Department of Nursing, Health Polytechnic of the Ministry of Health Surabaya, Surabaya, Indonesia

Abstract

BACKGROUND: The number of pregnant women with high risk is still very high. In 2019–2020, at the Merak Urak Health Center, there were 104 pregnant women, at the Palang Health Center 213 pregnant women. Meanwhile, the target of the Millennium Development Goals in 2015 is 102/100,000 live births. AIM: The aim of the research is to empower families in preventing high-risk pregnancies based on Family-Centered Empowerment. METHODS: The study used analytical observational methods to determine the influence between variables. The research approach uses cross-sectional. The study population was all families with pregnant women in the working area of Merak Urak Health Center and Palang Health Center, Tuban Regency. The analysis test used the rule of the thumb in SEM, with the maximum likelihood method requiring a minimum sample of 150 respondents. The independent variable is family centered empowerment and the dependent variable is efforts to prevent high risk of pregnancy. Data were collected by questionnaire and analyzed by pair T-test. RESULTS: The results showed that there was an influence of family interpersonal factors with cognitive factors and personal traits on efforts to prevent high-risk pregnancies (T = 2.44; T = 3.34). The influence of cognitive factors on efforts to prevent high-risk pregnancy was found (T = 2.56). The influence of personal traits factors on efforts to prevent high-risk pregnancy was obtained (T = 2.51). CONCLUSION: The new finding in this study is the formation of a Family centered empowerment model to improve the family’s ability to prevent high-risk pregnancy, which consists of family interpersonal, cognitive, and personal traits. The family-centered empowerment model can improve the ability of families to care for pregnant women to prevent high risk of pregnancy through aspects of empowering, supporting, self-efficacy, knowledge, and attitude.