reactivate the integrated healthcare center for pregnant women during the COVID-19 pandemic period while still implementing health protocols. ABSTRAK Kesehatan ibu hamil merupakan perhatian besar bagi pemerintah. Ibu hamil, membawa calon generasi penerus bangsa yang secara produktif akan berkontribusi besar terhadap kemajuan bangsa dan negara. Pentingnya kesehatan Ibu, dapat dilihat dari  kebijakan pemerintah yang menjadikan penurunan Angka Kematian Ibu (AKI) sebagai salah satu target SDG’s 2030 dan indikator keberhasilan pembangunan nasional. Ibu hamil adalah kelompok rentang terlebih disituasi dan kondisi pandemic. Berbagai upaya dilakukan untuk tetap menjaga kesehatan ibu dan bayinya selama proses kehamilan sampai persalinan. Kabupaten Gowa merupakan kabupaten dengan jumlah kasus covid tertinggi kedua di Sulawesi Selatan, maka ini menjadi dasar pelaksanaan pengabdian masayarakat  di wilayah kerja Puskesmas Bajeng Kabupaten Gowa. Metode yang digunakan adalah memberikan penyuluhan kesehatan dalam bentuk gallery walk dengan tujuan meningkatkan pengetahuan ibu hamil agar mampu tetap menjaga kesehatannya. Berbagai tema penting pada penyuluhan ini antaralain: anemia pada ibu hamil, resiko 4T pada ibu hamil, mengenal tanda-tanda bahaya kehamilan, manajemen stress pada ibu hamil, dan nutrisi yang dibutuhkan ibu hamil serta tetap melakukan pemeriksaan kehamilan selama pandemic. Selama kegiatan berlangsung para ibu hamil antusias memperhatikan setiap materi yang diberikan dan aktif berdiskusi. Diakhir penyuluhan kami evaluasi secara langsung terkait pengetahuan ibu hamil tentang materi-materi yang sudah diberikan. Mereka sangat senang dengan adanya kegitan ini, dan berharap akan ada kegiatan lanjutan. Maka dari itu kami menyarankan kepada pihak-pihak terkait yaitu kepala puskesmas dan para tenaga kesehatan untuk tetap melaksanakan penyuluhan kesehatan rutin dan kembali mengaktifkan posyandu ibu hamil di masa pandemic covid 19 dengan tetap menerapkan protocol kesehatan.

scholarly journals RELATIONSHIP BETWEEN HUSBAND SUPPORT AND PREGNANCY CONTROL IN PREGNANT WOMEN SUKAWENING PUSKESMAS GARUT

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Lilis Mamuroh ◽  
Sukmawati . ◽  
Furkon Nurhakim
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Bivariate Analysis ◽  
P Value ◽  
Health Profile ◽  
District Health ◽  
The Relationship

Data from the Garut District Health Office in 2016 showed that the number of pregnant women was 62,514. 62,818 pregnant women had 1 pregnancy check-up (K1), and only 58,594 pregnant women had 4 pregnancy check-up (K4) (Garut District Health Profile 2016). In the Health profile of Garut Regency, K4 coverage in the Sukawening Health Center area was 92.3%, public health center in Garut with the lowest K4 coverage, and 40% of pregnant women coming to health services alone, not accompanied by their husbands. Husband's support is one of the reinforcing factors and influences the pregnancy process, but information about the husband's support and its relationship with pregnancy control is still limited. The aim of the study was to determine the relationship of the husband's support to pregnant women with antenatal care (ANC) visits at Sukawening Health Center in 2016. The research method used in this study was descriptive correlational using a cross-sectional approach. Samples were selected using purposive sampling technique, 75 pregnant women were the respondents. Data collection used primary and secondary data with a measuring instrument was a note in the KIA book to find out the ANC frequency, and for husband's support used a questionnaire. Analysis of univariate data in the form of percentage and bivariate analysis with the chi-square test. The results showed that husband's support was 66.7% support and antenatal care visits were 60% completed. The analysis result of the relationship between the husband's support to pregnant women with antenatal care visits (ANC) obtained p-value = 0.012 and OR = 3.5. The conclusion is that there is a significant relationship between the husband's support for pregnant women and antenatal care (ANC) visits. Suggestions, health workers at Sukawening Health Center improve health services, especially antenatal care and involve husbands at each visit.Keywords: Antenatal care, husband’s support, ANC visit. 

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.

scholarly journals Knowledge and understanding of obstetric danger signs among pregnant women attending the antenatal clinic at the National Referral Hospital in Thimphu, Bhutan: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji
Keyword(s):  
Pregnant Women ◽  
Knowledge Score ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Obstetric Emergencies ◽  
Level Of Knowledge

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.

Gambaran Pengetahuan Dan Sikap Ibu Hamil Tentang Tanda Bahaya Selama Kehamilan Di Klinik Romauli

2020 ◽  
Vol 5 (1) ◽  
pp. 90-103
Author(s):  
Lilis Sumardiani
Keyword(s):  
Pregnant Women ◽  
Maternal Death ◽  
Health Workers ◽  
Statistical Tests ◽  
Measuring Instruments ◽  
Chi Square ◽  
Cross Sectional ◽  
Danger Signs ◽  
Health Journal ◽  
Adequate Prenatal Care

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.

scholarly journals Faktor- Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Antenatal di Wilayah Kerja Puskesmas Air Tawar Kota Padang

2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Family Income ◽  
Health Workers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
P Value ◽  
Independent Practice ◽  
Cross Sectional ◽  
Antenatal Services

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.

scholarly journals Support, Access and Antenatal Care to Women with a history of Preeclampsia in Pregnancy

2020 ◽  
Vol 11 (2) ◽  
pp. 86
Author(s):  
Evi Diliana Rospia ◽  
Andari Wuri Astuti ◽  
Retno Mawarti
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Maternal Death ◽  
Information Search ◽  
Health Workers ◽  
Qualitative And Quantitative ◽  
Lack Of Information ◽  
Need Support ◽  
History Of ◽  
In Pregnancy

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.

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