Faktor-Faktor Yang Berhubungan Dengan Ketidakpatuhan Kunjungan Kehamilan K1-K4 Pada Ibu Hamil Di BPM Bidan Mari Sentono, Pegadungan, Kalideres Tahun 2020

Abstract

One of the causes of Maternal Mortality Rate (MMR) is complications in pregnancy and childbirth. Complications of pregnancy and childbirth can be prevented by regular antenatal care (ANC) examinations. ANC is a visit by pregnant women with health workers to get pregnancy services in accordance with established standards. Of these 114 pregnant women patients, there were patients who were not compliant (having visits less than 4 times) as many as 89 (78%) patients while the data on the coverage of antenatal care visits in DKI Jakarta in 2019 was 88.54%, this was due to a lack of knowledge about pregnancy visits, parity, and mileage. The purpose of this study was to determine the factors associated with non-adherence to pregnancy visits K1-K4 in pregnant women. This research is a quantitative research with a cross sectional design. This research was conducted in January – August 2021. The population in this study were all pregnant women at BPM Midwife Mari Sentono in 2021 as many as 114 people in January – April. The sample in this study was 75 medical records of pregnant women with simple random sampling method. Data analysis was carried out univariate and bivariate with Chi Square test (α = 0.05) and calculate the Prevalence Ratio (PR) value. The results of the Chi Square test are age (p-value = 0.962, PR = 1.085), education (p-value = 0.027, PR = 0.487), occupation (p-value = 1,000, PR = 1,000), parity (p-value = 1,000). value = 0.037, PR = 1.975), and distance traveled (p-value = 0.024, PR = 2,000), the conclusion is that there is a relationship between education, parity and distance traveled with non-compliance with K1-K4 visits to pregnant women at BPM Midwife Mari Sentono. Suggestions for the BPM are expected to be used as input to develop a special program in increasing the coverage of ANC visits during the pandemic in order to minimize the incidence of maternal and infant mortality.

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

“…Another study showed that age, knowledge, attitudes, work, and family support are related factors influencing the frequency of antenatal care visits (Oktova, Halida, & Rusmat, 2023). Work is another aspect; according to (Fatmawati et al, 2022) research, moms who work will have less time to monitor their pregnancy, which indirectly limits their chance to gain more insight and knowledge because they work longer hours. While this is going on, stay-at-home women will have plenty of time to monitor their pregnancies and learn more about the advantages of ANC and ANC standards, directly increasing their level of knowledge.…”

“…According to Fatmawati et al (2022) research, parity gives a mother's past pregnancies' experiences to draw on, which can indirectly affect her awareness of ANC visits. According to Qomar (2020) research, moms of first-time mothers feel that ANC is something new; thus, mothers are more motivated to adopt it since they are less worried about their pregnancies and hence make fewer visits.…”