Differences In Pregnancy Care Service Visits Before And During Covid 19 Pandemic In Midwifery Independent Practice

Abstract

Background: Pandemic COVID-19 has prompted the government to implement a social distancing policy. This also applies to pregnant mother to come to health workers unless there are signs of pregnancy. This study aims to know the influence of pregnancy services before and after the COVID-19 pandemic. 
 Methods: This is Mixed Method study with the sample was a midwife who carried out the Midwifery Independent Practice or “Praktek Madiri Bidan” (PMB) in Sragen Regency, Central Java Province. In-depth interviews were conducted with 10 informants. Statistical test using Paired T test, qualitative data using transcription and categorization
 Results: The average number of visits to maternity care at PMB was 117.0 (21.83) visits per month in the two months prior to the COVID-19 pandemic, only 67,6 (7,63) monthly visits for two months during COVID 19 pandemic. Obtained ρ value 0,000 which means there is a difference in Pregnancy Care Service Visits before and during the COVID 19 pandemic at PMB Sragen Regency, Central Java. There are two themes in the results of the qualitative study, namely the anxiety of midwives in providing midwifery services during the COVID-19 pandemic and the Protocol for Pregnancy Care Services during the COVID-19 Pandemic.
 Conclusions: There are differences in pregnancy services during the COVID-19 pandemic. The government is expected to be able to socialize technical guidelines for pregnant women in accessing services on pregnancy and prevention of COVID-19.

Optimalisasi Kesehatan Ibu Hamil Di Era Adaptasi Baru

“…Hal tersebut melatar belakangi untuk memberikan edukasi bagaimana menjaga kesehatan khususnya pada ibu hamil di era adaptasi baru. hamil (Rosalinna, 2021) Salah satu manfaat kelas hamil juga dapat mengurangi kecemasan menjelang persalinan, dengan adanya pendidikan atau edukasi selama dilaksanakannya kelas hamil (Aisyah et al, 2020). Selain itu pelayanan dengan protokol kesehatan juga harus terus dilaksakan agar ibu hamil merasa aman dan nyaman untuk melakukan pemeriksaan kehamilan dan kembali melakukan kunjungan kelas ibu hamil (Ncube, 2021) Langkah-langkah pencegahan, termasuk sering mencuci tangan, menahan diri dari kegiatan luar ruangan yang berlebihan kecuali keadaan darurat, dan menghindari individu yang terinfeksi, tempat-tempat ramai dan pertemuan publik, harus diikuti secara ketat oleh wanita hamil.…”