Factors Affecting Maternal Birth Preparedness: Evidence from Salatiga, Cental Java
Abstract
Background: Maternal unpreparedness in facing childbirth is one of the factors causing the high maternal mortality rate (AKI). To support efforts to accelerate the reduction of MMR, preparation of childbirth is an important matter that must be improved. Pregnant women class is an activity to prepare the mother physically and psychologically in facing the delivery. The purpose of this study was to determine the factors that influence preparation for childbirth in pregnant women, including: the role of midwives, motivation of pregnant women and utilization of pregnant classes.
Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in 6 community health centers in Salatiga, from June to July 2018. A sample of 120 mothers was selected by total sampling. The dependent variable was birth preparation. The independent variables were motivation, midwife role, and utilization of pregnant class. The data were collected by questionnaire and analyzed by a multiple linear regression.
Results: Birth preparedness was increased with strong midwife role (b= 2.82; 95% CI= -0.45 to 5.68; p= o.054), strong motivation (b= 4.12; 95% CI= 0.97 to 7.27; p= 0.011), and utilization of pregnant class (b= 3.90; 95% CI= 0.66 to 7.13; p= 0.019).
Conclusions: Birth preparedness is increased with strong midwife role, strong motivation, and utilization of pregnant class.
Keywords: birth preparedness, motivation, midwife role, pregnancy class, pregnant women
Correspondence:
References
Attarha M, Keshavarz Z, Bakhtiari M, Jamilian M (2016). The Outcome of Midwife Mother Relationship in Delivery Room: a Qualitative C0ntent Analysis. http://dx.doi.org/10.4236/health.2016.8403.
Cornally P, Canty G (2014). Exloring Women
Dahlberg U, Persen J, Skogas AK, Selboe AT (2016). How Can Midwives Promote a Normal Birth and Positive Birth Experience of First-Time Norwegian Mothers. The Journals of Sexual and Reproductive Healthcare Elsevier. Http://dx.doi.org/10.1016/j.srhc.2015.08.011.
Dixon L, Skinner J, Foureur M (2013). Women
Eames C (2013). Midwives Role in Preparing Women for Birth. British Journal of Midwifery. 12(7). https://doi.org/10.12968/bjom.2004.112.7.13322.
Hajipour L, Amiri ZM, Montazeri A, Torkan B, Tabaghdehi MH (2017). The Effect of Prenatal Classes on the Quality of Life in Pregnant Women. Journal of Holistic Nursing and Midwifery.
Iliadou M (2012). Supporting Women in Labour. Health Science Journal 6(3).
Kathrin H, Wendy (2012). Childbirth Education and Obstetric Interventions Among Low-Risk Canadian Women: Is there a Connection?. The Journal of Perinatal Education. Http://dx.doi.org/10.1891/10581243.21.4.229.
Kemenkes RI (2011). Pedoman Pelaksanaan Kelas Ibu Hamil Tahun 2011. Jakarta: Kementerian Kesehatan RI.
_____ (2015). Angka Kematian Ibu dan Bayi Tahun 2015. Jakarta: Kementerian Kesehatan RI.
Kocher EL, Lamb JMS, McGarvey ST, Faiai M, Hawley NL (2018). Conceptions of Pregnancy Health and Motivations for Halthful Behavior Change among Women in American Samoa. Journals of Women and Health Elsevier.
Kurdi RE, Hassan S, Hassan NF, Nemer AE (2-17). Antenatal Education on Childbirth Self Efficacy for Egyptian Primiparous Women: Randomized Control Trial. Journal of Nuring and Health Science, 6(4). www.iosjournals.org.
Lucia S, Purwandari, Pesak E (2015). Pengaruh Pelaksanaan Kelas Ibu Hamil Terhadap Pengetahuan Tentang Persiapan Persalinan. Jurnal Ilmiah Bidan. 3 (1): 61-65.
Mcintosh T (2013). The Concept of Early Labour in the Experience of Maternity in Twentieth Century Britain.Journal Elsevier.
Nilsson L, Thorsell T, Wahn EH, Ekstrom A (2013). Factors Influencing Positive Birth Experiences of FirstTime Mothers. Nuring Research and Practice. Http://dx.doi.org/10.1155/2013/349124.
Pinar G, Avsar F, Aslantekin F (2016). Evaluation of the Impact of Childbirth Education Classes in Turkey on Adaptation to pregnancy Process, Concerns About Birth, Rate of Vaginal Birth, and Adaptation to Maternity: A Case Control Study. Sage Journals. https://doi.org/10.1177/1054773816682331.
Rasouli M, Atashsokhan G, Keramat A, Khosravi A, Fooladi E, Mousavi SA (2016). The Impact of Motivational Interviewing on participation in Childbirth Preparation Classes and Having a Natural Delivery: a Randomised Trial. An International Journal of Obstetrics and Gynaecology.
Redshaw M, Henderson J (2013). Fathers
Soumya SR, Bindu CG (2016). Effect of Supportive Education Intervention Package on Pain and Anxiety During Labour among Primigravida Mothers. International Journal of Applied Research.
Ulstad SO, Halvar H, Sorebo O, Edward L (2016). Motivation, Learning Strategies, and Performance in Physical Education at Secondary School. Advances in Physical Education. http://dx.doi.org/10.4236/ape.2016.61004
