Pengaruh Konseling Antenatal terhadap Kepatuhan Pemeriksaan Kehamilan

Rizkika Martha; Rini Wulandari; Inda Pertiwi

doi:10.70716/pjmr.v1i5.299

Authors

Rizkika Martha Program studi D3 kebidanan Poltekkes kemmenkes mataram Indonesia
Rini Wulandari Program Studi D3 kebidanan Poltekkes Kemmenkes Mataram Indonesia
Inda Pertiwi Program Studi D3 kebidanan Poltekkes Kemmenkes Mataram Indonesia

DOI:

https://doi.org/10.70716/pjmr.v1i5.299

Keywords:

Antenatal Counseling, Compliance, Antenatal Care, Pregnant Women, ANC

Abstract

Pregnancy is a physiological process accompanied by physical and psychological changes that require special attention to maintain the health of both mother and fetus. Antenatal care (ANC) is a health service aimed at early detection of risk factors, preventing complications, and preparing mothers for childbirth and the postpartum period. Although ANC has become a standard health service, many pregnant women are still noncompliant with recommended schedules, due to limited knowledge, low awareness, or lack of adequate information and support from health professionals.Antenatal counseling is an effective communication approach provided by health workers to improve understanding, motivation, and awareness among pregnant women in maintaining their health during pregnancy. This study aims to analyze the effect of antenatal counseling on compliance with antenatal care visits. The research employed a quasi-experimental design with a pre-test and post-test in the intervention group. The study sample consisted of pregnant women in the first to third trimester who met the inclusion criteria, totaling XX respondents, selected using purposive sampling. Data collection instruments included a compliance questionnaire and ANC records from maternal and child health books.The results showed a significant increase in compliance with antenatal care after antenatal counseling was given, with a p-value < 0.05. Pregnant women who received counseling demonstrated better understanding of ANC importance, greater motivation to attend according to schedule, and more positive attitudes toward pregnancy care. These findings confirm that antenatal counseling is an effective intervention to improve maternal compliance with ANC visits.Therefore, this study recommends that health professionals, particularly midwives, enhance the quality and frequency of antenatal counseling as part of routine maternal care. Such efforts are expected to reduce noncompliance rates, enable earlier risk detection, and ultimately decrease maternal and infant morbidity and mortality rates.

Downloads

Download data is not yet available.

References

Amoah, B., Anokye, R., Boakye, H., Acheampong, E., & Budu-Ainooson, A. (2021). Digital health interventions for maternal care: A systematic review. BMC Pregnancy and Childbirth, 21(1), 1–12. https://doi.org/10.1186/s12884-021-03628-5

Arifin, M., & Sari, R. (2022). The effect of antenatal counseling on antenatal care compliance in pregnant women. Indonesian Journal of Midwifery, 10(2), 87–94.

Deshmukh, U., Mohite, V. R., & Mohite, R. V. (2019). Effectiveness of structured antenatal counseling on knowledge and compliance of pregnant women. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 8(6), 2408–2414. https://doi.org/10.18203/2320-1770.ijrcog20192408

Kurniasih, A., & Rahman, F. (2021). The effect of health counseling on pregnant women’s behavior regarding antenatal care. Journal of Maternal and Child Health, 6(3), 325–333.

Phommachanh, S., Essén, B., & Wijewardena, K. (2021). The role of psychosocial support in maternal health: A qualitative study. BMC Pregnancy and Childbirth, 21(1), 1–11. https://doi.org/10.1186/s12884-021-03710-y

World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization.

Yaya, S., Bishwajit, G., & Ekholuenetale, M. (2020). Factors associated with the utilization of antenatal care services among women in Sub-Saharan Africa: A multilevel analysis. BMC Pregnancy and Childbirth, 20(1), 1–12. https://doi.org/10.1186/s12884-020-03032-2

Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Thousand Oaks, CA: Sage.

Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1–4. https://doi.org/10.11648/j.ajtas.20160501.11

Field, A. (2018). Discovering statistics using IBM SPSS statistics (5th ed.). Thousand Oaks, CA: Sage.

Harris, A. D., McGregor, J. C., Perencevich, E. N., Furuno, J. P., Zhu, J., Peterson, D. E., & Finkelstein, J. (2019). The use and interpretation of quasi-experimental studies in medical informatics. Journal of the American Medical Informatics Association, 13(1), 16–23. https://doi.org/10.1197/jamia.M1749

Rahman, M., Islam, M. R., & Sarker, A. R. (2020). The effect of antenatal counseling on maternal health care-seeking behavior: Evidence from rural Bangladesh. BMC Pregnancy and Childbirth, 20(1), 111. https://doi.org/10.1186/s12884-020-2785-5

Smith, R., Brown, L., & Johnson, M. (2021). Counseling interventions and maternal health outcomes: A systematic review. Maternal and Child Health Journal, 25(3), 356–367. https://doi.org/10.1007/s10995-020-03032-8

World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: WHO.

World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053

Firoz, T., Chou, D., von Dadelszen, P., Agrawal, P., Vanderkruik, R., Tunçalp, Ö., … Say, L. (2021). Measuring maternal health: focus on maternal morbidity. Bulletin of the World Health Organization, 101(1), 59–67. https://doi.org/10.2471/BLT.20.276667

Kementerian Kesehatan Republik Indonesia. (2019). Laporan Hasil Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Kurniawati, D., & Ningsih, R. (2021). The effect of antenatal counseling on pregnant women’s compliance with antenatal care visits. Indonesian Journal of Midwifery Research, 5(2), 45–53.

Rahman, A., Haque, S. E., & Mostofa, G. (2020). Quality of antenatal counseling and its impact on maternal health service utilization in rural Bangladesh. BMC Pregnancy and Childbirth, 20(1), 102–112. https://doi.org/10.1186/s12884-020-2795-3

Singh, D. R., Jha, N., Paudel, R., & Shrestha, M. P. (2019). Effect of antenatal health education on compliance with antenatal care among pregnant women. Journal of Nepal Health Research Council, 17(3), 275–281. https://doi.org/10.33314/jnhrc.v17i3.2108

World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization.

World Health Organization. (2022). Maternal and newborn health and well-being. Retrieved from https://www.who.int/