Association Between Pregnant Woman Class and Pregnancy Complication in Tegal District, Central Java

Authors

  • Siti Maryani Academy of Midwifery Siti Fatimah, Slawi, Central Java
  • Supriyadi Hari Respati Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta
  • Okid Parama Astirin Faculty of Mathematics and Natural Sciences, Sebelas Maret University, Surakarta

Abstract

Background: Maternal mortality amounted to 33 cases in Tegal, Central Java, in 2015. The leading cause of maternal mortality rate in Indonesia was obstetric complication, i.e 46.8%. Pregnancy complication may be affected by maternal age, parity, education, and maternal employment status. Various efforts have been implemented by the government to reduce maternal mortality rate, including pregnant woman class. The objective of the pregnant mother class is to increase maternal knowledge in risk factor detection and to increase their willingness to use antenatal care. This study aimed to estimate the association between pregnant woman class and pregnancy complication, while controlling for confounding factors.

Subjects and Method: This was an analytical observational with case control design. This study was conducted at Pagerbarang, Pangkah and Dukuhwaru Health Centers, Tegal, Central Java. A total of 90 study subjects, consisting of 30 laboring women with complication and 60 without complication. The dependent variable was pregnancy complication. The independent variables were maternal age, parity, education, employment status, and participation in pregnant woman class. The data were collected by a set of questionnaire. The data on pregnancy complication was obtained from the obstetric record at the health center. The data were analyzed by multiple logistic regresion.

Results: Parity ?3 (OR = 3.47; CI 95% = 0.95 to 12.69; p=0.060) and maternal education <senior high school (OR= 8.58; CI 95% = 1.7 to 43.33; p= 0.009) increased the risk of pregnancy complication. Maternal age 20 to 35 years (OR= 0.26; CI 95% = 0.08 to 0.81; p=0.020), employed

References

Damarati, Pujiningsih Y (2012). Analisis tentang paritas dengan kejadian ketuban pecah dini pada ibu bersalin di RSUD Sidoarjo.Jurnal kebidanan Embrio (1): 36-41.

Depkes RI (2009). Pegangan Fasilitator Kelas Ibu Hamil Tahun 2009. Pegangan Fasilitator Kelas Ibu Hamil. Jakarta: Departemen Kesehatan RI.

Diana, Hadyana S, Handono B (2013). Analisis Faktor-faktor Yang berhubungan dengan Komplikasi Obstetri Ibu dan Bayi di Kecamatan Parongpong Kabupaten Bandung Barat. Fakultas Ilmu Kesehatan Masyarakat.

Dina D, Seweng A, Nyorong M (2013). Faktor Determinan kejadian perdarahan postpartum di RSUD Majene. Bagian Kesehatan Reproduksi Fakultas Ilmu Kesehatan Masyarakat Universitas Dinas Kesehatan Provinsi Jawa Tengah. (2014). Profil Kesehatan Provinsi Jawa Tengah tahun 2014. Semarang: Dinas kesehatan Provinsi Jawa Tengah.

Edyanti DB, Indawati R (2014). Faktor pada ibu yang berhubungan dengan kejadian komplikasi kebidanan. Jurnal biometrika dan kependudukan, 3 (1): 1-7.

Ghojazadeh M, Azami AS, Mohammadi M, Vosoogh S, Mohammadi S, Naghavi BM (2013). Prognostic Risk Factors For Early Diagnosing of Preeclamsia in Nulliparas. Nigerian Medical Journal.

Hastuti PS, Nugroho HSW. Usnawati N (2011). Efektifitas pelatihan kelas ibu hamil untuk meningkatkan pengetahuan, sikap, keterampilan dan kunjungan Antenatal Care. ISSN. 2 (2): 2086-3098.

Kemenkes RI (2011). Pedoman Pelak-sanaan Kelas Ibu hamil. Jakarta: Direktorat Jenderal Bina Gizi dan KIA

Morgan G, Hamilton C (2009). Obstetri dan Ginekologi. Jakarta: EGC

Mu

Murti B (2013). Desain dan ukuran sampel untuk penelitian kuantitatif dan kualitatif di bidang kesehatan. Yogyakarta: Gadjah Mada University Press.

Nugroho T (2011). Buku ajar obstetri untuk mahasiswa kebidanan. Yogyakarta: Nuha Medika

_____ (2012). Patologi Kebidanan. Yogyakarta: Nuha Medika.

Osninelli (2007). Hubungan pendidikan prenatal melalui kelas ibu hamil dengan persalinan tenaga kesehatan di Kabupaten Tanah Datar Sumatera Barat. Fakultas Kesehatan Masyarakat Universitas Gajah Mada Yogyakarta.

Purwarini D (2012). Pengaruh Kelas Ibu Hamil Terhadap Pengetahuan dan Sikap Ibu dalam Kehamilan dan Persalinan di Wilayah Puskesmas Gurah Kabupaten Kediri. Surakarta: Universitas Sebelas Maret Surakarta. 2 (6): 624

Redshaw M, Henderson J (2013). Fathers engagement in pregnancy and childbirth: evidence from a national survey. BMC Pregnancy and Childbirth, 13(70), 1

Romlah S (2009). Pengaruh Kelas Ibu Hamil Terhadap Perilaku dalam Perencanaan P4K di Kabupaten Garut Jawa Barat Tahun 2009. Fakultas Ilmu Kesehatan Masyarakat Universitas Indonesia

Senewe PF, Sulistiyowati N (2004). Faktor-faktor yang berhubungan dengan komplikasi persalinan tiga tahun terakhir di Indonesia (Analisis lanjut SKRT Surkesnas 2001). Buletin Penelitian Kesehatan. 32(2): 83-91

Silva LM, Coolman M, Steegers, Jaddoe VWV, Mool HA, Hofman A, Mackenbach JP, Raat H (2008). Maternal educational level and risk of gestasional hypertension: The Generation R study. Journal of Human Hypertension, 22: 483-492.

Simarmata OS, Armagustini Y, Bisara D (2007). Determinan kejadian komplikasi persalinan di indonesia (Analisis Data Sekunder Survei Demografi dan Kesehatan Indonesia Tahun 2007). Jurnal Ekologi Kesehatan 11 (1): 11-23.

UNFPA (2004). Maternal mortality update 2005, delivery into good hands. New York: Safe Research study and impact.

Downloads

Published

2017-02-24

How to Cite

Maryani, S., Respati, S. H., & Astirin, O. P. (2017). Association Between Pregnant Woman Class and Pregnancy Complication in Tegal District, Central Java. Journal of Maternal and Child Health, 1(4), 214–219. Retrieved from https://thejmch.com/index.php/thejmch/article/view/31

Issue

Section

Articles