Implementation Of Antenatal Care Research Articles

PELAKSANAAN ANTENATAL CARE DENGAN 10 T DIPUSKESMAS MUNGKUR AGUNG KECAMATAN KELUA

Maternal and child health is a priority for health development in Indonesia. The implementation of Ante Natal Care with 10 T in pregnant women affects the results of early detection of risks and complications during pregnancy. This cause of maternal death shows that maternal death can be prevented if the coverage of services is accompanied by good quality service. The purpose of the study was to determine the Implementation of Antenatal Care with 10 T at the Mungkur Agung Health Center, Kelua District. This research method with quantitative descriptive, with a population of all pregnant women at 20 weeks gestational age and over trimester II, III with a total sampling technique, namely pregnant women totaling 38 people Results: It was found that the implementation of ANC with 10 T according to the standard was (97.37%), %) and there was 1 (2.63%) pregnant women who in the implementation of ANC did not meet the 10 T standard.

Support from midwives and spouse on antenatal care visit adherence in health centers among primigravida pregnant women

Background: The maternal mortality rate in Indonesia remains high. A strategy to reduce this number is through the implementation of antenatal care (ANC) programs, which are essential for pregnant women. The issue at hand is the low number of ANC visits at the Sragen Community Health Center, where out of 1,022 targets, 896 pregnant women did not meet the minimum service standard target in 2022. ANC visits are closely related to various factors, such as knowledge, attitude, access, and external support factors. This study focuses on external support factors that influence pregnant women to attend ANC visits, including support from husbands and midwives. Purpose: To determine the relationship between husband and midwife support and antenatal care visits among primigravida pregnant women. Method: This quantitative research with a cross-sectional design was conducted in October 2023 at the Sragen Community Health Center. The study population consisted of 100 primigravida women who had ANC visits from January to August 2023, with a sample size of 84 pregnant women selected using total sampling techniques based on the Lemeshow formula. The research instrument used was a questionnaire. Data were analyzed using bivariate Chi-Square tests processed with SPSS version 20. Results: There is a significant relationship between husband support and ANC visits among primigravida women, with a P-value of <0.001. Similarly, statistical tests showed a significant relationship between midwife support and ANC visits among primigravida women, with a p-value of <0.001. Conclusion: Both husband and midwife support are highly beneficial, with average support levels above 80%. The highest percentage of husband support was in the emotional aspect (83%), and the highest percentage of midwife support was in the instrumental aspect (83.3%). High levels of husband and midwife support can promote pregnant women to attend ANC visits regularly, while low support can result in reluctance to do so.

Antenatal care implementation between two asian countries: A study from Indonesia and Taiwan

Background: Antenatal care (ANC) is essential for safeguarding the health of both mothers and their unborn children troughout pregnancy. Understanding the differences from other county provides valuable insight for enhancing maternal and neonatal health outcomes in various healthcare environments. Aims: This study compares the implementation of ANC between Indonesia and Taiwan. Method: A qualitative approach was used to explore ANC implementation between Indonesia and Taiwan. Participants were recruited using purposive sampling, consisting of 6 healthcare providers, 10 pregnant women, and 3 experts from Taiwan and Indonesia. Data were collected through interview, focused group discussions, and document review. Collaizi’s strategy was used to analyze the data. To ensure the trustworthiness of the study, credibility, transferability, dependability, and confirmability were encouraged. Result: There are three themes emerged from this study with twleve following sub-themes. The themes are institutional and structural framework of ANC, ANC education and awareness, and self-empowerment and encourage of pregnant women. Conclusion: By adopting best practices from Taiwan, Indonesia can enhance its ANC services and empower pregnant women, leading to improved maternal and neonatal health outcomes.

The Relationship Between Knowledge and Attitude of Pregnant Women about Anc with The Suitability of Antenatal Care Visits

Background:The goal of an ANC (Antenatal Care) examination is to assess a pregnant woman's physical and mental health in order to help her prepare for childbirth, the postpartum period, exclusive breastfeeding, and the restoration of her reproductive organs' health. To have a happy pregnancy and birthing experience, pregnant women get prenatal care (ANC) (positive pregnancy experience). Objective:To determine the relationship between the knowledge and attitudes of pregnant women about ANC and the suitability of ANC visits. Methods:The type of research used in this study is an analytical survey with a cross-sectional design. The study participants were typical primigravida pregnant women—as many as 172 people. The sample of this study was 120 primigravida pregnant women who had attended antenatal care visits at 3 Community Health Centers and 3 TPMB Cimahi City. Results:According to this study, 21.6% of respondents had good knowledge, 21.8% of respondents had sufficient knowledge, and 56.6% of respondents had less knowledge. 39.1% of respondents had a positive attitude towards the implementation of ANC, fewer than the respondents who had a negative attitude of 60.9%. Based on the bivariate analysis, which resulted in a p-value of 0.000, Conclusion:Pregnant women are required to constantly be receptive to the advice of healthcare professionals in order to broaden their knowledge and inspire moms to have their pregnancies regularly monitored

ANALYSIS OF FACTORS RELATED TO ANTENATAL CARE VISITS (ANC) IN THE TIME OF THE PANDEMIC COVID-19 IN THE WORKING AREA OF THE MELONG ASIH PUSKESMAS, CIMAHI CITY YEAR 2022

Introduction. The pandemic conditions mean that the implementation of Antenatal care (ANC) requires time management, ANC is carried out with limited visits and is carried out more through online telecommunication and studying MCH books. ANC examinations during the pandemic must still be carried out by implementing health protocols. Factors related to ANC visits include family support, support from health workers and knowledge. Pregnancy examinations are carried out according to the 10T examination service standard of care. This research was to determine the analysis of factors related to ANC visits during the Covid-19 pandemic in the Melong Asih Health Center working area, Cimahi City. Methods. This research uses a cross sectional approach . The sampling technique in research is a Non Probability Sampling technique in the form of Accidental Sampling as many as 88 respondents. Data were collected using a family support questionnaire , the role of health workers, knowledge and observation of maternal and child health (KIA) books . Data were analyzed univariately and bivariately using the Chi-Square test. Results and Analysis. Statistical test results were obtained from 3 ANC visit factors There is only 1 factor that has a relationship, namely between family support and ANC visits with a value of p = 0.036 < α = 0.05. Discussions. The results of this research can be used as evaluation or policy material by the community health center to update data on pregnant women in the working area of the Melong Asih Community Health Center, Cimahi City.

EDUKASI IBU HAMIL TENTANG TANDA BAHAYA KEHAMILAN PADA WARGA DUSUN PONDOK BUAK DESA BATU KUMBUNG

Pregnancy is a natural and physiological process. Every woman who has healthy reproductive organs, if she has experienced menstruation and has sexual relations with a man whose reproductive organs are healthy, there is a very high possibility of pregnancy (Mandriwati, et al 2017). Normal pregnancy will take place within 40 weeks or 10 lunar months or 9 months according to the international calendar. Pregnancy is divided into 3 trimesters: 1. the first trimester lasts for 12 weeks, 2. the second trimester is 15 weeks (13 to 27 weeks) and 3. the third trimester is 13 weeks (28 to 40 weeks) (Prawirohardjo, 2014). Knowledge of pregnant women about the danger signs in pregnancy is one of the factors that can affect the alertness of pregnant women to the danger signs of pregnancy. To prevent the occurrence of danger in pregnancy, pregnant women need to have regular antenatal care checks at health facilities. This study aims to determine the relationship between knowledge of pregnancy danger signs and compliance with the implementation of antenatal care (ANC) in pregnant women. There is a strong relationship between knowledge of the danger signs of pregnancy and adherence to antenatal care for pregnant women in Pondok Buak Hamlet.

Mix Method Analysis of Factors Affecting Implementation of Antenatal Care (ANC) in Pregnant Women in the Work Area of the Medan Deli Health Center, Medan Deli District, Medan

workers which includes physical and mental health to get mothers and babies who are healthy during pregnancy, childbirth and postpartum. Data from the Medan Deli Health Center shows that in 2019 the K1 coverage is only (87%) and K4 only (66%), while the target of K1 and K4 coverage is 100% respectively. Many factors are thought to be the cause of not achieving coverage of antenatal care (ANC) implementation. The purpose of this study was to analyze the factors that influence the implementation of ANC in pregnant women. This type of research is a mix method with quantitative and qualitative approaches. The study population was 195 people, with the Slovin formula taken a sample of 66 people. Quantitative analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level ( = 0.05). The qualitative analysis was analyzed by means of reduction, data display and verification. The results showed the variables that influenced the implementation of antenatal care (ANC) in pregnant women in the work area of ​​the Medan Deli Public Health Center in 2020, namely knowledge p = 0.032, attitude p = 0.018, parity p = 0.008, health services p = 0.016, husband support p = 0.026 and support for health workers p = 0.041. The unrelated variable was job status p = 0.269. The most dominant variable was the health service variable which had a value of Exp (B) = 12.048, meaning that respondents who received health services had 12 times the chance of implementing antenatal care compared to respondents who did not get health services. The conclusion of this research is that the implementation of antenatal care in pregnant women is influenced by knowledge, attitudes, parity, health services, husband support and support from health workers. It is hoped that health workers, especially midwives, will provide good IEC about the implementation of antenatal care to every pregnant woman and carry out more frequent home visit activities and provide advice to the puskesmas to re-attach the standby husband and cooperate with local regional leaders

The Implementation of Antenatal Care with Telehealth Towards Pregnant Women’s Mental Health

Mental health problems among pregnant women must be prevented or managed to prevent more various possible complications that can occur to both mother and fetus, which can be carried out together with Antenatal Care (ANC). Telehealth is a technology-based approach to improving maternal health care. This study aims to discuss the implementation of ANC with telehealth towards pregnant women’s mental health. This study is a literature review conducted by searching databases of PubMed, Proquest, Cochrane Review, and EBSCOhost databases from 2000-2020. The result showed the mode of telehealth had been used varies in nine articles have reviewed, with the most participants were using handphones 56% and computers 11%, and both combination 22%, while application-based 45%, websites 22%, software 11%, internet 11%, and SMS 11%. Implementing telehealth with ANC made it possible to effectively detect early mental health and manage the problem. The result has also shown that telehealth has achieved a good satisfaction level. The common factors that influence telehealth's efficacy include income, education, the age of pregnant women, and gestational age. It can be concluded that telehealth with ANC can effectively improve mental health among pregnant women and be recommended for use by health care providers in pandemic COVID-19.

Effect of Training on the Application of ANC 10 T on Midwife Knowledge to Prevent Maternal Death in Dairi Regency of North Sumatra Indonesia

INTRODUCTION: Antenatal Care (ANC) data collected at Matlab Thana and shows that the maternal mortality rate for mothers aged 15 – 19 years is 7.4 per 1000 live births while for mothers aged 20 – 24 it is 3.8 to 1000 live births. For mothers under the age of 15, 17, 7. This ratio was then cited in the 1989 WHO volume compilation of age-specific maternal mortality data from 40 countries over approximately the same period as the Bangladesh study suggesting a much more moderate risk of excess for young mothers, but most of them were ignored in the scientific literature. Rizki Dewi et al’s 2017 research-led most midwives (69.7%) 10T standard in good integrated antenatal service. The purpose of the research to know the knowledge of midwives in the application of antenatal care to prevent maternal death in Dairi Regency of North Sumatra.
 
 METHODS: Design research was quantitative research with a quantitative design experiment. Models used, observed/measured changes. Bivariate Analysis, to analyze the influence between independent variables (each dimension) and dependent variables with different tests (t-tests).
 
 RESEARCH RESULTS: Midwife knowledge increased after ANC implementation training. Knowledge Before an ANC 10 T application training, value p = 0.731 This means that there was no difference in knowledge, control before (pre-test) training implementation of ANC 10 T. The average knowledge difference between the pre-test and post-test is 0.067 with a value of p = 0.058 The difference between the case group and the control group before and after the training of an ANC 10 T implementation with a value of p = 0.000, p-value (0.000) < 0.05 then it can be concluded that the training of the implementation of ANC 10 T effectively improves midwife knowledge in Dairi Regency of Sumatra Province.
 
 CONCLUSION: Midwife knowledge increased after an ANC implementation training in the Dairi regency of North Sumatra. Advice that training was very effective to improve the knowledge of midwives in the application of ANC in Dairi district of North Sumatra. 

Relationship Antenatalcare (ANC) with Neonatal Death in Indonesia (Data Analysis 2017 IDHS)

Background: The results of the Indonesian Demographic and Health Survey (IDHS) in 2017 show an NMRof 15 per 1.000 live births. These figures are still lower than the Sustainable Development Goals (SDG’s)Sustainable Development Goals target, with the target that in 2030 naonatal mortality rate (NMR) no morethan 12 per 1.000 live births by 2030. Neonatal mortality comes from poor maternal health, inadequate careduring pregnancy, management of improper complications during pregnancy and childbirth. The purpose ofthis study was to see the relationship between history of antenatal care (ANC) visits and neonatal death inIndonesia.Method: This study used a case control design with female respondents aged 15-49 years. Multiple LogisticRegression is used to see the variables most related with the 95% Confident Interval. Data was analyzedusing SPSS 24 for windows.Results: The final model shows that there is a significant relationship between the history of ANC andneonatal death after controlled variables for labor complications. OR value = 2.449 (95% CI: 1.358-4.417).Conclusion: The implementation of Antenatal Care (ANC) for pregnant women is a step to detect problemsor complications that may arise during pregnancy. Problems or complications during pregnancy can affectthe safety of the mother and baby. Implementing ANC in accordance with the standards recommended bythe government is a solution in reducing maternal and newborn mortality.

ANALISIS FAKTOR PELAYANAN ANTENATAL TERPADU DI WILAYAH KERJA PUSKESMAS TEMBILAHAN HULU

The health of pregnant women is still a national health problem. Ante Natal Care (ANC) services integrated with 10 standards can improve maternal and fetal health. However, in recent years complications of pregnancy and childbirth have increased which should be identified early with the right ANC. This study aims to explore the implementation of ANC 10 standards and obstacles in their implementation. This study uses a qualitative design with a phenomenological approach. The study began with qualitative data collection through focus group discussion (FGD) and in-depth interviews and quantitative data collection through filling out questionnaires in October-November 2018 in the working area of ​​the Upper Tembilahan Health Center. The sample of this study was all midwives at the Tembilahan Hulu health center and pregnant women were randomly taken as many as 138 people. The findings of this study note 35 out of 138 (25.4%) pregnant women received standard ANC 10 services in full. Weigh BB and measure TB (86.23%), measure blood pressure (100%), nutritional status (88.41%), measure TFU (85.51%), value of fetal presentation (81.88%), srining T (81.16%), Fe tablets (71.01%), labor checks (81.88%), case management (82.61%), and speech meetings (69.57%). The obstacle of midwives is inadequate facilities and infrastructure and the weak skills of midwives in implementing standards. The need for monitoring and evaluation of KIA program holders and guidance and training for integrated ANC servants for all midwives.

ANALISIS PELAKSANAAN PELAYANAN ANC TERPADU DI PUSKESMAS TEMBILAHAN HULU

Abstract 
 The health of pregnant women is still a national health problem. Ante Natal Care (ANC) services integrated with 10 standards can improve maternal and fetal health. However, in recent years complications of pregnancy and childbirth have increased which should be identified early with the right ANC.
 This study aims to explore the implementation of ANC 10 standards and obstacles in their implementation. This study uses a qualitative design with a phenomenological approach. The study began with qualitative data collection through focus group discussion (FGD) and in-depth interviews and quantitative data collection through filling out questionnaires in October-November 2018 in the working area of ​​the Upper Tembilahan Health Center. The sample of this study was all midwives at the Tembilahan Hulu health center and pregnant women were randomly taken as many as 138 people.
 The findings of this study note 35 out of 138 (25.4%) pregnant women received standard ANC 10 services in full. Weigh BB and measure TB (86.23%), measure blood pressure (100%), nutritional status (88.41%), measure TFU (85.51%), value of fetal presentation (81.88%), srining T (81.16%), Fe tablets (71.01%), labor checks (81.88%), case management (82.61%), and speech meetings (69.57%). The obstacle of midwives is inadequate facilities and infrastructure and the weak skills of midwives in implementing standards.
 The need for monitoring and evaluation of KIA program holders and guidance and training for integrated ANC servants for all midwives

The Correlation of Maternal Factors and The Quality of Antenatal Care Services With Low Birth Weight Babies In Health Facilities Level I

Infant Mortality Rate in West Sumatra still increased from 96 cases in 2015 becomes 111 cases in 2016. One of the contributors to this was the case of Low Birth Weight Babies (LBWB), wich is birth weight < 2500 grams. Causative factors of LBWB are derived from maternal factors because it is related to fetal growth, starting from the moment of conception until the baby is born. Maternal health is very influential towards the growth and development of the fetus. In addition, Antenatal Care is also require to monitor maternal health. Antenatal service care quality can detect the occurrence of risk in pregnancy. This study aims to determine the relationship of maternal factors based on maternal age, parity, distance of pregnancy, complications of pregnancy, economic status, nutritional status, anemia status, antenatal care implementation and the quality of antenatal care services with LBWB incidence on health facilities level 1 in Padang City.This study used a comparative cross-sectional design totalling 72 respondents consisting of a group of mothers who gave birth to babies with birth weight < 2500 grams and ≥ 2500 grams using consecutive sampling technique. Then conducted interviews and observations by using questionnaires as well as data processing were carried out using SPSS. The results showed there was a correlation between pregnancy complications (p = 0.033), anemia status (p = 0.016) and the implementation of antenatal care (p = 0.000) with the incidence of LBWB, while the unrelated were maternal age (p = 0.405), parity (p = 1,000), pregnancy distance (p = 1,000), economic status (p = 0.637), nutritional status (p = 0.326), and quality of antenatal care services (p = 0.812).The conclusion of this study is that there is no correlation between the quality of antenatal care services and the incidence of LBWB, and the implementation of antenatal care is the dominant factor related with the incidence of LBWB in Padang City.

Hubungan kepatuhan bidan puskesmas dalam penerapan antenatal care terpadu berkualitas dengan deteksi komplikasi dan penyakit pada ibu hamil

Compliance of midwife primary health center in implementation of the antenatal care integrated quality, disease detection and complications in pregnant womenPurpose This research aimed to determine the relationship of midwife’s compliance in the implementation of the antenatal care (ANC) integrated quality with disease detection and complications in pregnant women.MethodsThis research was an observational study with a retrospective cohort design. The sample was midwives who serve pregnant women in a primary health center, involving 125 midwives. The place of research was in 21 health centers throughout Kulon Progo. Research instruments used a questionnaire, with total sampling. Data analysis used: univariable analysis to determine the distribution of the data, bivariable with chi-square tests, multivariable with linear regression tests with 95% CI and significance of p=0.05, and a qualitative analysis.ResultsMidwives' compliance to the standard operating procedure has a 35% greater chance of detecting complications and illness in pregnant women than the midwife who did not follow standard operating procedure. Not all midwives in primary health care comply with ANC integrated quality.ConclusionThis study contributes to an understanding that compliance of midwives to ANC integrated quality is important as an effort to detect complications in pregnant women. The health office should establish a team for socialization, supervision, and assistance in the implementation of ANC integrated quality.