The Relationship of Childbirth Preparation Based on Childbirth Preparation Card with Maternal Morbidity and Fetal Outcomes

Abstract

This research aims to determine the level of primigravida childbirth preparation through childbirth preparation card (CPC) and its relationship with maternal morbidity, including postpartum hemorrhage and ruptured perineum, and fetal outcomes (APGAR score, Down score and infant mortality). The researcher used a descriptive-analytical method with a cross-sectional approach. Childbirth preparation is assessed using CPC. The research begins from January to April 2019. The sample in this study were mothers who gave birth in Ulin General Hospital of Banjarmasin, which was 100 respondents when the researchers conducted a study with sampling using a purposive sampling technique. There were 76 respondents (76%) stated that they were ready for the childbirth preparation, and 24 respondents (24%) were not ready for preparation. From 76 ready respondents, as many as 73 respondents were not bleeding (93.6%), 47 respondents did not experience perineal rupture (87.0%), 70 respondents with good APGAR score (97.2%), 70 respondents with good Down score (70%) and 74 respondents did not die (80.4%). Childbirth preparation was associated with the rate of postpartum hemorrhage (p<0.0001; OR 92.4), perineal rupture (p=0.005; OR 3.93), APGAR score (p<0.0001;OR 128.33), Down scores (p <0.0001; OR 128.33) and infant mortality (p=0.002; OR 12.33). Childbirth preparation is related to the incidence of postpartum hemorrhage, perineal rupture, APGAR score, Down score, and infant mortality.