scholarly journals Effects of Electronic Technology Antenatal Care (E-ANC) on Midwives and Pregnant Women during the COVID-19 Period

2020 ◽  
Vol 8 (T1) ◽  
pp. 115-121
Author(s):  
Rosmala Nur ◽  
St. Radiah ◽  
Ulfa Aulia ◽  
Rahma Rahma Dwilarasati ◽  
Nurhaya S. Patui ◽  
...  

BACKGROUND: Pregnant women are considered as a risk group for exposure to COVID-19. Changes in their hormones and immune systems possibly influence their rate of infection by several viruses, including the coronavirus. This stresses the need to observe necessary precautions, by maintaining social distancing, avoiding crowds, and staying at home. Furthermore, the condition also influences the scope of pregnant women’s antenatal visits. AIM: The study aims to determine the effect of COVID-19 on antenatal visits by pregnant women. Furthermore, it seeks to ascertain the effect of electronic technology antenatal care (e-ANC) on the enhanced participation of midwives and pregnant women in antenatal care (ANC) (i.e., counseling, high-risk early detection on pregnancy, and monitoring of Hb and Fe tablets). Therefore, the impact COVID-19 on women’s reproductive health during the pandemic is also evaluated. METHODS: This research involved pre- and post-test experiments on 30 pregnant women and 20 midwives at areas around the Public Health Centers in Tinggiede and Marawola. A purposive sampling technique was adopted, and the results were analyzed using a paired t-test. RESULTS: The study showed discrepancies in the ANC visits of pregnant women before and after the COVID-19 lockdown period, with p < 0.00. Furthermore, there were also differences in midwife participation in counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.001, Hb monitoring by p < 0.002, and provision of Fe tablets by p < 0.003 during the pandemic. Moreover, the pregnant women showed variations in the frequency of counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.00, Hb monitoring by p < 0.002, and the provision of Fe tablets by p < 0.003. The e-ANC instigated a decline in reproductive health problems before (73.4%) and after (10.0%) the intervention. CONCLUSION: The lockdown period influences the low antenatal visits of pregnant women. However, e-ANC for midwives and pregnant women is developed as an alternative solution to improve ANC (i.e., counseling, high-risk early detection, and monitoring Hb and Fe tablets). This consequently has an effect on the reduced reproductive health problems of pregnant women during the pandemic.

2019 ◽  
Author(s):  
Rosmala Nur ◽  
Sulaiman Mamar ◽  
Indah Puspasari Kiay Demak ◽  
Fadhliah . ◽  
Nurhaya S. Patui ◽  
...  

Background: In the process pregnancy-postpartum, the role of the husband is very important and necessary. It is highly expected for the husbands to accompany their wives, so that their wives can have healthy pregnancy which is later able to give birth a healthy baby and the mothers can survive. Objectives: The purpose of this study is to find out the effect of husband’s knowledge regarding Antenatal Care (ANC) and Early High-Risk Detection, husband behavior in the pregnancy-postpartum care with reproductive health problems experienced by wife and to determine which variable that has the greatest effect among the three variables. Metohdes: This research is an analytical observation, carried out in the working area of Tinggede Health Center which includes 3 villages namely Sunju, Tinggede and South Tinggede the research target is all husbands who have pregnant wife (second pregnancy) and have children under two years old with a total of 180 husbands. The survey was carried out on 180 husbands. Data collection is carried out through interviews, observations and FGDs. Data analysis technique with Chi Square value test (p <0.05). Results: The results showed that the level of husband’s knowledge about Antenatal Care and early detection of high risk was low, 58.88% and 56.66%, respectively. Husband behavior in pregnancy care was also categorized as less healthy/bad, i.e., 55.55%, and the prevalence of wife’s respondents who experienced reproductive health problems was 57.7%. Husband’s knowledge about ANC, early detection of high-risk pregnancy, and husband behavior in pregnancy care had a significant relationship to reproductive health problems (p<0.05). The highest frequency of husband’s participation in the pregnancy-postpartum care is making referrals to the healthcare facilities by 79%, Husband behavior in pregnancy care has the greatest effect on maternal reproductive health problems with a P value = 0.001. Conclusion: It can be concluded that the husband’sknowledgeregardingANCandearlydetectionofpregnancyandpostpartum periodhasaneffectonmaternalreproductivehealthinSigiRegency, CentralSulawesi. It’s expected that the development of models for improving husband’s Information, AdvocacyandCommunication(IAC)of reproductive health could be a preventive effort in improving women’s reproductive health.


2017 ◽  
Vol 2 (2) ◽  
pp. 35
Author(s):  
Sumy Dwi Antono ◽  
Dwi Estuning Rahayu

Each pregnancy can develop normally, but it is difficult to know before that the pregnancy would be a problem, Antenatal care is an important way to monitor and support the normal maternal health and to detect any abnormalities in normal pregnancy. This study aims to determine the correlation of Pregnant mother’s Regularity in visiting Antenatal Care (ANC) on the Results from Early Detection of High Risk Pregnancy in Poli KIA  RSUD Gambiran Kediri. This research is analytic correlation using a case-control study design. The populations in this study were all third trimester pregnant mother with high risk in Poli KIA RSUD Gambiran Kediri. The number of samples is 28 people who were taken with simple random sampling technique. Measuring instruments used KIA books and Antenatal care documentation. The results will be analyzed using Chi Square test with one sample with a standard error 5% (0,05). Based on the analysis results obtained values � = 14,28 ; 3,841 so it can be stated that there is the correlation of Pregnant mother’s Regularity in visiting Antenatal Care (ANC) on the Results from Early Detection of High Risk Pregnancy in Poli KIA RSUD Gambiran Kediri. The results are mostly high-risk pregnant mother are irregular in implementing Antenatal care. The recommendations of this research is needed to conduct counseling from a health counselor to all pregnant mother about the importance of prenatal care regularly to add the knowledge about pregnancy and also to allows health workers to detect early if there is a complication of pregnancy and as an effort to increase utilization of health services for mother pregnant.; Key words : regularity of ANC, Antenatal Care (ANC), Early Detection of High Risk


2019 ◽  
Vol 7 (1) ◽  
pp. 37
Author(s):  
Abdul Muhith ◽  
Arief Fardiansyah ◽  
Asih Media Y ◽  
Yenny Larasati

The introduction of high risk pregnant women is done through early detection of risk factors pro actively in all pregnant women by mother, family, and cadres. The program organized by the Ministry of Health to support the step is the Pregnant Women's Class. The purpose of this study is to improve knowledge of mother, family and cadres in early detection of high risk pregnant women in the working area of Sambeng Community Health Center of Lamongan. The design of this research is Quasi Experiment with Pre-Post Design approach. Its population is pregnant mother, family and cadres who attend class of pregnant mother in working area of UPT Sambeng Public Health Center. Sampling technique used was Purposive sampling, got 40 respondents of pregnant women, 40 families and 20 cadres. Data were analyzed with Wilcoxon Signed Ranks Test. Wilcoxon Signed Ranks Test results show that there is influence of maternal class implementation with knowledge of mother (Z value = -4,815), family (Z value = -4,315) and cadre (Z value = -3,162) in early detection of high risk pregnant women. The success of pregnant women's classes can be continued by using innovative and attractive media such as simulation and movie viewing to be more engaging for the community, and families to participate, thus encouraging people to do early detection.


2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T


2021 ◽  
Author(s):  
Ayman Al-Dahshan ◽  
Mohamad Chehab ◽  
Nagah Selim

Abstract Background: Although the internet can be a source of reassurance and clarification for expectant women, it ‎could cause concerns or feelings of worry when reading about pregnancy-related ‎information. The current research sought to assess the feelings of worry and perceived reliability towards online pregnancy-related information and the associated factors among expectant women attending antenatal clinics at primary healthcare centers in Qatar.Methods: A cross-sectional study design was employed. The participants were recruited through a systematic random sampling technique. ‎A self-administered questionnaire was used to collect data from the participants. Descriptive and analytic statistics were used when appropriate‎.Results: A total of 327 expecting women completed the questionnaire. Most participants were aged between 26-34 years (74.1%), held a college/university degree (76.4%), and multigravidas (73.1%). About one-third of the women ‎(31.2‎%) reported feeling worried due to something they read online. The participants coped with these feelings by consulting their antenatal care provider at the next appointment (51.0%) or by talking with relatives and friends (47.0%). Furthermore, most women (79.2%) considered online pregnancy-related information to be reliable or highly reliable. Holding a college/university degree, primigravidae, and having no children were factors significantly associated with a high perception of reliability of online health information.Conclusion: Although online pregnancy information caused feelings of worry for some pregnant ‎women, most women perceived such information to be reliable. Thus, antenatal care providers should be equipped to guide pregnant women on how to access high-quality web-based information.


Author(s):  
SITI NURUL KHOTIMAH

Cervical cancer is most often attacking women. After breast cancer, cervical cancer becomes second cancer infecting women. (WHO, 2014). This research aims to get the results from the fertility age couples' motivation on cervical cancer early detection.The preparation of a scoping review adapted the Arksey O'Malley framework consisted of 5 stages: research questions with the PEOs framework (Population, Exposure, and Outcomes), searching literature using relevant databases. The 12 articles used to consist of 3 themes, namely sexual and reproductive health problems, sexual health problems, and sexual and reproductive health. 


2021 ◽  
Vol 6 (4) ◽  
pp. 526-533
Author(s):  
Lestari Sudaryanti ◽  
Amellia Mardhika ◽  
Arina Qona’ah ◽  
Anestasia Pangestu Mei Tyas ◽  
Muhammad Ardian Cahya Laksana

COVID-19 has been declared by WHO as a global pandemic. COVID-19 affects various lines of human life, especially the health aspect. East Java has ranked second in the COVID-19 cases in Indonesia. One of the efforts made to reduce the spread of COVID-19 is through clean and healthy activities and behaviors stay at home causes people to be limited in their activities except for very important purposes, especially activities for pregnant women. Pregnant women must and should carry out regular antenatal care checks. COVID-19 causes anxiety problems and worries for pregnant women to leave the house, including having pregnancy checks. But the mother is also worried about the condition and development of the fetus. This will increase the risk of maternal and infant mortality and the SDGs target in the third objective will not be met. This community service aims to provide knowledge related to antenatal care to high-risk using Poedji Rochyati Score Card (score 6-10) and very high-risk pregnant women (score 12) during the COVID-19 period. The method used in the implementation of this community service is material from resource persons, implementation of health education, and evaluation. The pregnant women were very enthusiastic about participating in this event, it was seen from the questions given to the team and vice versa. The results of the questionnaire show that there are differences in the level of knowledge of pregnant women for pre-test and post-test.


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.


2004 ◽  
Vol 10 (3) ◽  
pp. 268-276
Author(s):  
F. El Kak ◽  
M. Chaaya ◽  
O. Campbell ◽  
A. Kaddour

Westudied patterns of antenatal care in low- versus high-risk pregnancies in Lebanon comparing 538 women after delivery in urban Beirut with rural Baka’a. Most women had 9 antenatal care visits with an obstetrician, starting in the first trimester. Care for high-risk and low-risk pregnancies was similar in terms of type of provider, number of visits and timing of first visit. More high-risk women had advice about special diets, supplements and laboratory tests. Maternal and fetal outcomes showed that, controlling for area and pregnancy risk, more antenatal visits were associated with fewer preterm deliveries, more caesarean sections and fewer cases of postpartum depression. Overall, differences between risk groups were small


PLoS ONE ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. e0152167 ◽  
Author(s):  
Ping Ling Yeoh ◽  
Klaus Hornetz ◽  
Maznah Dahlui

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