scholarly journals Faktor-Faktor Yang Mempengaruhi Kunjungan Antenatal Care Terhadap Perilaku Antenatal Care

2020 ◽  
Vol 1 (2) ◽  
pp. 67-76
Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Family Support ◽  
Health Workers ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Correlation Design

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.

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 The Correlation between Covid-19 Knowledge and Anxiety of Pregnant Women During Covid-19 Pandemic

2021 ◽  
Vol 4 (2) ◽  
pp. 71-74
Author(s):  
Ratih Mega Septiasari ◽  
Nurya Viandika
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Pregnant Women ◽  
Vulnerable Populations ◽  
Health Workers ◽  
P Value ◽  
Design Study ◽  
Cross Sectional ◽  
Special Groups ◽  
Cross Sectional Design

AbstrakWanita hamil adalah salah satu kelompok khusus yang berisiko tinggi tertular virus Covid-19.Faktor risiko terbesar untuk mengalami berbagai tekanan psikologis adalah perempuan dan tenaga kesehatan serta populasi rentan seperti ibu hamil. Ketakutan dan kekhawatiran muncul dari bahaya yang memang ada, tetapi banyak juga yang muncul dari kurangnya pengetahuan dan informasi yang salah. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan Covid-19 dengan kecemasan ibu hamil pada saat pandemi Covid-19 di Malang Jawa Timur Indonesia. Penelitian dilakukan pada bulan November hingga Desember 2020 dan merupakan penelitian desain cross-sectional dengan menggunakan kuesioner  yang diberikan kepada 52 ibu hamil. Berdasarkan tabel 4 didapatkan p-value 0,029 (sig<0,05) yang menunjukkan bahwa ada hubungan yang signifikan antara pengetahuan dengan kecemasan ibu hamil selama pandemi Covid-19. Sehingga dapat disimpulkan bahwa pengetahuan merupakan factor penting bagi ibu hamil karena dapat mempengaruhi perilaku ibu selama hamil. Sehingga diharapkan edukasi yang optimal dari petugas kesehatan bagi para ibu agar dapat menjalani kehamilan sejahtera serta ibu dan janin tetap sehat selama pandemi Covid-19. Kata kunci: pengetahuan, kecemasan, kehamilan, pandemi covid-19  AbstractPregnant women are one of the special groups that are at high risk for the Covid-19 virus. The biggest risk factors for experiencing various psychological distresses are women and health workers as well as vulnerable populations such as pregnant women. Fear and worry arise from dangers that do exist, but many also arise from lack of knowledge and misinformation. The purpose of this study was to determine the correlation between Covid-19 knowledge and anxiety of pregnant women during the Covid-19 pandemic at Malang, East Java Indonesia. The study was conducted from November to December 2020 and is a cross-sectional design study using a questionnaire given to 52 of pregnant women. Based on the table 4, the p-value is 0.029 (sig <0.05), which indicates that there is a significant correlation between the knowledge and the anxiety of pregnant women during the Covid-19 pandemic. So it can be concluded that knowledge is an important factor for pregnant women because it can affect the behavior of the mother during pregnancy. So it is hoped that optimal education from health workers for mothers to be able to undergo a prosperous pregnancy so that mothers and fetuses remain healthy during the Covid-19 pandemic. Keywords: knowledge, anxiety, pregnancy, covid-19 pandemic

scholarly journals Hubungan Faktor Resiko Dengan Kejadian Eklampsia Pada Ibu Hamil di RSUD Ambarawa

2019 ◽  
Vol 2 (2) ◽  
pp. 7-17
Author(s):  
Nur Cahyani Ari Lestari ◽  
Syahrida Wahyu Utami ◽  
Reni Rahayu
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Health Workers ◽  
Sampling Technique ◽  
Endothelial Activation ◽  
P Value ◽  
Chronic Hypertension ◽  
Cross Sectional ◽  
Specific Syndrome ◽  
Twin Pregnancies

Eclampsia is a pregnancy-specific syndrome in the form of decreased organ perfusion due to vasospasm and endothelial activation, characterized by increased blood pressure, proteinuria, with or without edema accompanied by seizures. Eclampsia can harm the mother and fetus. The exact cause of eclampsia is unknown, but eclampsia can be triggered by several risk factors including the age of too young or too young, nulliparous, obesity in pregnancy, chronic hypertension, diabetes and multiple pregnancies. This study aims to determine the relationship between risk factors and the incidence of eclampsia in pregnant women in Ambarawa Hospital. The research method used was descriptive analytic research with a cross-sectional approach. Research variables included age, parity, obesity, chronic hypertension, diabetes, twin pregnancies as risk factors for eclampsia and eclampsia. The study population was all pregnant women in Ambarawa General Hospital in January-June of 896 people. The research sample was taken using the proportionate stratified random sampling technique that was in accordance with the inclusion and exclusion criteria as many as 90 people. The results showed that pregnant women aged between 20-35 years were 49 people (54.4%), the parity of pregnant women was nulliparous as many as 37 people (41.1%), pregnant women were not obese as many as 72 people (80%) and not experiencing chronic hypertension as many as 70 people (77.8%), almost all pregnant women did not suffer from diabetes as many as 86 people (95.6%) and did not experience twin pregnancies as many as 83 people (92.2%). Risk factors associated with pre-eclampsia events included parity (p value 0.033), obesity (p value 0.017), chronic hypertension (p value 0,000) and diabetes (p value 0.041. The most dominant risk factor after multivariate regression analysis logistics is chronic hypertension, it is recommended for health workers and the public to prevent the occurrence of pre-eclampsia, especially for mothers who have risk factors. Keywords: Risk Factors, Incidence of Eclampsia

scholarly journals Faktor Berhubungan dengan Rendahnya Kunjungan Antenatal pada Kontak Pertama Pemeriksaan Ibu Hamil (K-1)

2019 ◽  
Vol 2 (2) ◽  
pp. 162
Author(s):  
Moh. Rivandi Dengo ◽  
Idjrak Mohamad
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Family Support ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Antenatal Visits

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.

scholarly journals FAKTOR YANG BERPENGARUH TERHADAP KEPATUHAN IBU HAMIL PREEKLAMSIA DALAM PEMANFAATAN LAYANAN ANC

2017 ◽  
Vol 6 (4) ◽  
pp. 237-244
Author(s):  
Kristin Mariyana ◽  
Sutopo Patria Jati ◽  
Cahya Tri Purnami
Keyword(s):  
Pregnant Women ◽  
Family Support ◽  
Educational Level ◽  
Health Personnel ◽  
Quantitative Research ◽  
Health Workers ◽  
Public Awareness ◽  
Influential Factors ◽  
P Value ◽  
Cross Sectional

ABSTRAK Preeklamsia dapat dicegah apabila didukung oleh kesadaran ibu hamil untuk patuh dalam pemanfaatan layanan ANC. ANC berkualitas yang dilakukan tenaga kesehatan dan kesadaran masyarakat tentang kesehatan ibu hamil, bersalin dan nifas. Penelitian ini untuk menganalisa faktor yang paling berpengaruh dari ibu hamil preeklamsia supaya patuh dalam pemanfaatan layanan ANC di wilayah kecamatan Pemalang. Penelitian kuantitatif dengan pendekatan cross sectional bersifat explanatory research. Sebanyak 66 responden dipilih secara purposive, menggunakan quesioner, dan data diolah secara distribusi. Variabel yang berpengaruh : riwayat keturunan hipertensi dan atau DM (0,037), pengetahuan (p-value 0,021), akseptabilitas (p-value 0,018), dukungan dan sikap tenaga kesehatan (p value 0,041), dan dukungan suami (p-value 0,045). Variabel yang tidak berpengaruh : umur (p-value 0,239), paritas (p-value 0,714), tingkat pendidikan (p-value 0,394), pekerjaan (p-value 0,316), sikap (p-value 0,714), persepsi kerentanan (p-value 0,665), persepsi kegawatan (p-value 0,233), persepsi manfaat (p value 0,066) dan dukungan keluarga (p-value 0,067). Variabel paling dominan berpengaruh adalah variabel pengetahuan (p-value 0,015) dengan OR (Exp B) 5,527. Kata Kunci : Kepatuhan, ibu hamil preeklamsia, ANC   ABSTRACT Preeclampsia can prevented if supported by the awareness of pregnant women to obey the service ANC. ANC performed by qualified health personnel and public awareness about the health of pregnant women, maternity and childbirth. The aim is to analyze the most influential factors of maternal preeclampsia to obey the ANC service utilization. Quantitative research with cross sectional on pregnant women with preeclampsia in Pemalang district. A 66 respondents taken with purposive, using quessionaire, data analyse with distribution. Related variables : hypertension or DM (0,037), knowledge (p-value 0.021), acceptability (p-value 0.018), support-attitude of health workers (p-value 0.041), and the support of her husband (p-value 0.045). Not related variable: age (p-value 0.239), parity (p-value 0.714), educational level (p-value 0.394), occupation (p-value 0.316), attitude (p-value 0.714), perception of vulnerability (p-value 0.665), perception of severity (p-value 0.233), perceived benefits (p-value 0.066), family support (p-value 0.067). Dominant variable is knowledge (p-value 0.015) OR (Exp B) 5.527. Keywords : Compliance, preeclampsia pregnant women, ANC

scholarly journals Utilization of Antenatal Care (ANC) Services by Pregnant Women in Binjai City and Factors Affecting

2020 ◽  
Vol 15 (3) ◽  
pp. 390-398
Author(s):  
Herbert Wau ◽  
Nidya Razella
Keyword(s):  
Antenatal Care ◽  
Family Support ◽  
Health Workers ◽  
Care Service ◽  
Sampling Technique ◽  
P Value ◽  
Health Staff ◽  
Cross Sectional ◽  
Staff Support ◽  
Care Services

Antenatal care services have an influence on fetal growth or during pregnancy, one effort to reduce maternal mortality due to complications is through the use of antenatal care. Based on data from the Health Profile of Kebun Lada Public Health Center, it is known that the scope of ANC services (K1 and K4) in 2017 is K1 96% AND K4 84%. In 2018 that is K1 82.7% and K4 81%. Where there is a difference in the percentage of coverage of K1 and K4 visits. The research was an analytical survey using Cross Sectional with a sample of 76 people. This research uses chi-square data analysis method with accidental sampling technique to find out the significant influence between, Knowledge, Attitude, ANC Service Facilities, Husband / Family Support and Health Staff Support. This research shows there is influence of Knowledge (p = 0,000), Attitude (p = 0,000), Service Facilities (p = 0,000), Husband / family Support (p = 0,000), Officer Support with (p = 0,001) with Utilization of Antenatal Care Services where p-value <0.05. This study, showed that all factors affect the Antenatal Care service. Health workers, especially midwives, are expected to maintain health education and promotion and motivation on a regular basis about the importance of regular antenatal care.

scholarly journals Peran Tenaga Kesehatan, Promosi Kesehatan dan Dukungan Keluarga Terhadap Pencegahan Anemia pada Ibu Hamil

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Madinah Munawaroh ◽  
Pinna PN Situmorang
Keyword(s):  
Health Promotion ◽  
Pregnant Women ◽  
Health Center ◽  
Family Support ◽  
Health Workers ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

Introduction: Anemia is one of the most common nutritional disorders during pregnancy, this anemia can be achieved with iron supplementation. Pregnant women who suffer from severe anemia can increase the risk of maternal and infant morbidity and mortality, the possibility of giving birth to babies with low birth weight. Objectives: The purpose of the study was to determine the relationship between health promotion, the role of health workers, and family support with the prevention of anemia in pregnant women in the working area of ​​the Bondongan Health Center, Bogor City in 2019. Method: This type of research, quantitative and analytical descriptive approach using the cross-sectional method. The study population was all pregnant women as many as 128 people and a sample of 56 respondents. The sampling technique is purposive sampling. The measuring instrument uses a questionnaire. Data analysis using chi-square with 0.05. Result: The results showed that the prevention of anemia in pregnant women was in the poor category (57%), the role of health workers was not good (55%), health promotion was not good (63%), low family support (54%) in preventing anemia in pregnant women working area of ​​Bondongan Health Center, Bogor City in 2019. Conclution: There is a significant relationship between the role of health workers (P-value 0.04), Health Promotion (P-value 0.012), and Family Support (P-value 0.02) on the prevention of anemia in pregnant mothers.

scholarly journals Factors Related with Anemia in Pregnant Women in Johan Pahlawan Sub-District, West Aceh District

2020 ◽  
Vol 1 (1) ◽  
pp. 14
Author(s):  
Susy Sriwahyuni ◽  
Fitriani Fitriani ◽  
Azwar Azwar
Keyword(s):  
Pregnant Women ◽  
Family Support ◽  
Univariate Analysis ◽  
P Value ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family ◽  
Chi Square Test ◽  
Anemia During Pregnancy

Anemia in Pregnant Women is a health problem during pregnancy. Where the state of decreased hemoglobin levels and the number of red blood cells below normal values. Increased need for iron nearly tripled for the needs of mothers and fetuses during pregnancy, anemia in pregnant women has an impact on morbidity and maternal death, the risk of low birth weight, premature birth. Anemia can also be avoided by consuming foods that often contain animal protein and vegetable protein. Iron (Fe) intake, knowledge, and family support have an important role in the incidence of anemia in pregnancy. This type of research is a cross sectional survey. The study was conducted in Johan Pahlawan Sub-district, West Aceh District. The population is all pregnant women trimester II and III of 54 pregnant women. Taking in total sampling, data analysis used Univariate analysis and Bivariate (Chi-Square test). The results of the study obtained a relationship between the knowledge factor with the P-value = 0.001 and the Family Support factor with a P-value = 0.004 with the incidence of anemia in pregnant women. Expected mothers are expected to know the importance of consuming iron (Fe) intake, extensive knowledge about the dangers of anemia during pregnancy and the importance of family support for pregnant women to avoid anemia.

scholarly journals Related Knowledge and Support Family Mother Pregnant Women Attitudes about Prenatal Care (ANC)

2019 ◽  
Vol 1 (3) ◽  
pp. 28-33
Author(s):  
Dor Valda A Aritonang ◽  
Saputra Adiwijaya ◽  
Anggun Wulandari ◽  
Nyoman Anita D
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Family Support ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
P Value ◽  
Maternal Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Pregnancy And Childbirth

Antenatal care is a service provided to mothers in the process of pregnancy and to provide assurance that the mother and fetus are safe in pregnancy and childbirth. In the 2013 Riskesdas, the coverage of antenatal care for pregnant women increased.However, the coverage of K1 and K4 in East Java still has not reached 100%. The purpose of this study was to determine the mother's knowledge and family support for the attitudes of pregnant women regarding ANC in the work area of Gunung Anyar Public Health Center, Surabaya City. This study used a cross sectional study design. The population was 1089 pregnant women and samples were taken using the Slovin formula of 75 people. The statistical test used is Chi Square test with a confidence level of 95%. The results show that pregnant women who have poor knowledge of 46 people (61.3%), pregnant women who get less family support are 28 people (37.3%), and pregnant women who have a negative attitude about ANC of 42 people ( 56.0%). The p-value between mother's knowledge and family support with the mother's attitude about ANC is 0.012 and 0.744. The conclusion is that there is no relationship between maternal knowledge and family support with the mother's attitude about ANC.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUNJUNGAN ANC DI PUSKESMAS GUNUNG INTAN KABUPATEN PENAJAM PASER UTARA

2018 ◽  
Vol 3 (1) ◽  
pp. 38
Author(s):  
Siti Amanah
Keyword(s):  
Prenatal Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Family Support ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
East Kalimantan ◽  
Chi Square Test

The data of coverage number of pregnant women visit K1 and K4 in East Kalimantan province 2013 was amounted to 97.4% and 85.07%, that value has not yet reached the resentra's target in 2013 in the amount of 100% and 95%. Based of Data Health Service Penajam Paser Utara in 2014 showed Maternal Mortality Rate (MMR) in the amount of 196 per 100,000 live births. Although the K1 and K4 visit coverage that is reach to 102.5% and 89.5%, in 2015 increased to 104% and 97%. This study aimed to determine factors related to the visit Antenatal Care (ANC) in Puskesmas Gunung Intan Penajam Paser Utara on 2016. This study uses Analytical Survey by using cross sectional approach. Respondents are all pregnant women who are in working area Puskesmas Gunung Intan many as 113 respondents and a sampling technique by using purposive sampling technique. The data analysis was performed univariate and bivariate by using Chi-Square test. The results of this research obtained that all variables studied had a relationship with antenatal care (ANC) visit in Puskesmas Gunung Intan, Penajam Paser Utara in 2016, include knowledge (p value 0.001), attitude (p value 0.001) and family support (p value 0.026). The conclusion of this study is that the knowledge, attitude and family support pregnant women were able to incference visits of pregnant women to antenatal care (ANC). Thus, village midwives, the officers of Health Promotion and Nutrition needs to be increase the counseling about the importance of prenatal care to the community intensively so that their knowledge especially on pregnant women can be increased their awareness about the importance of prenatal care fully

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