scholarly journals Pregnant Women’s Experience during Antenatal Care in Private Clinic Maternity Nursing

2020 ◽  
Vol 23 (3) ◽  
pp. 202-209
Author(s):  
Fitri Fujiana ◽  
Setyowati Setyowati ◽  
Imami Nur Rachmawati

Maternity nurses are authorized health workers that provide antenatal care, but their roles and function in antenatal care services are not recognized by the public. This research aims to reveal the experience of pregnant women during antenatal visits in private clinic maternity nursing. Six pregnant women selected using purposive sampling underwent an in-depth interview in this descriptive phenomenological study. Data were analyzed through thematic content analysis with Moustakas approach. Three themes were identified in this study: 1) women experience good communication with maternity nurses; 2) women receive family-centered nursing care; 3) the schedule, cost, facility, and types of service meet the participants’ needs. This study suggests for nurses to improve their competencies in delivering antenatal care according to clients’ needs.Abstrak Pengalaman Kehamilan Wanita Selama Masa Perawatan Antenatal di Klinik Mandiri Keperawatan Maternitas. Perawat spesialis maternitas adalah petugas kesehatan berwenang yang menyediakan perawatan antenatal, tetapi peran dan fungsinya dalam layanan perawatan antenatal belum dikenal oleh masyarkat. Penelitian ini bertujuan untuk mengungkapkan pengalaman ibu hamil selama kunjungan antenatal di klinik mandiri keperawatan maternitas. Enam ibu hamil yang dipilih menggunakan purposive sampling menjalani wawancara mendalam dalam studi fenomenologis deskriptif ini. Data dianalisis melalui tematik konten analisis dengan pendekatan Moustakas. Tiga tema diidentifikasi dalam penelitian ini: 1) ibu hamil mengalami komunikasi yang baik dengan perawat maternitas; 2) wanita menerima asuhan keperawatan yang berpusat pada keluarga; 3) jadwal, biaya, fasilitas, dan jenis pelayanan sesuai keinginan ibu hamil. Studi ini menyarankan bagi perawat untuk meningkatkan kompetensi mereka dalam memberikan pelayanan antenatal sesuai dengan kebutuhan klien. Kata Kunci: antenatal care, ibu hamil, perawat maternitas

Author(s):  
Fitri Fujiana ◽  
Setyowati Setyowati ◽  
Imami Nur Rachmawati

Maternity nurses are authorized health workers that provide antenatal care, but their roles and function in antenatal care services are not recognized by the public. This research aims to reveal the experience of pregnant women during antenatal visits in private clinic maternity nursing. Six pregnant women selected using purposive sampling underwent an in-depth interview in this descriptive phenomenological study. Data were analyzed through thematic content analysis with Moustakas approach. Three themes were identified in this study: 1) women experience good communication with maternity nurses; 2) women receive family-centered nursing care; 3) the schedule, cost, facility, and types of service meet the participants’ needs. This study suggests for nurses to improve their competencies in delivering antenatal care according to clients’ needs. AbstrakPengalaman Kehamilan Wanita Selama Masa Perawatan Antenatal di Klinik Mandiri Keperawatan Maternitas. Perawat spesialis maternitas adalah petugas kesehatan berwenang yang menyediakan perawatan antenatal, tetapi peran dan fungsinya dalam layanan perawatan antenatal belum dikenal oleh masyarkat. Penelitian ini bertujuan untuk mengungkapkan pengalaman ibu hamil selama kunjungan antenatal di klinik mandiri keperawatan maternitas. Enam ibu hamil yang dipilih menggunakan purposive sampling menjalani wawancara mendalam dalam studi fenomenologis deskriptif ini. Data dianalisis melalui tematik konten analisis dengan pendekatan Moustakas. Tiga tema diidentifikasi dalam penelitian ini: 1) ibu hamil mengalami komunikasi yang baik dengan perawat maternitas; 2) wanita menerima asuhan keperawatan yang berpusat pada keluarga; 3) jadwal, biaya, fasilitas, dan jenis pelayanan sesuai keinginan ibu hamil. Studi ini menyarankan bagi perawat untuk meningkatkan kompetensi mereka dalam memberikan pelayanan antenatal sesuai dengan kebutuhan klien.Kata Kunci: antenatal care, ibu hamil, perawat maternitas


2021 ◽  
Vol 7 (3) ◽  
pp. 555-561
Author(s):  
Dessy Hermawan ◽  
Yohana Christine Simatupang ◽  
Susilawati Susilawati ◽  
Devi Kurniasari ◽  
Ledy Octaviani Iqmy

Background AKI cases in Lampung continue to increase, based on information from the Lampung Provincial Health Office in 2015 there were 122 AKI in Lampung. That number increased to 144 cases in 2015 and in 2016 it reached 138 cases and in 2017 it reached 142 cases. While the incidence of anemia in pregnant women in Pesawaran Regency in 2016 was 14.4%, and in 2017 it was 15.4%.The purpose of this study was to determine the effect of consuming dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019.Methods Types of Quantitative Research, the research design is a quasi-experimental method with a pretest-posttest approach with a control group. The population in this study were all pregnant women in the second and third trimesters with anemia who performed Antenatal Care (ANC) at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency, namely 56 pregnant women who experienced anemia. With a sample of 30 people made into 2 groups, 15 people were treated with dates and Fe tablets, and 15 people were treated with Fe tablets, with the inclusion criteria of all pregnant women with mild anemia, Respondents with full awareness, Willing to be research subjects, Respondents taking FE tablets. By using purposive sampling technique. Analysis of univariate and bivariate data with independent T-test.The results showed the average hemoglobin level before consumption of dates and Fe tablets was 9.907 g/dl., the average hemoglobin level after consumption of dates and Fe tablets was 11.320 g/dl., the average hemoglobin level before consumption of Fe tablets was 9.867. gr/dl., the average hemoglobin level after consuming Fe tablets was 10,667 gr/dl.The conclusion is that there is an influence of the consumption of dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019. The t test results obtained p value 0.000 < (0.05).Suggest for health workers, especially midwives, to recommend pregnant women to consume dates as a supplement for Fe because it can increase hemoglobin levels in pregnant women. Keywords: Dates, Fe tablets, hemoglobin levels ABSTRAK Latar Belakang Kasus AKI di Lampung terus meningkat, berdasarakan keterangan Dinas Kesehatan Provinsi Lampung pada 2015 terdapat 122 AKI di Lampung. Jumlah itu meningkat menjadi 144 kasus di tahun 2015 dan tahun 2016 mencapai 138 kasus dan pada tahun 2017 mencapai 142 kasus. Sedangkan angka kejadian anemia pada ibu hamil di Kabupaten Pesawaran pada tahun 2016 sebanyak 14,4%, dan pada tahun 2017 sebanyak 15,4%.Tujuan dari penelitian iUntuk mengetahui pengaruh konsumsi buah kurma  dan tablet fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian metode quasi eksperimen dengan pendekatan pretest-posttest with control group. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester II dan trimester III dengan anemia yang melakukan Antenatal Care (ANC) di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran yaitu sebanyak 56 ibu hamil yang mengalami anemia. Dengan jumlah sampel 30 orang  di buat dalam 2 kelompok yaitu 15 orang diberikan perlakuan dengan kurma dan tablet fe, dan 15 orang diberikan perlakun dengan tablet fe, dengan kriteria inklusi seluruh ibu hamil dengan anemi ringan, Responden dengan kesadaran penuh, Bersedia menjadi subjekpenelitian, Responden mengkonsumsi tablet FE. Dengan teknik sampling purposive sampling. Analisa data univariat dan bivariate  dengan uji T-test independent.Hasil penelitian menunjukan rata-rata kadar hemoglobin sebelum konsumsi kurma dan tablet Fe sebesar 9,907 gr/dl.,rata-rata kadar hemoglobin setelah konsumsi kurma dan tablet Fe sebesar 11,320 gr/dl., rata-rata kadar hemoglobin sebelum konsumsi tablet Fe sebesar 9,867 gr/dl., rata-rata kadar hemoglobin setelah konsumsi tablet Fe sebesar 10,667 gr/dl.Kesimpulan diketahui ada perngaruh konsumsi buah kurma dan tablet Fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Sarankan bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu hamil untuk mengkonsumsi kurma sebagai pendamping Fe karena dapat menaikan kadar hemoglobin pada ibu hamil. Kata Kunci : Kurma, Tablet Fe, Kadar hemoglobin 


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 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.


2021 ◽  
Vol 13 (01) ◽  
pp. 96
Author(s):  
Nining Sulistyowati ◽  
Yeti Trisnawati

ABSTRAKLatar belakang: Pandemi Covid-19 menyebabkan banyak pembatasan hampir ke semua layanan rutin termasuk pelayanan kesehatan maternal dan neonatal. Ibu hamil menjadi enggan ke puskesmas atau fasiltas pelayanan kesehatan karena takut tertular, adanya anjuran menunda pemeriksaan kehamilan dan kelas ibu hamil Kurangnya kunjungan ANC ini bisa menyebabkan bahaya bagi ibu maupun janin seperti terjadinya perdarahan saat masa kehamilan karena tidak terdeteksinya tanda bahaya. Tujuan penelitian: Untuk menganalisis kecemasan ibu hamil terhadap kunjungan antenatal care di masa pandemic covid-19. Metode: Penelitian analitik dengan rancangan cross sectional. Penelitian dilakukan di Praktik Mandiri Bidan di Kota Tanjungpinang dari bulan Januari – Februari 2021. Populasi seluruh ibu hamil TM III yang terdata di Praktik Mandiri Bidan di Kota Tanjungpinang dengan sampel sebanyak 32 responden. Teknik purposive sampling dengan kriteria antara lain ibu hamil dengan usia kehamilan trimester III, mampu mengungkapkan perasaan dan kecemasannya, mempunyai handphone dan nomor whatsapp, memiliki Buku KIA serta skor L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) <10. Hasil penelitian: Hasil uji statistik chi square diperoleh nilai p 0,016 (p<0,05) disimpulkan ada hubungan antara tingkat kecemasan ibu hamil dengan kunjungan antenatal care ke fasilitas pelayanan kesehatan di masa pandemi Covid-19. Simpulan: Hasil penelitian menunjukkan bahwa kunjungan ANC ibu hamil ke fasilitas pelayanan kesehatan pada masa pandemi covid-19 sebagian besar melakukan kunjungan ANC teratur 22 ibu hamil (68,8%), ibu hamil tidak mengalami kecemasan 9 (28,1%). Ibu hamil yang mengalami kecemasan dan tidak teratur melakukan kunjungan ANC sebanyak 12 ibu hamil (37,5%). Ibu hamil yang tidak mengalami cemas seluruhnya melakukan kunjungan ANC secara teratur yaitu 9 responden.Kata kunci: umur, Pendidikan, pekerjaan, kehamilan, kecemasan, frekuensi antenatal carePREGNANT MOTHER'S ANXIETY LEVELS ON ANTENATAL CARE VISITS DURING THE COVID-19 PANDEMICABSTRACTBackground: The Covid-19 pandemic has caused many restrictions on almost all routine services, including maternal and neonatal health services. Pregnant women are reluctant to go to the puskesmas or health service facilities for fear of contracting it, there are recommendations to postpone pregnancy checks and classes for pregnant women. This lack of ANC visits can cause danger to the mother and fetus, such as bleeding during pregnancy because no danger signs are detected. The purpose of the study: To analyze the anxiety of pregnant women regarding antenatal care visits during the covid-19 pandemic. Methods: Analytical research with cross sectional design. The study was conducted at the Independent Midwife Practice in Tanjungpinang City from January - February 2021. The population of all TM III pregnant women recorded at the Midwife Independent Practice in Tanjungpinang City with a sample of 32 respondents. Purposive sampling technique with criteria including pregnant women with the third trimester of pregnancy, being able to express their feelings and anxieties, having a cellphone and whatsapp number, having a KIA Book and an L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) score <10. Research results: The results of the chi square statistical test obtained a p value of 0.016 (p <0.05) it was concluded that there was a relationship between the level of anxiety of pregnant women and antenatal care visits to health care facilities during the Covid-19 pandemic. Conclusion: The results showed that ANC visits of pregnant women to health care facilities during the covid-19 pandemic mostly carried out regular ANC visits 22 pregnant women (68.8%), pregnant women did not experience anxiety 9 (28.1%). Pregnant women who experience anxiety and do not regularly visit ANC as many as 12 pregnant women (37.5%). Pregnant women who do not experience anxiety all make regular ANC visits, namely 9 respondents.Keywords: age, education, occupation, pregnancy, anxiety, antenatal care frequency.


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 ◽  
Author(s):  
Rofiatul Uzza ◽  
Sapto Adi ◽  
Suci Puspita Ratih

Prenatal classes in Indonesia are government’s effort to improve the knowledge and skills of pregnant women. Several factors influence the participation of pregnant women in these classes. This research aimed to identify the factors that correlate with pregnant women’s participation in prenatal classes in several rural villages of Magetan Regency, Indonesia. This observational analytical research was performed quantitatively using a cross-sectional design. Seventy-eight pregnant women meeting the research criteria were included in this study. Data were collected through a questionnaire that has been tested through validity and reliability tests. A binary logistic regression was employed to conduct a statistical analysis. Results showed that supports from family (OR 32.40, p-value < 0.01, 95% CI 4.55–230.64) and from health workers (OR 22.53, p-value < 0.001, 95% CI 3.96–128.19) were significantly associated with the respondent’s participation in prenatal classes after controlling the potential confounding factors such as knowledge, attitudes and information availability. Keywords: maternal health, health promotion program, pregnancy, infant health


2021 ◽  
Vol 8 (1) ◽  
pp. 26-30
Author(s):  
Nurmala Sari ◽  
Ani Nurhaeni ◽  
Sumarni

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.


2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Helmi Helmi

Therapeutic communication is the ability or skill of health workers to help clients adapt to stress, overcome pathological disorders and learn how to connect with others. Therapeutic communication activities mean interaction to facilitate help overcome health problems. The purpose of therapeutic communication to develop the personal client / patient towards a more positive.This research uses descriptive method of qualitative approach intended to describe, describe, and describe in detail about therapeutic communication form conducted by midwife in orientation phase, working and termination phase and exploring support factor and inhibiting of communication therapeutic to patients in the care of Antenatal care. While the pregnant mother's patients conducted in-depth interviews after receiving Antenatal care service.The results obtained, the process of Antenatal services at Puskesmas Jelapat Barito Kuala District is in accordance with antenatal care standards that is guided by 10 T. Therapeutic communication conducted midwives to pregnant women patients in providing services Antenatal care at Puskesmas Jelapat Barito Kuala District. therapeutic communication forms performed by the midwife either at the stage or the initial phase (orientation), the working stage and termination stage is interpersonal communication through verbal, written, and nonverbal message delivery. Midwives can identify and describe supporting and inhibiting factors in therapeutic communication. The patient's assessment is conceptually impaired but the patient benefits from therapeutic communication.Suggestion; quality health service needs awareness of Puskesmas Jelapat about the importance of therapeutic communication, all midwives in Puksesmas Jelapat to improve skill or ability in communicating with patient, Puskesmas Jelapat suggested make SOP which firmly, evaluative and responsive especially for therapeutic communication service implementation, preparing a draft of Therapeutic Communication SOP in the ANC service to be submitted to the Puskesmas Leadership Keywords: Therapeutic Communication, Midwife. Pregnant Women, Antenatal Care (ANC)


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.


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