Improvement of Early Antenatal Care Initiation

Liabsuetrakul, Tippawan; Oumudee, Nurlisa; Armeeroh, Masuenah; Nima, Niamina; Duerahing, Nurosanah

doi:10.1177/2333392818761483

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…The whole community is impacted by the need to improve maternal healthcare services. However, there is evidence that antenatal contact can be started earlier with community involvement [ 130 ].…”

Section: Discussionmentioning

confidence: 99%

First trimester antenatal care contact in Africa: a systematic review and meta-analysis of prevalence and contributing factors

Abdo,

Demelash,

Seid

et al. 2023

BMC Pregnancy Childbirth

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Background Early detection, prevention, and management of diseases associated with pregnancy and pregnancy-related conditions depend on the beginning of antenatal care contact in the first trimester. Across Africa, regional and national differences are observed in the proportion of first-trimester ANC contact and the factors contributing to it. To create a suitable intervention plan, it is crucial to overcome these differences through single standard and uniform guidelines. This can be achieved through meta-analysis and systematic reviews. Therefore, this systematic review aimed to assess the pooled prevalence of first trimester ANC contact and the factors contributing to it in Africa. Methods Observational studies conducted in Africa were retrieved from PubMed, Google Scholar, EMASE, CINHAL, Cochrane Library, Hinari databases and Mednar using combinations of search terms with Boolean operators. The JBI 2020 Critical Appraisal Checklist was used to assess the methodological quality of the studies. To assess publication bias, a funnel plot and Egger’s test were used to and I-squared was used to check the heterogeneity of the included studies. Data were extracted using Microsoft Excel and exported to Stata 16 software for analysis. Results A total of 86 articles with 224,317 study participants from 19 African countries were included. The overall pooled prevalence of first-trimester ANC contact was 37.15% (95% CI: 33.3–41.0; I2 = 99.8%). The following factors were found to be significantly associated with first-trimester ANC contact: urban residence (OR = 2.2; 95% CI: 1.5–3.1; I2 = 98.5%); women under the age of 25 (OR = 1.5; 95% CI: 1.2–1.9; I2 = 94.1%);, educational status (OR = 1.8; 95% CI: 1.4–2.2; I2 = 96.1%), primiparity (OR: 1.7; 95% CI: 1.2–2.4: I2 = 97.4%), having planned pregnancies (OR: 2.1; 95% CI: 1.5–2.7; I2 = 95.5%) and employed women (OR = 1.7; 95% CI: 1.7–2.1; I2 = 94.4%). Conclusion Because so few women in Africa initiate first-trimester ANC contact, it is clear that increasing maternal healthcare service uptake is still a challenge and will require significant effort to scale up the services. When working to improve maternal health in Africa, each nation's government and nongovernmental organizations should prioritize raising women's educational levels and providing pertinent information to rural women, focusing on reducing unintended pregnancies, women who live far from health facilities, women with low socioeconomic statuses, multiparous women and older women. Trial registration PROSPERO International Prospective Register of Systematic reviews (ID: CRD42023401711).

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Section: Discussionmentioning

confidence: 99%

First trimester antenatal care contact in Africa: a systematic review and meta-analysis of prevalence and contributing factors

Abdo,

Demelash,

Seid

et al. 2023

BMC Pregnancy Childbirth

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“…Banyak hal yang menjadi penyebab kematian ibu. Menurut data laporan perkembangan pencapaian tujuan pembangunan milenium Indonesia penyebab kematian ibu adalah perdarahan, eklampsia atau gangguan akibat tekanan darah tinggi saat kehamilan, proses persalinan yang lama, komplikasi keguguran, dan infeksi (Liabsuetrakul et al, 2018). Beberapa keadaan yang dapat menyebabkan kondisi ibu hamil tidak sehat antara lain yaitu: oenanganan komplikasi, anemia, Ibu hamil yang menderita diabetes, hipertensi, malaria dan empat terlalu (terlalu muda <20 tahun, terlalu tua >35 tahun, terlalu dekat jaraknya 2 tahun dan terlalu banyak anaknya >3) (Subasinghe et al, 2014).…”

Section: Pendahuluanunclassified

“…Proses pendampingan memang dilakukan oleh bidan desa, namun demikian dalam menggerakkan masyarakat tidak terlepas dari peran kader sebagai orang yang membawa misi kesehatan serta terdekat dengan masyarakat. Proses pemberdayaan masyarakat dalam bidang kesehatan akan memiliki kendala, apabila tidak didukun peran aktif dari masyarakat itu sendiri (Liabsuetrakul et al, 2018) Peran kader adalah untuk membantu meningkatkan kesadaran masyarakat terhadap kesehatan, serta akses ke layanan kesehatan, membantu komunikasi antara petugas kesehatan dengan masyarakat, memantau status kesehatan atau kepatuhan terhadap pengobatan, dan untuk menyediakan link antara pasien dan tenaga kesehatan atau layanan sosial lainnya (Restanty & Purwaningrum, 2020). Kader memiliki peranan penting dalam melawan morbiditas ibu dan anak.…”

Section: Pendahuluanunclassified

Peningkatan Keterampilan Kader dalam Deteksi Dini Risiko Tinggi Kehamilan (Kaderink)

Usman

Maineny

Kuswanti

2022

PJPM

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Data pada tahun 2017 menunjukkan bahwa Ibu hamil yang mengalami risiko tinggi di wilayah kerja Puskesmas Mamboro mencapai 60 orang dari 341 ibu hamil atau sekitar 17,5% dan hanya 41,9% ibu hamil risiko tinggi yang bersedia dirujuk. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan kader tentang deteksi risiko tinggi kehamilan serta meningkatnya kemampuan dalam pengisian kartu Skor Poedji Rochjati dalam rangka mendeteksi dini risiko pada ibu hamil. Mitra dalam pengabdian masyarakat ini adalah Puskesmas Mamboro. Metode yang digunakan dalam pengabdian masyarakat ini adalah ceramah, tanya jawab dan demonstrasi. Metode ceramah digunakan pada saat pemberian informasi mengenai kehamilan dengan risiko tinggi yang berdampak komplikasi ke persalinan, nifas dan bayi baru lahir. Metode demonstrasi digunakan pada saat kader diberikan soal untuk menyelesaikan kasus fiktif secara berkelompok mengenai kasus ibu hamil dengan risiko tinggi yang harus dideteksi menggunakan Kartu Skor Poedji Rochjati (KSPR). Hasil kegiatan menunjukkan bahwa dari 17 kader, sebelum diberikan penyuluhan terdapat sebanyak 41% Kader dengan Pengetahuan baik dan meningkat menjadi 71% setelah diberikan penyuluhan dan pelatihan pengisian KSPR. Penambahan pengetahuan kader sebesar 30%.

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“…Pregnancy screening in recognizing risk factors should be carried out during antenatal care (ANC). Therefore, routine ANC is crucial to identify the condition of the mother and the fetus [4].…”

Section: Introductionmentioning

confidence: 99%

The Analysis of Maternal Characteristics and Regulation of Antenatal Care on Pregnancy Risk Status Based on The Independent Family Health Evaluation (IFHE)

Indriyani,

Yunitasari,

Efendi

et al. 2023

APJHM

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Background: High-risk pregnancy is a serious problem and needs to be detected early. Pregnant women with risk categories have a direct impact on the fetus. This study aimed to analyze maternal characteristics and the consistency of antenatal care visits in relation to the pregnancy risk status of pregnant women using the Independent Family Health Evaluation (IFHE) Methods: This study used a cross-sectional study with a correlational design. The sample was the third-trimester pregnant women who have a maternal and child health record booklet, with a total sample of 128 respondents. The instrument used was a questionnaire adopted from the identification of family health in the IFHE application system. Data analysis was carried out using multiple logistics regression. Results: The results showed that age (p = 0.004), height (p = 0.027), number of pregnancies (p = 0.0001), history of pregnancy (p = 0.0001), history of childbirth (p = 0.001), having children under 2 years of age (p = 0.001), pregnancy complications (p = 0.0001), and history of regular antenatal care (p = 0.0001) had a significant effect on pregnancy risk status. While history of tetanus toxoid immunization showed no relationship with pregnancy risk (p = 0.332). The final modelling of multiple logistic regression showed that the influential variables were age, the number of pregnancies and consistency of antenatal care. The number of pregnancies was the variable that had the strongest influence on pregnancy risk status (OR= 40.192). Conclusion: This research contributes valuable insights into the factors influencing pregnancy risk, providing a foundation for more effective antenatal care and ultimately better health for expectant mothers and their infants. Healthcare providers can use this information to identify pregnant women at higher risk and implement targeted interventions, thereby improving maternal and fetal outcomes.

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Improvement of Early Antenatal Care Initiation

Cited by 3 publications

References 14 publications

First trimester antenatal care contact in Africa: a systematic review and meta-analysis of prevalence and contributing factors

First trimester antenatal care contact in Africa: a systematic review and meta-analysis of prevalence and contributing factors

Peningkatan Keterampilan Kader dalam Deteksi Dini Risiko Tinggi Kehamilan (Kaderink)

The Analysis of Maternal Characteristics and Regulation of Antenatal Care on Pregnancy Risk Status Based on The Independent Family Health Evaluation (IFHE)

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