Class Of Pregnant Women Research Articles

Peningkatan Pengetahuan dan Deteksi Dini Tanda Bahaya Kehamilan di Wilayah Kerja Puskesmas Sipahutar Kabupaten Tapanuli Utara Tahun 2022

Early detection of danger signs and symptoms during pregnancy is the best effort to prevent serious disruption to pregnancy or the safety of pregnant women. Predisposing factors and the presence of comorbidities should also be recognized early on so that maximum efforts can be made to prevent serious disturbances to both pregnancy and the safety of the mother and the baby she is carrying. Community service activities in the form of providing health education on Early Detection of Danger Signs in Pregnancy were carried out to 76 pregnant women in 6 Classes of Pregnant Women in the Sipahutar Health Center Work Area, namely Siabal-abal Villages I, II, III, V and VI, Tapian Nauli II, Nihuta Fighting I, II and III. The activities carried out were pretest, health education, history taking and checking for signs of danger in pregnancy, namely blood pressure, temperature, fetal movement, edema, urine protein and post test. Based on the results of the pre and post test, it can be seen that there is an increase in the number of pregnant women who have good knowledge from 6 (7.90%) pregnant women at the time of the pre test to 31 people (40.79%), with sufficient knowledge of 49 people (64.47%). ) to 37 people (48.68%), while the number of pregnant women with less knowledge of pregnant women at the time of the pre test was 21 people (27.63%) at the time of the post test to 8 people (10.53%). From the examination of the danger signs in pregnancy, it was found that the results of high blood pressure were 3 people (3.95%). The activity went well and smoothly. Expected to pregnant women to always be aware of all risks of pregnancy complications by actively conducting early detection of any complications that will occur during pregnancy. In addition, pregnant women are also expected to take advantage of the Maternal and Child Health (KIA) book, in which the book also provides various kinds of danger signs of pregnancy that can occur in pregnant women.

EFFECT OF PARTICIPATION IN PREGNANT WOMEN'S CLASSES ON PRIMIGRAVIDA ANXIETY LEVELS IN FACING CHILDBIRTH AT PAJARAKAN HEALTH CENTER

avida in dealing with childbirth at the Pajarakan Health Center. This study uses a pre-experimental research type with a one-group pre-post test design. The study location is in the Pajarakan Health Center, Probolinggo Regency. The population is primigravida mothers in the Pajarakan Health Center area of ​​30 people and the number of samples is 30 people. The sampling technique is non-probability sampling with purposive sampling method. Primary data was obtained by using a questionnaire, secondary data from the Probolinggo District Health Office and Pajarakan Health Center. The independent variable (independent) is the class of pregnant women, the dependent variable (dependent) is anxiety. Data were analyzed using SPSS 26 software for univariate and bivariate. The results of the study describe the characteristics of the majority of respondents aged 20-35 years, the most educational history of undergraduate education, the average family income between 2.5 million - 3.5 million and all respondents attended four class meetings of pregnant women. Respondents' anxiety before taking classes for pregnant women was mostly severe anxiety, the knowledge of respondents before attending classes for pregnant women had a fairly good level of knowledge, the attitude of respondents before taking classes for pregnant women was positive. This indicates that the participation of pregnant women affects the level of anxiety of pregnant women in facing childbirth.
 
 Keywords: anxiety, Health Cente, participation, pregnant women', and primigravid

Evaluating the moderating role of accredited social health activists on adverse birth outcomes in rural India

BackgroundThe Indian government established the Accredited Social Health Activists (ASHA) program in 2006 to improve access and healthcare coverage in rural regions. The objective of this study was to examine the moderating role of ASHA home visits and ASHA-accompanied antenatal care visits (ANC) on the relationship between sociodemographic latent classes of pregnant women and preterm birth and low birth weight infants in rural Mysore District, India. MethodsUtilizing a prospective cohort study conducted between 2011 and 2014, secondary data analysis was performed among 1540 pregnant women in rural Mysore, India. Latent class analysis was performed to identify sociodemographic distinct patterns. Multivariable logistic regression was performed to examine the moderating effects of ASHA-accompanied ANC visits and ASHA home visits on preterm birth and low birth weight. ResultsAmong women who never/rarely had ASHA-accompanied ANC visits, women in Class 1 “low socioeconomic status (SES)/early marriage/multigravida/1 child or more” had higher odds of preterm birth (adjusted odds ratio [aOR]: 2.62, 95% confidence interval [CI]: 1.12–6.12 compared to Class 4 “high SES/later marriage/primigravida/no children.”. Women in Class 3 “high SES/later marriage/multigravida/1 child or more” had higher odds of preterm birth compared to class 4. Women in Class 2 “low SES/later marriage/primigravida/no children” had higher odds of low birth weight infant. ConclusionThe findings demonstrate that ASHA accompanying women to ANC moderates the risk of preterm births among women in high-risk SES groups. Targeted policies and interventions in improving and strengthening the ASHA program are needed to reduce inequalities in adverse birth outcomes in rural India.

Strategi Dinas Kesehatan Kabupaten Sukoharjo Dalam Menekan Angka Kematian Ibu Di Masa Pandemi Covid-19 (Kajian Pada Program Semua Bumil Melahirkan Harus Selamat)

This study aims to examine the strategy of the Sukoharjo Health Agency in suppressing MMR during the Covid-19 pandemic in the Semilir Hasmat Program. This research is descriptive qualitative research with interview and documentation data collection techniques. The purposive sampling technique used to determine the informants in this study. The analysis technique in this study used the data analysis technique of Miles and Huberman. The results of the study show that in suppressing MMR during the Covid-19 pandemic, the Sukoharjo Health Agency carried out 4 strategies in the Semilir Hasmat Program, including organizational strategy, program strategy, resource support strategy, and institutional strategy. Organizational strategy is carried out by creating a vision, mission, goals and objectives that are in harmony between the Sukoharjo Regency, the Sukoharjo Health Agency, and the Semilir Hasmat Program. Program strategy executed through examination activities by ob-gyn doctors, integrated ANC services, classes for pregnant women and mobile USG. The resource strategy is implemented by maximizing human, financial and infrastructure resources. Furthermore, the institutional strategy is carried out through strengthening cooperation between hospital and FTKP involving community cadres, and comparative studies.

Karakteristik Baduta dan Analisis Pengembangan Aplikasi STOP STUNTING dalam Upaya Penurunan Kasus Stunting

Stunting is a chronic malnutrition problem caused by insufficient intake for a long time. There has been an increase in stunting in Indonesia, especially the prevalence of stunting under five in Jambi Province is higher than the national figure of 37.9%. The implementation of nutrition interventions has not been integrated, from the planning process to evaluation at the central, regional and village levels. As a result, the coverage and quality of various basic services is less than optimal. Therefore, this study aims to analyze application development as an effort to monitor the evaluation of health workers. The method used is a descriptive method with a survey approach, the population in this study is health workers, cadres, midwives from two pilot health centers in West Tanjab, namely Pijoan Baru Health Center and Sungai Saren Health Center with a total sampling of 18 people. The results of the study concluded that there are still a lot of data on infants and mothers that are difficult to monitor, through the STOP STUNTING application on the toddler monitoring feature added warnings (danger signs on toddler growth) (83.3%), symptoms of hyperthyroidism at birth (72.2%), data completeness of the baby at birth (77.78%), early initiation of breastfeeding and exclusive breastfeeding (88.89%), and cognitive development of toddlers (66.67%). In the features of pregnant women, the identity of the primary health center is needed (88.89%), participation in the class of pregnant women (66.67%), consumption of blood-added tablets (77.78%), and a history of infectious diseases of pregnant women (55.56%) , and reporting the results of the application in the form of a cohort table (88.9%).

PENYULUHAN KELAS IBU HAMIL TENTANG STANDAR PELAYANAN ANTENATAL CARE TERPADU 10 T DI BPM ARNI WILAYAH KERJA PUSKESMAS BOTANIA KOTA BATAM

To reduce maternal mortality in Indonesia, one of the strategies is to provide antenatal care (ANC) services. According to statistics from health care institutions, particularly hospitals and maternal perinatal audits (AMP), 30 women died in 2017 at a rate of 105 per 100.000 live births. This number exceeds the 2016 figure of 97 per 100.000 births. The purpose of this activity is to ensure a healthy life and support the welfare of the mother and fetus, especially to prevent AKI and IMR. The method used is counseling in the local community and also during classes for pregnant women in certain midwife clinic areas. Based on the results of these activities, it was found that the mothers were very enthusiastic about the counseling. The new ANC approach which consists of components that discuss safe delivery planning, ANC communication approaches and family involvement of pregnant women can increase knowledge about ANC, especially knowledge about complications of pregnancy and safe delivery.

The Relationship between Patient Satisfaction and Mother's Class Service with the Success of Exclusive Breastfeeding at the Perlayuan Public Health Center, Pulo Padang, Kec. North Rantau Kab. Labuhan Batu 2022

Mother's education level and mother's knowledge are important factors to support the success of exclusive breastfeeding in infants, because the higher a person's education level, the easier it is to receive information so that the more knowledge they have. On the other hand, a lack of education will hinder the development of a person's attitude towards the values ??introduced. The purpose of the relationship between patient satisfaction and maternal class services with the success of exclusive breastfeeding at the Perlayuan Public Health Center, Pulo Padang, Kec. North Rantau Kab. Labuhan Batu Year 2022. This type of research is analytic. The results showed that there was a relationship between age and participation in the class of pregnant women (p = 0.008), there was a relationship between work and participation in the class of pregnant women (p = 0.000), there was a relationship between knowledge and participation in the class of pregnant women (p = 0.000). It is recommended for pregnant women to take the time to attend counseling organized by health workers at the puskesmas about classes for pregnant women so that they can increase knowledge, attitudes and pregnant women about the benefits of doing classes for pregnant women

The Effect of Covid-19 Prevention Education on Public Mothers in Reducing Anxiety Level in The Time Covid-19 Pandemic

The COVID-19 pandemic has caused many restrictions on almost all routine services, both in terms of access and quality, including restrictions on maternal and neonatal health services, such as a reduction in the frequency of antenatal care and postponement of classes for pregnant women and the postpartum period, these conditions can cause problems globally. psychological problems for pregnant women postpartum, which can cause anxiety, if the mother's own anxiety is left untreated it will have an impact on mothers who will experience postpartum blues. Objective: To review COVID-19 prevention education for postpartum mothers in reducing anxiety levels. Methods: The method used is a scoping review using keywords, namely Population Exposure Outcame (Peos), namely population: post partum, education, and anxiety by (following the PRISMA Flow Chart guidelines, Result: By providing education on COVID-19 prevention in reducing levels postpartum mothers anxiety following anxiety skinning using the Hamilton Anxiety Rating Scale (HARS) and COVID-19 prevention education using video, able to stimulate the senses of hearing as well as vision so that mothers can understand them well with changes in knowledge, attitudes and skills of mothers before and after after being given education regarding prevention of COVID-19, Conclusion: factors that influence anxiety in postpartum mothers during the COVID-19 pandemic are stressors, maturity, age, education, environment, by conducting anxiety screening and providing education to postpartum mothers, it is hoped that it can reduce anxiety san as well as increasing knowledge related to postpartum mothers regarding the prevention of COVID-19 during the pandemic so that it does not cause anxiety.

PEMBENTUKAN KELAS PRENATAL YOGA DI DESA SELOKERTO SEMPOR KEBUMEN

Prenatal yoga can provide benefits, including increasing the chances of a pregnant woman giving birth normally, reducing the incidence of prolonged labor, reducing stress and injuries during childbirth. The purpose of this activity is to provide a platform for pregnant women in Selokerto Village, Sempor District, Kebumen Regency so that they can improve their health and prepare for normal births through prenatal yoga classes for pregnant women. The method used in this service is lectures and prenatal yoga exercises with gymball. Data was collected by using a cadre knowledge questionnaire about prenatal yoga. The number of respondents in this activity amounted to 20 health cadres. Evaluation of activities was carried out using pre-test and post-test. The level of pre-test knowledge of health cadres about prenatal yoga is mostly in the sufficient category, which is 50%, while the post-test knowledge level of health cadres is mostly in the good category, which is 80%. Conclusion: Increased knowledge of health cadres from before and after prenatal yoga counseling and prenatal yoga classes have been formed.

Kelas Ibu Hamil untuk Meningkatkan Kesejahteraan Ibu dan Janin di Posyandu

Pregnant Women Class is a study group for pregnant women with a gestational age of between 4 weeks and 36 weeks (before delivery). Pregnancy is one of the stages of life that must be prepared by a woman, in the process of pregnancy physiological and psychological changes occur due to an increase in estrogen and progesterone. The risk factors for maternal death during childbirth began from under-monitored pregnancy. One of the efforts to reduce maternal mortality is through classes for pregnant women. This class for pregnant women is a means to learn together about health for pregnant women, in the form of face-to-face in groups that aims to increase the knowledge and skills of mothers regarding pregnancy, pregnancy care, childbirth, postpartum care, newborn care, myths, diseases. infection and birth certificates. The objectives of implementing this community service are: Increasing interaction and sharing experiences between participants (pregnant women and pregnant women) and between pregnant women and health workers/midwives, Increasing understanding, attitudes and behavior of pregnant women about classes for pregnant women, body changes and complaints, treatment pregnancy and preparation for delivery. To be able to improve the knowledge and skills of mothers regarding pregnancy, pregnancy care, childbirth, community service can be carried out in the form of maternal and child health counseling that can be carried out through pregnant women classes. From the results of the activity, it can be concluded that the activity went smoothly, the participants were enthusiastic in participating in the counseling and question and answer session and were active in doing pregnancy exercise, most of the participants said they felt relaxed and excited after participating in the pregnancy exercise and were also ready to wait for the delivery process.

THE RELATIONSHIP OF PREGNANT WOMEN CLASS ACTIVITIES TO PREGNANT MOTHERS' READINESS IN FACING LABOR AT THE PUSKESMAS BANGUN REJO VILLAGE, DELI REGENCY, SERDANG IN 2021

Pregnant women class is a study group for pregnant women who get various health information and pregnancy exercises in preparing for childbirth. The number of pregnant women participating in the Maternity Class is 40 people. They do not prepare for childbirth because they feel that they do not need to be prepared in the face of childbirth. The purpose of the study was to determine the relationship between pregnancy exercise class activities and the preparation of pregnant women in preparation for childbirth. This type of research is analytical with a cross sectional approach. The population was 40 pregnant women who took part in the class of pregnant women and all of them were used as research samples. Data were analyzed bivariately using the chi square test at a significance level of 95%. The results showed that pregnant women carried out various activities in the class for pregnant women with the highest frequency in the less category 23 people (57.5%) and 25 people were not ready to give birth (62.5%). There is a relationship between pregnancy exercise class activities with the readiness of pregnant women in facing childbirth (p 0.039 <0.05). It is hoped that the Puskesmas will optimize the implementation of classes for pregnant women through various innovative and interesting activities that can make pregnant women feel at home in participating in pregnancy exercise classes from start to finish.

KONSUMSI TABLET FE DENGAN KEJADIAN KONSTIPASI PADA IBU HAMIL TRIMESTER II DAN III

Iron is an essential nutrient needed by every human cell. Constipation or constipation is a condition that is difficult or unable to defecate, feces (feces) the feeling of defecation is not complete, or infrequent bowel movements. Relationship between Fe tablet consumption and constipation incidence in pregnant women trimester II and trimester III at Yusniar Clinic Pangkalan Brandan in 2019. This study uses an analytical method with a cross-sectional design. The population in this study was pregnant women and the sample of this study used a saturated sampling so that a sample of 30 pregnant women could be used. The study the majority of mothers who consumed Fe tablets were 28 people (87%) and the minority did not consume Fe tablets as many as 2 people (13%). The mothers who consumed Fe tablets who experienced constipation, the majority were 27 respondents (90%,) and the mothers who consumed Fe tablets who did not experience constipation were a minority of 1 respondent (10%). The results showed that there was a relationship between the consumption of Fe tablets and the incidence of constipation, with a p-value of 0.004. It is hoped that all pregnant women take Fe tablets together with drinking enough water, consuming fiber-rich foods, regular exercise, and adequate rest so as not to experience constipation when consuming Fe tablets and following health education conducted by local health workers and following classes for pregnant women on a regular basis.

THE RELATIONSHIP BETWEEN KNOWLEDGE OF PREGNANT WOMEN AND FAMILY SUPPORT FOR THE PARTICIPATION OF PREGNANT WOMEN IN TEACHING CLASSES FOR PREGNANT WOMEN IN THE WORK AREA OF UPT PUSKESMAS PANCA MAKMUR

Knowledge is the sensing of object (Arifah E A & Fridayanti W, 2016). Participation is personal involvement (Dwiningrum, 2018). Support is verbal or non-verbal advice, action have emotional benefit. This study aim to show that teaching classes for pregnant women have a good impact on pregnant women, which increase the knowledge and skill of pregnant women in dealing with pregnancy until the parturition process. Teaching class for pregnant women aim to reduce maternal and infant mortality.
 This study aim to determine the relationship between knowledge of pregnant women and family support on the participation of pregnant women in the Teaching Class for Pregnant Women in the working area of ​​the Panca Makmur Health Center UPT. This type of research is a quantitative study with a descriptive correlational approach. Normality test was carried out using descriptive analytic with a sample size of 36 so that the significant value of Kolmogorov-Smirnov was selected. So the correlation test use rank spearment
 The results showed that the knowledge of pregnant women was not good enough for 4 respondents (11.1%) and 32 respondents (88.8%). Poor family support 19 respondents (52.7%) and good support 17 respondents (47.2 %). Participation of pregnant women in teaching classes for pregnant women is not good 7 respondents (19.4%) and 29 respondents are good (80.6%). The rank spearment test shows that H1 is rejected, meaning that there is no relationship between knowledge of pregnant women and family support on the participation of pregnant women in teaching classes for pregnant women in the working area of ​​UPT Puskesmas Panca Makmur.
 Keywords: Knowledge, Support, Participation of pregnant women

RELATIONSHIP OF KNOWLEDGE, ATTITUDE OF PREGNANT MOTHERS AND HUSBAND SUPPORT FOR K4 VISIT

K4 coverage has increased since 2010 but has not yet reached the national target of 95%. External factors are knowledge, attitude, and husband's support. The purpose of this study was to determine the relationship between knowledge, attitudes of pregnant women and husband's support for K4 antenatal visits.
 This research is analytical with a cross sectional design using primary data, namely questionnaires and secondary data from medical records for the period March - June 2017. The total sampling is 30 people. Data analysis was univariate and bivariate.
 The results of the study using chi-square statistical calculations obtained a significant relationship between knowledge and antenatal visits K4 (p value = 0.01 <0.05). There is a significant relationship between attitudes and antenatal visits K4 (p value = 0.005 <0.05), and there is a significant relationship between husband's support and antenatal visits K4 (p value = 0.049 <0.05).
 It is hoped that the Buhit Public Health Center, Pangururan District, Samosir Regency, especially midwife health workers, improve the quality and quantity of counseling programs in pregnant women classes and include husbands to support maternal pregnancies in antenatal care visits so that the minimum service standards set by the Ministry of Health are achieved.
 Keywords: Knowledge, Attitude, Husband's Support, Implementation of K4

Cohort Study: Pregnant Exercise with Primigravida Stage II of Labor Delivery

Pregnancy exercise is a program for healthy pregnant women to prepare for the mother's physical condition. Suppose the mother does not do pregnancy exercise. In that case, she will experience aches, get tired quickly during pregnancy, and her delivery is not smooth in the second stage, thereby increasing fetal distress. This study determined the relationship between pregnancy exercise and the duration of the second stage of labor in primigravida in the Ambunten Health Center Work Area. The study design used a cohort analytic using a retrospective approach. The population was all primigravida women giving birth from September 2019 to September 2021. The sample taken was 179 respondents using a non-probability sampling technique. The second stage of labor They were then analyzed using the chi-square test. The results obtained from 179 respondents who did pregnancy exercise during the second stage of labor (74%) and did not do pregnancy exercise were not smooth (9%). The data analysis obtained the results with a p-value (0.000) and an error rate of the p-value (0.05). Conclusion H0 is rejected, and H1 is accepted. This means that there is a relationship between pregnancy exercise and the duration of the second stage of labor in primigravida in the Ambunten Health Center Work Area. This study concludes that respondents who did pregnancy exercise experienced a smooth process of the second stage of labor. Thus, it is recommended that respondents be more active in carrying out pregnancy exercises and that health workers intensify pregnant women to participate in classes for pregnant women.

Faktor-Faktor yang Berhubungan dengan Pelaksanaan Kelas Ibu Hamil di Klinik Serasi Medika Kabupaten Banyuasin

The class for pregnant women is a community empowerment activity through group learning facilities about the health of pregnant women by using the MCH handbook. The class of pregnant women will have an influence on pregnant women in the process of preparing for childbirth. Because taking classes for pregnant women can increase knowledge, skills and motivation related to awareness to improve the health status of mothers and babies. This results in the mental readiness factor of pregnant women in facing childbirth. The purpose of this study was to determine the relationship between knowledge, motivation, husband's support and support from health workers with the implementation of classes for pregnant women at Serasi Medika Clinic, Banyuasin Regency. The research design uses an Analytical Survey with a Cross Sectional approach. The population in this study were all 32 pregnant women at Serasi Medika Clinic. The sampling technique in this study was carried out by a total sampling of 32 respondents. Collecting data using a questionnaire sheet. Data analysis using univariate analysis and bivariate analysis using chi square test. The results of this study showed that there was a relationship between knowledge (p value = 0.008), motivation (p value = 0.013), and husband's support (p value = 0.019) with the implementation of the class for pregnant women. However, there was no relationship between the support of health workers (p value = 0.380) with the implementation of the class for pregnant women. The conclusion of this study is that there is a relationship between knowledge, motivation and husband's support with the implementation of the pregnant women class, but there is no relationship between the support of health workers and the implementation of the class for pregnant women.

Faktor-faktor yang Berhubungan dengan Persiapan Persalinan pada Ibu Hamil di Kelurahan Anduring

The unpreparedness of the mother in facing childbirth is one of the factors causing the Maternal Mortality Rate (MMR). For this reason, efforts to reduce MMR are carried out, preparation for childbirth is an important thing that must be improved. Preparation for childbirth can be done with various preparations ranging from increasing maternal knowledge, preparing costs, blood donation, choosing a place of delivery and birth attendants as well as preparing companions. In addition, through classes for pregnant women, preparation for childbirth can also be carried out, where with Antenatal Care visits according to standards, pregnant women can get information about the structure of pregnancy care, childbirth, postpartum, and newborn care. The purpose of this study was to determine the relationship between age, education level, family income, family support and prenatal care with preparation for delivery of pregnant women in Anduring Village. This type of research is analytic with a cross sectional study design. The study was carried out in the Anduring village of Padang city in July-November 2021. Sampling was carried out using the Total Sampling technique, where the total sample was all pregnant women who met the inclusion criteria. The sample of this study was pregnant women in the second-third trimester in Anduring village, amounting to 32 people. Data were collected using a questionnaire and analyzed by univariate and bivariate with chi-square test. There is a significant relationship between the level of education, family income, prenatal care and family support with preparation for delivery in pregnant women and there is no significant relationship between the age and occupation of the mother with labor preparation. It is hoped that midwives will optimize the use of the MCH handbook during Antenatal Care visits as a form of information and support for pregnant women, activate classes for pregnant women and involve their husbands in the activities of the pregnant classes, and provide counseling for preparation for delivery to pregnant women.

Role of midwives in the application of classroom services for pregnant women during the COVID-19 pandemic period

Based on 2021 World Health Organization (WHO) data, as many as 250,715,502 positive Covid-19 confirmed cases, the death rate of Covid-19 sufferers is 5,062,106 (COVID-19 Handling Acceleration Task Force, 2020). The increase in the number of people suffering from Covid-19 proves that Covid-19 spreads easily and quickly (World Health Organization, 2021). The Covid-19 virus attacks all ages, including vulnerable groups, one of which is pregnant women. During the Covid-19 pandemic, health services must continue to run optimally and be safe for patients and midwives with various adjustments based on Covid-19 handling guidelines or health protocols. Implementing antenatal classes during pregnancy and the role of the midwife or health worker is essential in identifying pregnant women class participants who will attend antenatal classes during pregnancy, including in the preparation phase. The objective is to systematically map research conducted in this field and identify the role of midwives in implementing class services for pregnant women during the pandemic. The method used is Prisma Flowchart (Preferred Reporting Items for Systematic review and Meta-Analyses) to describe the literature search flow. The article search uses four databases (Google Scholar, Pubmed, Wiley, and Science Direct).

PENGARUH KELAS IBU HAMIL TERHADAP KECEMASAN MENGHADAPI PERSALINAN PADA IBU HAMIL BERESIKO

Risk factors for pregnancy cause anxiety in the mother which can interfere with the pregnancyprocess and even the delivery process. The existence of a Class program for pregnant women canincrease the knowledge and skills of mothers regarding pregnancy, childbirth, postpartum care andnewborn care, and physical activity during pregnancy is expected to reduce maternal anxiety indealing with childbirth. This study aims to determine the effect of class of pregnant women on reducing anxiety levels in pregnant women. Quantitative research design with non-equivalent prepost-test control group design with a sample size of 30 in the experimental group and 30 in the control group. The research was conducted in the Sipahutar Community Health Center. The resultsshowed that there was a significant effect of class treatment of pregnant women on the level ofmaternal anxiety in facing childbirth, with a mean value of 36.10 and a standard deviation of 9.397and p value = 0.00. The conclusion of the study was that participation in the class of pregnant womenhad an effect on reducing maternal anxiety in dealing with labor

Effectiveness of Literacy about COVID-19 to Compliance of Pregnant Women to Antenatal Care in Pematangsiantar City

Background: In the COVID-19 pandemic situation, there are almost all routine services includingmaternal and newborn health services. For example, pregnant women are reluctant to go to the Puskesmasor other facilities for fear of being infected and services delay pregnancy checks and classes for pregnantwomen. This causes maternal and newborn health services to be one of the services affected, both in termsof access and quality. Therefore, in improving maternal health, literacy about covid-19 and ANC servicesare needed during the adaptation period of the covid-19 period. The general purpose of the study was todetermine the effectiveness of providing literacy about Covid-19 on the compliance of pregnant women inconducting Ante Natal Care in Pematangsiantar City. The specific objectives of the study were to determinethe level of health literacy about covid-19 in pregnant women, to know the coverage of ANC during thecovid-19 pandemic and to analyze the effectiveness of providing literacy about covid-19 on the complianceof pregnant women with ANC in Pematangsiantar City. Methods: This research uses a quasi-experimentaldesign by providing literacy about covid-19 and ANC to pregnant women. Literacy ability was assessedusing a 16-item S-HLS-EU-Q questionnaire with a Likert scale. The number of samples in this study was33 for the intervention group and 33 for the control group. Consecutive sampling and data analysis usingthe chi square test using the Statistical Package and Service Solutions (SPSS) version 25.0 application.Results: The results of the study were 33 respondents in the intervention group, all of whom had highliteracy about the health care domain. While in the control group only 75.8% had high literacy. The resultsof Fisher's test showed p value = 0.005. In the intervention group, 97% of the disease prevention domainhad high literacy and in the control group there were 84.8% who had high literacy. The results of Fisher'stest showed p value = 0.197. In the intervention group, the domain of health promotion, overall had highliteracy and in the control group there were 84.8% who had high literacy. Fisher's test results show p value= 0.053. Conclusion: The results, based on research, need to be made efforts to overcome the complianceof pregnant women in implementing an ANC..