Early Detection Of High Risk Pregnancies Research Articles

Electrokinetic indices of erythrocytes as diagnostic criteria for preeclampsia

Objective. To evaluate the features of changes in the morphofunctional status of peripheral blood erythrocytes during normal pregnancy and in preeclampsia based on rapid analysis of biophysical parameters of cells.Materials and methods. A total of 136 pregnant women were examined at 22–24 and 34–35 weeks of gestation. The comparison groups included: 40 pregnant women with moderate preeclampsia (PE), 30 pregnant women with severe preeclampsia, 30 pregnant women with chronic arterial hypertension (CAH), 36 women with normal pregnancy who do not have signs of hypertensive disorders. Electrokinetic features of peripheral blood erythrocytes were studied using cellular microelectrophoresis, the average value of the amplitude of oscillations of mobile erythrocytes (μm) and the proportion of mobile cells (%) were analyzed.Results. At 22–24 weeks, the percentage of immobile erythrocytes in pregnant women with moderate PE increased by 2.8 times (p<0.05), the amplitude of oscillations of mobile cells decreased by 21% (p<0.05). In pregnant women with severe PE, the proportion of immobile erythrocytes increased by 3.2 times (p<0.05), the amplitude decreased by 30% (p<0.05). In pregnant women with CAH, a slight increase in the percentage of immobile cells (8.2 vs 6.8%) and a tendency to a decrease in the average amplitude (21.5 vs 23.2 μm) were noted. At 34–35 weeks in the group with moderate PE, the% of immobile erythrocytes exceeded the corresponding indicator in women with physiological pregnancy by 3.3 times (p<0.05), the average amplitude decreased by 28% (p<0.05), in pregnant women with severe PE, the% of immobile erythrocytes increased by 3.7 times (p<0.05), the amplitude decreased by 36% (p<0.05). In pregnant women with CAH, there was a tendency for a slight increase in the proportion of immobile erythrocytes.Conclusion. The functional and morphological usefulness of erythrocytes as active participants in the pathogenesis of preeclampsia can be objectively assessed using indicators of electrokinetic activity of cells, and erythrocytes can be considered as biomarkers of the disease and a promising tool for stratifying patients for early detection of high-risk pregnancies.

Interactive Support in The Tambak Wedi Village Area of Surabaya City to Avoid Stunting

ABSTRACT Stunting remains a serious challenge for Indonesian society. The 2018 basic health research reported that the prevalence of stunting among toddlers reached 30.8%. The impact of stunting is not only on physical growth but also on cognitive development and the risk of diseases in adulthood. Community service plays a crucial role in supporting government efforts to address stunting through nutrition education, infant and child feeding practices, sanitation, hygiene, and family economic empowerment. Based on this, the involvement of higher education institutions is necessary to improve public health through an approach of interprofessional collaboration and interprofessional education designed in community service activities that focus on empowering communities through integrative assistance. This community service is carried out in 2024, located in Tambak Wedi Village, Surabaya. The activities conducted include training and assistance in the production of processed foods based on moringa leaves and fish, health education on healthy living behaviors, guidance on parenting and breastfeeding/MPASI, training for early detection of high-risk pregnancies for families, and checking hemoglobin and protein levels for pregnant women in a state of chronic energy deficiency who receive supplementary feeding based on moringa leaves and fish. At the beginning of the community service activities, the results of health and laboratory examinations were as follows: several mothers were found to have a mid-upper arm circumference (MUAC) below 23.5 cm, which may indicate a risk of chronic energy deficiency (CED). Pregnant women were still found with hemoglobin levels below 11 g/dL, indicating anemia during pregnancy. Additionally, protein levels in pregnant women were found to be 6.2 g/dL, and there was one stunted child and seven children in a pre-stunting condition. Following up on the results of the initial health examination, interventions were carried out for pregnant women with chronic energy deficiency and toddlers at risk of stunting by providing snacks made from moringa and fish for two weeks. The Surabaya Hebat cadres also received a refresher on early detection screening for high-risk pregnant women INDEX TERMS Stunting, Moringa leaves and fish, Tambak Wedi

The effect of family empowerment on hemoglobin levels in pregnant women

Empowering families can enhance their ability to detect high-risk pregnancies early, which can improve the health status of pregnant women. This study aimed to analyze the effect of the family empowerment model on the hemoglobin levels of pregnant women. It employed a quasi-experimental method with a cross-sectional study approach, implementing a family empowerment intervention to examine its impact on the health of pregnant women. Sampling was conducted using probability sampling with simple random sampling, resulting in 60 pregnant women divided equally into an intervention group and a control group. The independent variable was the family empowerment model intervention, and the dependent variable was the hemoglobin level of the pregnant women. Data were collected using a questionnaire and analyzed with the Wilcoxon test statistic, which indicated a significant effect (p=0.000) of the family empowerment model on the hemoglobin levels of pregnant women. The statistical analysis revealed that the intervention group’s hemoglobin levels showed a significant difference (p<0.05) before and after the intervention. In summary, the treatment involving the family empowerment model significantly affected the hemoglobin levels in pregnant women. After the intervention, nearly all respondents demonstrated increased family involvement in maintaining and caring for pregnant women, facilitating the early detection of high-risk pregnancies, and contributing to increased hemoglobin levels among these women.

Abdominal hysterectomy due to uterine rupture causing bilateral ureterovaginal fistula: A rare case report

Abstract Ureterovaginal fistula (UVF) is defined as abnormal communication between ureter and vagina. Although documented after radical hysterectomy, post radiation and retained pessary incidence of bilateral UVF is still very rare. We have documented a case report of a multipara woman presented with persistent urinary leakage following an emergency hysterectomy for obstructed labor. After evaluation with imaging there was bilateral hydroureterophrosis with dense purulent collection mixed with contrast in the vesicular area with lower end of ureter draining in the vaginal vault with preserved renal function. During exploration both ureters were dilated. Instillation dye in both ureters showed extravasation in vagina. After ligating distal ends modified Lich-Gregoir technique done over double J (DJ) stents. DJ removed after 3 months. Bilateral UVF is only 5%–10% of all ureteric injury. Aggressive blind clamping, excessive hemorrhage, distorted anatomy, malignancy and surgeons experience play a crucial role. Obstetric cause is the prime factor. Preventing measures like proper screening of antenatal patients, early detection of high-risk pregnancy, supervised caesarean section should be taken to avoid ureteric injuries

Quantifying the Occurrence of High-Risk Pregnancy: A Comprehensive Survey.

Background High-risk pregnancies are characterized by various factors that pose potential risks to maternal and newborn health outcomes. Early detection of these high-risk pregnancies serves as a crucial initial step in preventing maternal mortality and morbidity, thereby promoting the overall health of both mother and baby. This study sought to assess the occurrence of high-risk pregnancy and investigate the factors associated with it among pregnant women. Methods A descriptive survey was undertaken at the Obstetrics and Gynaecology outpatient department of a District Government Hospital in Tamil Nadu, involving 1889 pregnant women in their second and third trimesters. A structured questionnaire, constructed following the Indian standard criteria outlined by the National Health Portal of India, served as the data collection tool. The survey was conducted in February and March 2022, during which pregnant women were interviewed. Subsequently, the collected data underwent descriptive and inferential statistical analysis. Results Among the 1889 pregnant women surveyed, 29% (n=530) were classified as high-risk pregnancies. Within this group, 34.3% (n=182) were diagnosed with hypothyroidism, while 23.2% (n=123) experienced pregnancy-induced hypertension. Significant associations with high-risk pregnancy were observed for factors such as age, education status, occupation, family income, socioeconomic status, and gravida among the pregnant women. Conclusion Policymakers must urgently implement evidence-based interventions aimed at early detection and treatment of high-risk pregnancies. This proactive approach is essential in preventing maternal mortality and morbidity.

The effect of health education in improving the knowledge and attitudes of integrated service post cadres about early detection of high-risk pregnancies in the working area of the Mamajang health center, Makassar city, Indonesia.

Maternal mortality can be reduced by strengthening the process of early detection of high-risk pregnancies. However, the lack of knowledge related to high-risk pregnancy is still an obstacle. This study aims to analyze the effect of health education on the knowledge and attitudes of cadres about early detection of high-risk pregnancy in the working area of Health Centre Mamajang Makassar City. Experimental research with a pretest protest design with a control group, involving 80 cadres spread across 20 Integrated Service Posts who were divided into four treatment groups. There was an increase in mean knowledge between the intervention group (P=0.000) and the control group (P=0.002). There was also an increase in attitude between the intervention group (P=0.000). However, there was no improvement in attitude (P=0.475) in the control group. The intervention group through combined video+booklet had the highest mean knowledge score (6.65-13.90) than the groups that received intervention through video (6.60-12.69) or booklet alone (6.75-12.07), respectively. On attitude, the highest average attitude score in the intervention group was the combined video+booklet group (22.0-35.8), video (21.22-34.65) and booklet alone (22.25-34.55). While the average score of the control group on knowledge (6.00-6.95) and attitude (22.60-23.05). The role of health education by involving a combination of both video and booklet media is appropriate as an effort to influence Integrated Service Post cadres in increasing knowledge and attitudes about the early detection of high-risk pregnancies.

PEMBERDAYAAN KADER POSYANDU DALAM DETEKSI DINI KEHAMILAN RISIKO TINGGI DENGAN SKRINING KARTU SKOR POEDJI ROCHJATI DI WILAYAH KERJA PUSKESMAS SATELIT KOTA BANDAR LAMPUNG

The maternal mortality rate (MMR) during pregnancy is still quite high, estimated at 115 per 100,000 live births by 2020. The cause of the high maternal mortality rate may be due to inadequate quality of health care services for pregnant women and childbirth, poor health status of pregnant women such as anemia. , pregnant women with diabetes, hypertension, tuberculosis, HIV, hepatitis B. and four more. One of the efforts to reduce maternal mortality (MMR) is to increase the use of community health facilities, starting with antenatal care by recognizing the presence of pregnant women at risk. high chance through screening or early detection, one of which can be done by posyandu officer. The purpose of this service is to increase managers' knowledge about early detection of high-risk pregnancies using the Poedji Rochjati Scorecard Screening. This service approach includes counseling for early detection of high-risk pregnancies. The results of this activity show that, the average test score before the submission of documents is 75, while after the submission of documents and training, the average value increases to 86. Based on the results of the table, the value of knowledge has increased to 16%. 
 
 Keyword : MMR, Early detection, Cadre

OP19 Early Detection of High-Risk Pregnancy for Blue and Cross Blue Shield of Louisiana Members

Blue Cross and Blue Shield of Louisiana examines risk factors prior to the first indication of eligible member’s pregnancy. In combination with early detection of pregnancy, the risk factors are used for enhanced and prolonged intervention during the pregnancy with the intention of preventing adverse maternal outcomes. This study evaluates the timeliness of pregnancy identification and evaluates the relationship between risk factors known before pregnancy and maternal outcomes.

Pregnancy Classes Increase Knowledge of Early Detection of High-Risk of Pregnancy

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Pacitan Regency, are still quite high. This is related to access, socio-cultural, educational, and economic factors. To prevent more dangerous risks for pregnant women and their fetuses, mothers' knowledge about early detection of pregnancy complications needs to be increased by holding classes for pregnant women. This experience analyzes the effect of pregnant women's class on mothers’ knowledge in the early detection of high-risk pregnancies in the Tanjungsari Health Center area, Pacitan. In this study, the design used was Quasi-Experimental with the One Group Pre-Test and Post-Test Design research design. The sampling technique in this study is Simple Random Sampling. The samples in the study are pregnant women in the I-III trimesters was taken who had never attended a class for pregnant women during pregnancy in November 2022 from 15 villages in Tanjungsari Health Center. Data analysis using the Paired Sample T-Test analysis obtained a test result value = 0.000 ( p-value <0.05). There is an effect of the class of pregnant women on mothers’ knowledge in early detection of high-risk pregnancies

Preoperative anemia and associated factors in women undergoing cesarean section at a comprehensive specialized referral hospital in Ethiopia.

Anemia is a common public health burden during pregnancy. Severe maternal and fetal complications have been associated with anemia. Despite many studies on anemia during pregnancy have been conducted in Ethiopia at any time of antenatal care visits, the prevalence of preoperative anemia among women awaiting cesarean delivery and its contributing factors have not been determined. The aim of this study was to determine the prevalence and associated factors of preoperative anemia in women awaiting cesarean section at a comprehensive specialized hospital in Ethiopia. An institution-based cross-sectional study was done from April to June 2022 to determine preoperative anemia in women undergoing cesarean delivery. Data were obtained using a standardized questionnaire that included the women's background characteristics. Bi-variable and multi-variable logistic regression analyses were performed to identify variables related to preoperative anemia. With a 95% confidence level, the estimated crude odds ratio and adjusted odds ratio were calculated. In a multivariate analysis, variables were considered statistically significant if their p-value was less than 0.05. A total of 424 pregnant women with a 100% response rate were included in this study. The prevalence of preoperative anemia among women awaiting cesarean delivery was 28.3% (95% CI: 23.8-32.5%). Previous history of abortion, lack of iron supplementation, human immunodeficiency virus infection, previous cesarean section, and American Society of Anesthesiology class III were significantly associated with preoperative anemia among women awaiting cesarean section. Preoperative anemia was diagnosed in a significant proportion of women awaiting cesarean-delivery. Anemia was linked to a lack of iron supplementation, American Society of Anesthesiology class III, previous history of abortion, human immunodeficiency virus infection, and previous cesarean section. Therefore, early detection of high-risk pregnancies, iron supplementation, prevention of HIV infection and due attention to people living with HIV/AIDs are paramount.

The Effectiveness of Offline and Online Pregnant Women Classes on Knowledge of High-Risk Pregnant Women

Efforts to reduce maternal mortality need to be carried out by early detection of high-risk pregnancies at maternal and child health services or in the community. Method: Quasi experimental research method non-equivalent control group design. Results: Based on an analysis of differences in mothers' knowledge about high-risk pregnancies in the Intervention group and the Control Group in the Gunung Bahagia Health Center area in 2022, the results obtained were p-value (0.074) > 0.05, which means there was no difference in the knowledge of respondents in the Pregnant Women Class class between post online and post offline. Discussion: Giving pregnant women classes before and after in the offline group has a good effect because there is an increase in the average knowledge of pregnant women. Conclusion: In providing health education both offline and online, there is no difference in the effectiveness of both the intervention group and the control group. Increasing mother's knowledge based on mother's understanding in receiving the information that has been given.

The Impact of Prenatal Diagnosis and Treatment on Early Neonatal Problems

OBJECTIVE: Obstetric problems have detrimental effects on both pregnancy and newborn. We aimed to examine the relationship between pregnancy complications and newborn morbidities. STUDY DESIGN: The newborns admitted to the neonatal intensive care unit between September 2019 and August 2022 were included in this retrospective cross-sectional study. Antenatal morbidities and neonatal complications including low APGAR-score (<5), bronchopulmonary dysplasia, early neonatal sepsis, and early neonatal death were evaluated. Pearson-χ2 cross-tabs were used to compare two variables. A p-value <0.05 was determined statistically significant. RESULTS: Among the 686 infants analyzed, 94 (13.7%) had early neonatal death, 264 (38.5%) had bronchopulmonary dysplasia, 259 (37.8%) had early neonatal sepsis, and 424 (61.9%) had feeding intolerance. Early neonatal sepsis was observed significantly higher in newborns whose mothers had urinary tract infection in the last two weeks (p<0.001), preterm premature rupture of membranes (p=0.006), or clinical chorioamnionitis (p<0.001). Early neonatal death was found significantly higher in pregnancies with preeclampsia (p<0.001), preterm premature rupture of membranes (p<0.001), clinical chorioamnionitis (p<0.001), or small-for-gestational-age (p<0.001). Preeclampsia and magnesium neuroprophylaxis were found significantly higher in neonates with feeding intolerance (p<0.001). Backward: LR logistic regression analysis based on early neonatal sepsis risk revealed that birth week, preterm premature rupture of membranes, clinical chorioamnionitis, small-for-gestational-age, and urinary tract infection were significant parameters affecting the risk of early neonatal sepsis (p<0.05). CONCLUSION: Preventing premature births and cautious management of pregnancy complications may be helpful in reducing adverse neonatal outcomes. Early detection of high-risk pregnancies and transfer to a tertiary center may be helpful to improve neonatal outcomes.

Early detection of high risk of pregnant women in Asia

This research is a Scoping Review. This study aims to map research on the early detection of high-risk pregnant women. The research method used is to adapt the Prisma-ScR framework. PubMed Database, Scientific direct and Google Scholar; critical appraisal carried out in this review is to use the Joana Brigs checklist from the Joana Brigs Institute (JBI). Results: based on the search results of 541 there were 10 articles that matched the inclusion criteria and came from the Asian continent. This review raises two sub-themes, namely early detection of high-risk pregnant women by health workers and early detection of high-risk pregnant women by non-health workers. The results showed that early detection of high-risk pregnancies was related to activities to obtain information about pregnant women who were detected as at-risk populations. This can only be detected by health workers scientifically.

Activity To Prevent Risk Factors For Pregnant Mothers As Early As Possible in the Working Area of Pasar Ikan Health Center, Malabero Village, Bengkulu City

In 2020 in Bengkulu Province there were still 32 maternal deaths. Malabero is one of the villages in Teluk Segara District, Bengkulu City, which is located in the city center, is a fishing village area and includes the working area of the Pasar Ikan Health Center. There were 352 visits by pregnant women during 2020 at the Puskesmas (Bengkulu Health Office, 2021). The high number of pregnant women and the number of deaths due to complications require that health workers, especially midwives, are able to detect risk factors in pregnant women. High-risk pregnancies are pregnant women with various risk factors that can cause complications such as pain or bleeding, disability, discomfort during pregnancy and after delivery, can threaten the life of the mother and fetus. The community service team from FIKes Unived held active activities to prevent risk factors for pregnant women aimed at early detection of high-risk pregnancies. The method used in this service is by providing education using maternal and child health books (KIA). By holding this health education, it is hoped that pregnant women will be able to increase knowledge and prevention. Risk factors for pregnant women include age, parity, height, blood pressure, upper arm circumference, birth spacing, hemoglobin levels, body weight, history of pregnancy-delivery-partum, fetal position abnormalities, large fetal abnormalities.

Empowerment Of Community (Health And Family Cadres) In Early Detection Of High Risk Pregnant Mothers As A Prevention Of Pregnancy Complications

Purpose of activity: Increase community participation in early detection of risks in pregnant women to avoid complications in pregnancy. Methods of service: Workshop to support cadres in identifying high-risk pregnancies, home visits by cadres to pregnant women to identify and find high-risk pregnant women and inform health workers, provision of ANC services, and health education to high-risk pregnant women by health workers. Results: The ISBN module, HAKI increased health cadres' knowledge of early detection of high-risk pregnancies by 100% in the poor category before receiving the information, and by 100% in the good category after receiving the information, coverage of high-risk pregnancies found by health cadres, and reported to the village midwife by 100%, knowledge of mothers and families regarding early detection of high-risk pregnancies before receiving the information by 6 people (66.7%) in the poor category, 3 people (33.3) in the medium category. After receiving the information, 9 persons (100%) were in a good category. Conclusion: Community (cadres and families) participation in the early detection of high-risk pregnant women has increased.

Maternal Mortality in the Remote Islands of India-Unraveling the Conundrum.

Introduction:Reduction in maternal mortality has been a top priority in low- and lower middle-income countries of Asia-Pacific region. India, being one of them, has a major responsibility of reducing maternal mortality especially in light of the commitment on the part of the Sustainable Development Goals. Despite massive efforts and availability of technology needed to avert maternal deaths, the maternal mortality ratio (MMR) in India continues to be high especially in remote areas. This study aims at collecting the MMR data and analyzing in the context of island infrastructure.Material and Methods:This was a hospital-based cross-sectional study. The records of maternal deaths from January 2010 to December 2019 were collected from the medical record section and analyzed.Results:The MMR was estimated to be 95.63 per 100,000 live births. Majority of the patients were multigravida (82%) in the age group of 21 to 30 years (75%). Around 64% of them were referred cases. Majority (86%) of the deaths occurred in the postpartum period. Hemorrhage was the leading direct cause of maternal deaths (35.7%) followed by hypertensive disorders of pregnancy (HDP) (21.4%).Conclusion:Most maternal deaths are preventable. Early detection of high-risk pregnancies and early referral of such patients to a well-equipped center is the key to curb the catastrophe of mortality. Adopting methods like qSOFA (quick sequential organ failure assessment) for identifying patients requiring intensive care and miniPIERS (Preeclampsia Integrated Estimate of RiSk) model for predicting adverse outcome in HDP is the need of hour. More efforts should be made to retain the specialists in the islands.

ANALYSIS OF DETERMINANT FACTORS OF AFFECTING FAMILY ABILITY IN HIGH-RISK PREGNANCY

Background: The ability of pregnant women to deal with early response to high risks is still below the average, which is one of the causes of complications that can indicate the welfare of the mother and her fetus.
 Objectives: The aim of this study was to look at the determinants that influence early detection of high-risk pregnancies.
 Methods: This study used an analytic design with a cross sectional design. The sample size of 112 from a population of 155 was obtained by simple random sampling. The independent variables are individual factors, interpersonal influence, filial value and commitment, while the dependent variable is the family's ability to detect high risk of pregnancy for 3 months, namely August-October 2020 at PMB Ika Mardiyanti. This study uses a questionnaire. Data collection in the form of a questionnaire. Data analysis using SEM-PLS.
 Results: The results of the significance test concluded that all the path coefficients and the T statistical value of personal factors on interpersonal (0.453; 6.612), interpersonal on filial values ​​(0.753; 7.267), filial value for commitment (0.851; 17.048), filial value for ability (0.667 ; 4,679), commitment to ability (0.358; 2.356) is significant. Because all have a T-statistic value that is more than the T-table 1.96.
 Conclusion: The determinant factors that contribute to the ability of families to detect high risk of pregnancy need to be considered so that families are independent and have efforts to maintain the health of pregnant women in their families. In further research, it is necessary to involve other factors to improve family capacity, especially in the ability of families to detect high-risk pregnancies early.
 
 Keywords: Ability, family, high-risk.

Performance of Midwives In Integrated Antenatal Services In Early Detecting High Risk Pregnancy in Kupang City

The research method used an exploratory study design. Data were collected using in-depth interviews and direct observation. The research data were analyzed using thematic methods. The performance of midwives, seen from the input aspect, is lacking, where there is an additional workload for midwives, most of the midwives have not attended training, and there is a lack of examination room infrastructure. From the process aspect, there is lacking of supervision that more focus on early detection of high-risk pregnancies. The output aspect, the midwife's performance achievement was lacking in the two sample Puskesmas as seen from the coverage of each program indicator that had not yet reached the SPM target and the Kupang City Strategic Plan. It is necessary to increase the competence of midwives through integrated antenatal training and early detection of high-risk pregnancies that will support their performance achievement in ANC services

Prevalence of High Risk Pregnancy: in A Tertiary Care Centre of Sagar Division of M.P.

Background: High risk pregnancy is broadly defined as one in which mother, fetus or newborn is or will beat increased risk for morbidity or mortality before or after delivery. According to WHO, globally about 830women die from pregnancy or childbirth-related complications every day. About 20-30% of all pregnanciesbelong to high-risk category, which is responsible for 70–80% of perinatal mortality and morbidity.Hence, the current study was done to determine the prevalence of high-risk pregnancies and associated highrisk factors among antenatal women in a tertiary care centre of central India.Aims & Objectives: To know the prevalence of high-risk pregnancies and associated high risk factors.Materials and methods: Ethics approval to conduct the study was obtained from the Institutional EthicsCommittee. It is a record-based retrospective longitudinal study done among 3898 antenatal women whohave attended/ referred to our tertiary care institute, Bundelkhand Medical College, Sagar, M.P. duringFebruary 2020 to May 2020.High-risk pregnancy was classified based on the guidelines from the Pradhan Mantri Surakshit MatritvaAbhiyan.Results: Among 3898 antenatal case record reviewed. Results of this study show that the prevalence ofhigh-risk pregnancy among study participants was 16.54%.Most of the pregnant women were in age group of 20-35 years that is 94.72%.Most of the pregnant women were multigravida 57.20% by gestation.Regarding obstetric and neonatal outcomes, majority had normal vaginal delivery (60.6%). The mostcommon high risk factors were history of previous cesarean section 31.94 %, Hypertension in Pregnancy22.17% & Abnormal Presentation were 13.95%.Conclusion: The current study found that almost one-sixth (16.54%) of the pregnant women have highriskpregnancy. Hence, early detection of high-risk pregnancy needs to be done to improve the maternal,obstetric, and neonatal outcomes.

The Effectiveness of M.D-Risti Application as an Alternative for Independent Early Detection of Risk of Pregnancy during the Pandemic COVID-19 in Palu City, Central Sulawesi, Indonesia

BACKGROUND: Early detection of risk factors for pregnancy is carried out through regular prenatal examinations from an early age to detect abnormalities/disorders/illnesses suffered by pregnant women early. Mobile applications are very helpful in the process of early detection and recording of health workers’ reports, especially during a pandemic.
 AIM: This study aims to assess the knowledge, attitudes, actions, and skills of pregnant women in the early detection of high-risk pregnancy before and after the intervention and the effectiveness of M.D-Risti modules and applications.
 METHODS: This study used a quasi-experiment design research design with a pre-post only group design consisting of an intervention group and a control group at 4 health centers in Palu City with a purposive sampling technique of 43 respondents per group with univariate and bivariate analysis.
 RESULTS: The results showed that there was a significant difference in the level of knowledge (p = 0.00), attitude (p = 0.00), action (p = 0.00), and the skills of pregnant women in early detection of pregnancy (p = 0.00) before and after treatment in the intervention group. There was a significant difference between the two groups with a significant value on knowledge (p = 0.00), attitude (p = 0.00), action (p = 0.00), and skills of pregnant women in doing early detection of pregnancy risk independently (p = 0.00).
 CONCLUSION: The intervention of M.D-Risti modules and applications had a significant effect on changes in knowledge, attitudes, actions, and skills of pregnant women in early detection of pregnancy risk compared to pregnant women who were not given intervention at all. The M.D-Risti application is one of the solutions during the COVID-19 pandemic and in the long term, all health centers in Palu city can use it to help monitor the risk of pregnancy more quickly