scholarly journals Factors Related To The Actions Of Midwives In Providing Antenatal Care

Author(s):  
Putra Apriadi Siregar

Background: Midwives' actions under service standards are useful in applying the norms and performance levels needed to achieve the desired results. Midwives in providing antenatal care will have a significant impact on antenatal care services   Methods: This study used a cross-sectional design. This study's population was 41 midwives who worked in the District of Kota Pinang, Labuhanbatu Selatan Regency (total sampling). The instrument used was a questionnaire about age, education, knowledge, attitudes, and midwives' actions in providing antenatal care. The bivariate analysis used exact fisher test and prevalent rate (PR).   Results: The exact fisher test results showed that the midwife's age (p = 0.192), education (p = 0.175), knowledge (p = 0.390) (PR = 2.311) were not related to the midwife's actions in antenatal care. The variable of midwife attitudes (p = 0.018) (PR = 5,500) was related to the actions of midwives in antenatal care.   Conclusion: A midwife who has a good attitude has a risk taking good actions than a midwife who has a bad attitude. It is hoped that the South Labuhanbatu Health Office will be more active in improving the skills of midwives in providing antenatal services with training on antenatal care..

2019 ◽  
Author(s):  
Hasifah K. Namatovu ◽  
Tonny J. Oyana ◽  
Jude T. Lubega

AbstractThere is growing evidence in Uganda that the non-attendance of antenatal care is largely influenced by the lack of decision-making autonomy, inadequate information and poor services offered in health facilities. Although previous studies have examined barriers and facilitators of antenatal care, a few of them have investigated the extent of decision making autonomy and ICT adoption among expectant mothers. A cross sectional design through focus group discussions and survey questionnaires was used to collect data. Three hundred and twenty households were randomly sampled in Kampala and Jinja districts. The Chi-square tests (χ2) for independence to analyze group differences among women’s socio-demographic characteristics and decision-making autonomy was used. Inclusion criteria included respondents aged 18 and 50 years, completion of primary school education, expectant mothers and mothers who gave birth two years prior to the study. A hundred and sixty-four respondents participated in this survey. About 59.5% of women lacked decision making autonomy. Midwives (37.6%) and village health teams (35%) were a major source of antenatal care information, and 49.5% of expectant mothers lacked ANC information. Ninety percent (90%) of mothers did not use any form of ICT’s to enhance their decisions yet 79% possessed mobile phones. We observed a strong association between antenatal care decision-making autonomy and women with higher education (χ2 = 8.63, ρ = 0.035), married (χ2 = 4.1, ρ = 0.043) and mature (36–50) (χ2 = 8.81, ρ = 0.032). The main findings in this study suggest that ICT adoption and decision making autonomy among expectant mothers is still low and less appreciated. Control measures and interventions should be geared towards empowering women to influence their decisions.


2018 ◽  
Vol 13 (1) ◽  
pp. 55-61
Author(s):  
Elika Puspitasari ◽  
Mochammad Hakimi ◽  
Evi Nurhidayati

Abstact: The purpose of this study was to investigate the association ofsociodemographic factors with antenatal care visits. Types of analyticsurvey research with cross sectional design. Sampling with quota samplingwas obtained 100 trimester pregnant women 3. Bivariate analysis usingchi-square test. Multivariate analysis with logistic regression test. Theresults showed that the factors unrelated to ANC were Age (p-value =0.46), occupation (p-value = 0,55), knowledge (p-value = 0.88), andincome -value = 0.22). While the factors of education and distance ofpregnancy is related to antenatal care visit (p-value <0,02). ConclusionsAge, occupation, knowledge and income are unrelated to antenatal visitswhereas education and pregnancy distances are related to antenatal carevisits.


2015 ◽  
Vol 3 (1) ◽  
pp. 11
Author(s):  
Achmad Djunawan ◽  
Setya Haksama

ABSTRACTAntenatal care in last three years at Kecamatan Kejayan did not reach the target, 100% for K1 and 95% for K4. This research aims to analyze the correlation of midwife’s cooperation, motivation, attitude, and performance on antenatal care in non insurance and insurance patients group. This is a quantitative research with cross sectional design. Spearman Correlation and Coeficient Contingency were used in this research to analyze the data. 36 midwifes were interviewed to obtain data.The results show that majority midwifes has cooperation with primary health care. Midwife’s motivation was high and attitude was positive. Midwife’s performance to non insurance and insurance patients was very high. There was moderate correlation (r=0,446) between cooperation (midwife with primary health care) and the performance to non insurance patients. There was very weak correlation (r=0,111) between cooperation (mindwife with doctor) and performance to insurance patients, and weak correlation (r=0,311) to non insurance patients. There was weak correlation (r=0,086) between motivation and performance to insurance patients, whereas correlation to non insurance was moderate (r=0,521). There was strong correlation (r=0,707) between attitude and performance to non insurance patient. The conclusion, attitude has most significant with performance in non insurance patient group. Keywords: antenatal care, attitude, cooperation, motivation, performance


2019 ◽  
Vol 2 (1) ◽  
pp. 33-39
Author(s):  
Nena Riski Hariyati ◽  
Abkar Raden ◽  
Retno Mawarti ◽  
Mula Tarigan

Pregnant women’s anxiety, if not well-treated, may influence both the physical and psychological conditions of mother and fetus. This study aimed to analyze the correlation between integrated antenatal services and anxiety on facing facing childbirth among primigravida women. This was an observational analytic study used Cross Sectional design. The sample in this study was 55 primigravida women in their third trimester, whom were selected by using a total sampling technique. The study was conducted in a Public Health Centre within Yogyakarta Province. The analysis employed bivariate analysis technique with Chi-Square. The results showed that non-integrated antenatal care had correlation with anxiety about facing labor with p=0.033 and OR=5.417, which explained that non integrated antenatal care significantly increases anxiety among primigravida women. Therefore there is a need tailored services which could improve the quality of Integrated Antenatal Care to reduce pregnant women’s anxiety on facing childbirth.


2017 ◽  
Vol 2 (1) ◽  
pp. 26
Author(s):  
Elsa Gebri Utami ◽  
Abdiana Abdiana ◽  
Ayu Nurdiyan

Antenatal care visits is a behavioral form in the utilization of health services to monitor pregnancy in purpose of improving maternal and fetal health. At public health center of Sungayang, the visit for K1 and K4 did not reach the target for the past three years. In 2016 the coverage for K1 was 70,6% dan K4 47,8% meanwhile the public health center target coverage  for K1 is 97% and K4 95%. This demonstrate the lack of expectant mothers who make antenatal care visits in accordance with the standardsThis study was a quantitative study with cross sectional design conducted at district of Sungayang health center from November 2016 – September 2017. Population and sample of this research is all of the third trimester pregnant women which amounted to 41 women. Data collected by observation and questionnaire. Data analysis was performed using univariate and bivariate.          The results showed 68.3% of pregnant women do antenatal care visits according to the standard. The result of bivariate analysis shows that there is no correlation between age (p = 1,000) and job (p = 0,077), there is correlation between education (p = 0,017), attitude (p = 0,014), and support of husband (p = 0,034) with antenatal care visits at district of Sungayang health center in 2017.There is an association between education, attitude, and support of the husband with antenatal care visits and there is a tendency correlation between knowledge with antenatal care visits.


Author(s):  
Wargustini Wargustini

ABSTRACK  This study aimed to determine the knowledge, motivation, leadership, incentives / rewards, and education with the performance of midwives in Antenatal Care Services (ANC) at health centers in the country Palembang, this study uses observational analytic study design "cross sectional" with 48 midwives sample using the formula, by conducting interviews and questionnaires. There are 15 respondents have less knowledge has an 31.25% lower performance. Results obtained by chi-square test p-value = 0.04 (p <0.05) and Rφ = 0.288 means that there is a connection with the performance of midwife knowledge, the closeness of the relationship is low, motivation midwives obtained value ρ = 0.017 and Rφ = 0.466 means that there is a relationship the performance of average -midwife with the relationship, clinic leaders leadership values obtained ρ = 0.00 and Rφ = 0.28  means that there is a relationship with the midwives' work closeness of the relationship is low. Chi-square test results obtained by the value of the incentive factor ρ = 0.019 = 0.328 declared value Rφ no relationship with the midwives' work closeness of the relationship is average. Factors education obtained ρ = 0.021 and the value of Rφ = 0.041 means that there is a relationship with the midwives' work closeness of the relationship being. Four chief centers are expected to consider factors - factors related to the performance of midwives that knowledge, motivation, leadership, incentives, and education.         ABSTRAK Penelitian ini bertujuan untuk mengetahui faktor pengetahuan, motivasi kerja, kepemimpinan, insentif / imbalan, dan  pendidikan yang berhubungan dengan kinerja bidan pada pelayanan Antenatal Care ( ANC ) di Puskesmas Sekota Palembang, penelitian ini menggunakan penelitian observasi analitik dengan rancangan “cross sectional study” dengan jumlah sampel 48 bidan dengan menggunakan rumus, dengan melakukan wawancara dan kuesioner. Terdapat 15 responden memiliki pengetahuan kurang 31,25 % memilki kinerja rendah. Hasil uji chi-square diperoleh nilai p=0,04 ( p< 0,05) dan Rφ = 0,289 berarti ada hubungan pengetahuan dengan kinerja bidan, dengan keeratan hubungan rendah, motivasi bidan diperoleh nilai ρ=0,017 dan Rφ=0,466 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang, kepemimpinan pemimpin puskesmas diperoleh nilai ρ=0,00 dan Rφ = 0,28 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Hasil uji chi-square faktor insentif diperoleh nilai ρ = 0,019 nilai Rφ = 0,328 menyatakan ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Faktor pendidikan diperoleh nilai ρ = 0,021 dan Rφ = 0,41 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang. Diharapkan keempat kepala puskesmas memperhatikan faktor – faktor yang berhubungan dengan kinerja bidan yaitu pengetahuan, motivasi kerja, kepemimpinan, insentif, dan pendidikan.        


Author(s):  
Sachin Gupta ◽  
Prasad Pore ◽  
Arvind Athavale

Background: To combat the reproductive and child health (RCH) problems, National Rural Health Mission (NRHM) had launched Janani Suraksha Yojana (JSY) in April 2005 in all states and union territories to promote institutional deliveries among the poor population through provision of antenatal, intra-natal and post-natal care services for women to have healthy outcomes of pregnancy and child birth. Hence this study has been undertaken on one of the important aspect of services that is antenatal care services with the objective to assess the utilization of antenatal care services among JSY beneficiaries in rural area.Methods: Cross sectional observational study done in the area under rural health training centre of a private medical college of Pune district. 1st October 2014 to 30th September 2015. Study sample: All JSY beneficiaries who delivered during study period (1st October 2014 to 30th September 2015). One to one interview with the all 155 beneficiaries was conducted using the pretested, questionnaire. The interview was timed at minimum 6 week interval after the delivery. Data analysis was done by using SPSS 20.0 statistical software.Results: Majority 78 (50.3%) of beneficiaries out of 155 got registered themselves within 12 weeks of pregnancy. Antenatal coverage was quite good. Coverage of injection tetanus toxoid was 100% and all essential investigation have been carried out. Association between literacy level (up to higher secondary level) of beneficiaries and number of ANC visits was found statistically significant (p<0.001).Conclusions: In present study utilization of ANC services was found to be good.


2019 ◽  
Vol 9 (3) ◽  
pp. 15-21
Author(s):  
Shakuntala Chapagain ◽  
Muniraj Chhetri ◽  
Govinda Prasad Dhungana

 Background: Safe motherhood means creating the circumstances within which a woman is able to choose whether she become pregnant and if she does, ensuring that she receives care for preventive and treatment of preg­nancy complication. This study was aimed to find out husband involvement in safe motherhood services and its associated factor. Methods: Community based cross-sectional study was conducted in purpo­sively selected Bharatpur sub metropolitan city of Chitwan district. Among 29 wards, three wards (2, 11, and 15) were selected by using simple random sam­pling method. Bivariate analysis was done to find out the factors, and signifi­cant factors in bivariate analysis, were further analyzed in multivariate to see the association between outcomes variables. Results: Husband involvement in family planning (FP), antenatal care (ANC), and childbirth were found to be 10.5%, 52.2% and 78.7% respectively. In mul­tivariate analysis, safe motherhood news listened by husband (AOR 9.813, CI: 4.854 - 19.839) was found statistically associated with husband involvement in antenatal care services. In multivariate analysis, husband who had engaged in business, service and farming/daily wages was found 20.668 (CI: 7.740 – 55.192), 13.058 (CI: 5.818 – 29.310) and 14.195 (CI: 4.139 – 48.674) times more likely involved during child birth respectively than those who had en­gaged in foreign job. Conclusions: Husband education on safe motherhood issues, employment opportunity within country and women decision-making power should be a significant part of strategies for increasing husband involvement in safe moth­erhood services.


2021 ◽  
Vol 9 (02) ◽  
pp. 24-29
Author(s):  
Rubina Shrestha ◽  
Chet Kant Bhusal ◽  
Pradip Chhetri ◽  
Saneep Shrestha ◽  
Jyoti Priyanka

INTRODUCTION: Antenatal Care (ANC) services utilization during pregnancy plays an important role in prevention and management of pregnancy related complication thus improving the maternal and child health. Hence this study aimed to identify the factors influencing utilization of ANC service among women visiting for institutional delivery in tertiary hospital of Bhairahawa, Nepal. MATERIAL AND METHODS: Hospital based cross-sectional study was carried among 396 women admitted in the postnatal ward of Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Nepal form September 2019 to December 2019 following ethical clearance and verbal consent from participants. Variables with significant association (p<0.05) in bivariate analysis were entered into multivariate logistic regressions to find the factors affecting utilization of antenatal care services.  RESULTS: This study revealed that 18.43% of respondents did not receive any ANC services. Among those who were not receiving ANC service, 86.3% never felt the need for ANC services throughout the period of pregnancy. ANC service utilization was found to be associated with religion (AOR=3.15, 95% CI: 1.40-7.08) and husband education (AOR=5.09, 95% CI: 1.63-15.92). CONCLUSION: In spite of being an essential component for the care of pregnant women ANC services was not utilized by all of them as many of them did not felt the need of this service. Thus it is recommended to increase awareness regarding the available services and its importance by local stakeholders to prevent further morbidity and mortality.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Marselli Widya Lestari ◽  
Tri Wahyuni Bintarti

Gout or Gouty Arthritis is a degenerative disease. Gouty arthritis is a clinical syndrome that is caused by deposition of purine crystals in the tissues, due to levels of uric acid (hyperuricemia) in the extracellular fluid that passes through saturation. The etiology of gout arthritis included age, sex, history of medication, obesity, consumption of purine and alcohol. Aging is an important risk factor for men and women. This study uses an analytical-descriptive approach with cross-sectional design. This study was conducted to obtain a relationship between nutritional status and uric acid levels in the community in the area of ​​Al-Hidayah Islamic Boarding School, Ngawi. This research was conducted in Majasem Village, Kendal District, Ngawi Regency, starting from 7 June - 31 August 2018. The results showed that there was a relationship between nutritional status and uric acid levels in the community in the area of ​​Al-Hidayah Islamic Boarding School, Ngawi (p=0,008). Suggestions for further research are bivariate analysis based on gender, knowledge and attitude to response to diet so that other factors that influence can be seen clearly


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