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"Insiden berat bayi lahir rendah dapat dicegah dengan melakukan perawatan prenatal yang efektif dan benar. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan ibu hamil tentang perawatan prenatal di Puskesmas Mangunjaya. Penelitian ini adalah penelitian kuantitatif dengan desain deskriptif sederhana, dimana sebanyak 106 responden yang dijadikan sampel dan data dikumpulkan dengan teknik consequtive sampling. Hasil penelitian menunjukkan bahwa 54,7% tingkat pengetahuan ibu hamil kurang baik dan 45,3% responden memiliki pengetahuan baik. Penelitian ini merekomendasikan pentingnya pendidikan kesehatan untuk meningkatkan pengetahuan ibu tentang perawatan prenatal.

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The incidence of low birth weight babies can be prevented by doing effective and good prenatal care. The aim of this study was to describe the knowledge level of pregnant women about prenatal care at Mangunjaya Public health center. This quantitative study used a simple descriptive for its design. Total sample over 106 respondent was collected with consequtive sampling technique. The result showed that 54,7% respondent had poor knowledge and 45,3% had good knowledge. This research recommends the importance of health education to increase knowledge level of pregnant women about prenatal care."

"Remaja mengalami perubahan biologis, psikologis, dan sosial. Kehamilan remaja merupakan fenomena pada usia remaja yang disebabkan faktor individu, orang tua, dan lingkungan. Penelitian ini bertujuan untuk menggambarkan pengetahuan ibu hamil usia remaja tentang kehamilan dan alasan hamil pada usia remaja. Penelitian menggunakan desain deskriptif sederhana. Subjek penelitian adalah 96 ibu hamil usia remaja di wilayah kerja Puskesmas Bruno menggunakan teknik non-probability sampling pendekatan quota sampling. Instrumen merupakan hasil pengembangan teori dan dianalisis menggunakan analisis univariat. Hasil penelitian didapatkan ibu hamil usia remaja memiliki pengetahuan kurang 44,8%, pengetahuan cukup 35,4%, dan pengetahuan baik 19,8%. Alasan hamil mayoritas berurutan karena faktor lingkungan (37,55%), faktor diri sendiri (36,6%), dan faktor orang tua (25,85%). Kehamilan remaja akibat pengetahuan yang kurang diperkuat kondisi lingkungan yang mendukung merupakan penyebab tingginya kasus tersebut. Penelitian ini memberikan rekomendasi kepada perawat untuk lebih memahami kehamilan remaja dan alasannya sehingga mampu memberikan intervensi berupa edukasi untuk menurunkan angka kehamilan remaja.

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Adolescent undergo biological changes, psychological, and social. Adolescent pregnancy is a phenomenon in adolescence due to individual factors, the elderly, and the environment. This study aimed to describe knowledge of adolescent mothers about pregnancy and the reasons of pregnancy in adolescence. This study using simple descriptive design. These subjects are 96 maternal adolescent in Puskesmas Bruno using non-probability sampling technique through a quota sampling approach. The instrument used was the results of theory development and analyzed using univariate analysis. The results showed maternal adolescent have less knowledge about pregnancy are 44,8%, 35,4% of sufficient knowledge, and good knowledge are 19,8%. The majority reason of pregnancy sequentially due to environmental factors 37,55%, followed by self factor 36,6%, and parental factors 25,85%. Adolescent pregnancy due to lack of knowledge reinforced by environmental conditions that support the cause of the high case. This study provides recommendations to nurses for better understand adolescent pregnancy and the reasons, so it can provide intervention in the form of education to reduce adolescent pregnancy rates."

"Skripsi ini membahas pengetahuan ibu hamil tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dengan stiker. Penelitian ini adalah penelitian kuantitatif dengan desain penelitian cross sectional. Data Penelitian diperoleh dengan instrumen kuesioner. Hasil penelitian menyarankan agar Bidan melakukan sendiri penempelan stiker P4K di rumah ibu juga menambah pengetahuan kepada ibu hamil tentang pelayanan ANC sesuai standar, ambulan desa dan stiker P4K, Selain itu pemegang program KIA di Puskesmas dan Dinas Kesehatan lebih meningkatkan kegiatan monitoring dan evaluasi terhadap program ini serta menambah media promosi kesehatan khususnya mengenai program P4K ini.

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The focus of this research is knowledge of pregnant women about Birthing planning and complication prevention program with sticker. This research is quantitative research with cross sectional research design. The research data is coming from the questioner instrumen. The result of this research is suggesting Midwives to put the "P4K" stickers by herselves at mother’s house, they also must give additional knowledge to pregnant women about standart antenatal care services,rural ambulance and about "P4K" stickers. Besides that,the program holder of mother and child health in public health centers and health department further improve the monitoring and evaluation activities of this program and also add the health promotion media especially about "P4K" program."

"Salah satu kebijakan pemerintah untuk menurunkan angka kematian ibu (AKI) adalah dengan meluncurkan Program Jaminan Persalinan (Jampersal). Penelitian ini bertujuan untuk mengetahui gambaran faktor-faktor yang berhubungan dengan pemanfaatan Jampersal oleh Ibu Bersalin di Wilayah Kerja Puskesmas Sungai Duren Kabupaten Muaro Jambi Tahun 2013. Metode penelitian yang digunakan adalah cross sectional dengan teknik pengambilan sampel secara proportional random sampling dilanjutkan dengan pendekatan kualitatif melalui wawancara mendalam kepada 9 informan dan telaah dokumen. Hasil penelitian kuantitatif menunjukkan 31,1 % yang memanfaatkan Jampersal. Terdapat hubungan signifikan antara variabel umur, pendidikan, pengetahuan, sikap, kepercayaan, pendapatan, aksesibilitas, peran petugas kesehatan dan kebutuhan terhadap pemanfaatan Jampersal. Variabel yang paling dominan berhubungan adalah pendapatan setelah dikontrol oleh pendidikan, pengetahuan, pendapatan dan aksesibilitas. Untuk itu disarankan kepada bidan agar memberikan informasi yang lebih intensif, jelas dan lengkap kepada masyarakat serta selalu berupaya meningkatkan mutu layanan Jampersal.

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One of the government's policy to reduce the maternal mortality rate (MMR) is to launch Jampersal Program. This study purpose to describe the factors associated with utilization Maternity Insurance service (Jampersal) by maternal in Public Health Center Sungai Duren, Muaro Jambi Regency in 2013. The research method used a cross sectional sampling technique with proportional random sampling, after that followed by a qualitative approach through in-depth interviews and document review 9 informants.

Quantitative research results showed that 31.1% Jampersal utilize. There is a significant relationship between the variables of age, education, knowledge, attitudes, beliefs, income, accessibility, the role of health workers and the need to use Jampersal. The most dominant variable is income after controlled by education, knowledge, income and accessibility. This study recommended midwives to give more intensive information, clear and complete to the community and always working to improve the quality of service Jampersal."

"Melahirkan adalah peristiwa normal tetapi dapat menimbulkan kekhawatiran bahkan masalah. Oleh karena itu persiapan menghadapi persalinan merupakan hal yang penting termasuk pengetahuan ibu hamil. Penelitian ini bertujuan untuk mengidentifikasi tingkat pengetahuan ibu hamil tentang proses persalinan. Desain yang digunakan adalah deskriptif sederhana. Responden penelitian sebanyak 89 ibu hamil yang dipilih dengan teknik consecutive sampling selama bulan Desember 2012. Pendekatan penelitian ini adalah pendekatan kuantitatif dengan mengumpulkan data melalui kuesioner pengetahuan ibu hamil tentang proses kelahiran dengan 30 pertanyaan. Hasil penelitian menunjukkan bahwa 58,4% responden memiliki pengetahuan yang baik tentang proses persalinan. Kondisi ini menunjukkan bahwa pengetahuan yang sudah baik perlu ditingkatkan dengan aspek yang lain seperti sikap dan keterampilan.

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Childbirth is normal event but it can cause anxiety and even problems. Therefore, a preparation of chilbirth is important including pregnant women's knowledge of childbirth. This study aimed to identify the level of pregnant women's knowledge of childbirth process. The design used was simple descriptive. Respondents were 89 pregnant women selected by consecutive sampling techniques during December 2012. This research applied a quantitative approach. Data were collected using questionnaires about pregnant women's knowledge of childbirth process consist of 30 questions. The results showed that 58.4% of respondents had good knowledge of childbirth process. This condition showed that this good knowledge needs to be improved along with other aspects such as attitude and skills."

"[ABSTRAKIbu hamil risiko tinggi rentan mengalami kecemasan dan depresi yang berdampak pada kelekatannya dengan janin. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara dukungan sosial dengan kelekatan ibu dan janin pada ibu hamil risiko tinggi. Penelitian cross sectional ini melibatkan 108 ibu hamil risiko tinggi yang dipilih menggunakan consecutive sampling. Hasil penelitian menunjukkan bahwa terdapat hubungan antara dukungan sosial dengan kelekatan ibu dan janin pada ibu hamil risiko tinggi (p=0.003). Ibu dengan dukungan sosial tinggi berpeluang 3,9 kali mempunyai kelekatan tinggi dengan janinnya dibandingkan ibu yang dukungan sosialnya rendah setelah dikontrol depresi (OR=3.9; 95% CI=1.66-8.99). Hasil penelitian ini menegaskan bahwa aspek psikososial perlu lebih diperhatikan dalam perawatan ibu hamil sehingga status sejahtera bagi ibu dan bayi dapat dicapai.

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ABSTRACTHigh risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby.;High risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby.;High risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby., High risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby.]"

"Tujuan Pembangunan Kesehatan adalah meningkatkan kualitas sumber daya manusia serta kualitas kehidupan yang dilakukan sejak dini dan sangat tergantung pada kualitas kesehatan ibu hamil. Saat ini Angka Kematian Ibu (AKI) adalah 373 per 100.000 kelahiran hidup (SKRT 1995). Kematian ini umumnya dapat dicegah bila komplikasi kehamilan dan keadaan resiko tinggi lainnya dapat dideteksi secara dini melalui pelayanan antenatal yang baik. Manurut Green perilaku pemanfaatan antenatal dipengaruhi oleh faktor predisposisi, pemungkin, pendukung. Dalam penelitian ini difokuskan pada faktor predisposisi yaitu karakteristik sosiodemografi dan pengetahuan ibu. Penelitian ini dilakukan di wilayah kerja Dinas Kesehatan yang dibagi 2 wilayah yaitu wilayah yang cakupan antenatalnya tinggi (Kl > 90% dan K4 > 80%) dan wilayah cakupan antenatalnya rendah (Kl <90% dan K4 <80%). Desain penelitian yang digunakan adalah non eksperimental dengan pendekatan cross sectional. Jumlah sampel 192 ibu hamil yang terdiri dari 94 ibu hamil di wilayah ANC tinggi dan 98 ibu hamil di wilayah ANC rendah. Cara pengambilannya simple random sampling. Pengumpulan data untuk variabel bebas: umur, pendidikan, pekerjaan, paritas, dan pengetahuan ibu dilakukan dengan wawancara langsung, sedangkan untuk variabel antenatal dilakukan wawancara dan studi dokumentasi melalui KMS ibu hamil. Hasil penelitian melaporkan proporsi ibu hamil yang memanfaatkan pelayanan antenatal baik adalah 29,7% dan yang pemanfaatan antenatal kurang adalah 70,3%. Sedangkan proporsi pemanfaatan ANC berdasarkan wilayah adalah untuk wilayah ANC tinggi yang memanfaatkan antenatal baik adalah 29,6% dan untuk wilayah ANC rendah adalah 29,8%. Hasil uji Chi-square menunjukkan tidak ada hubungan yang bermakna (p >0,05) antara pemanfaatan pelayanan antenatal dengan umur, pendidikan, paritas. Akan tetapi ada hubungan yang bermakna (p<0,05) antara pemanfaatan pelayanan antenatal dengan status pekerjaan dan pengetahuan ibu (baik secara umum maupun secara terpisah berdasarkan wilayah). Hasil analisis multivariat regresi logistik juga menunjukkan bahwa faktor yang paling dominan mempengaruhi pemanfaatan pelayanan antenatal untuk wilayah ANC tinggi adalah pengetahuan (OR 3,3161) sedangkan untuk wilayah ANC rendah adalah pekerjaan ibu (OR 21,6495). Dari hasil penelitian dapat disimpulkan bahwa pemanfaatan pelayanan antenatal di wilayah Kabupaten Donggala masih sangat rendah baik itu secara umum maupun terpisah berdasarkan wilayah cakupan. Untuk itu perlu ditingkatkan penyuluhan-penyuluhan kepada ibu hamil dalam rangka meningkatkan pengetahuan mereka terhadap manfaat pemeriksaan kehamilan.

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Analysis on Relationship between Socio-demographic Characteristics and Pregnant Mother's Knowledge with Utilization of Antenatal Care in Two Areas of Donggala District, Central Sulawesi Province 2001The objective of National Health Development is to improve the quality of human resources and to improve the quality of life. Those improvements are to be started early at life and heavily depend on the quality of pregnant and maternal health. At the present time, Maternal Mortality Rate in Indonesia is 373 per 100.000 life births (SKRT, 1995). In general, these deaths could be prevented if the maternal complication and other high risk situations could be detected early through good antenatal care. According to Green, predisposing, enabling, and reinforcing factors influence the behavior of antenatal care utilization. This study focused on predisposing factors, which is socio-demographic characteristics and mother's knowledge.

This study was conducted in working area of Donggala Health Office, which is divided into two areas, that is area with high antenatal coverage (K1 > 90% and K4 > 80%) and area with low antenatal coverage (K1 < 90% and K4 < 80%). Design of the study is non-experimental with cross-sectional approach. Subjects were 192 pregnant mothers comprised of 94 pregnant mothers in "high ANC area" and 98 pregnant mothers in "low ANC area". Subjects were chosen in a simple random sampling way. Data on independent variables (age, education, current employment, parity, marital status, and mother's knowledge) were collected by face-to-face interview, while data on antenatal variable was collected through both interview and document study on pregnant mother's KMS (health record card).

The study found that in general, the proportion of pregnant mother who utilize antenatal care well was 29.7%, while those who utilize antenatal care poorly was 70.3%. In "high ANC area", pregnant mothers who utilize antenatal care well were 29.6% and those who utilize antenatal care well in "low ANC area" were 29.8%. The Chi-square results exhibited no significant association (p > 0.05) between ANC utilization with age, education, and parity. However, significant association was found between ANC utilization with employment status and mother's knowledge (both in general or partial based on area). The logistic regression showed that the most dominating factor that influences ANC utilization in "high ANC area" is knowledge (OR = 3.3161), while in "low ANC area" it is mother's employment status (OR = 21.6495).

The study came into conclusion that the utilization of antenatal care in Donggala District was still very low in both general and partial (based on different ANC coverage). Therefore, there is need to improve extension and promotion to pregnant mothers in order to improve their knowledge on the usefulness of antenatal care."

"Kabupaten Bangka Tengah, khususnya Puskesmas Lubuk Besar cakupan persalinan oleh tenaga kesehatan 88,2% (Profil Kesehatan PKM Lubuk Besar 2012), masih dibawah target Standar Pelayanan Minimal (SPM) bidang kesehatan pada tahun 2015 harus mencpai 90%. Penelitian ini bertujuan mengetahui faktorfaktor yang berhubungan dengan pemilihan penolong persalinan di wilayah kerja Puskesmas Lubuk Besar Kabupaten Bangka Tengah. Desain cross sectional digunakan pada penelitian terhadap 126 ibu bersalin dengan melakukan wawancara menggunakan kuesioner. Hasil penelitian didapatkan riwayat ANC dan sikap terhadap penolong persalinan berhubungan dengan pemilihan penolong persalinan. Sikap merupakan faktor yang paling dominan berhubungan dengan pemilihan penolong persalinan, dimana ibu yang bersikap positif terhadap penolong persalinan 28 kali memilih tenaga kesehatan sebagai penolong persalinan dibanding ibu yang bersikap negatif setelah dikontrol oleh riwayat ANC. Untuk meningkatkan kesadaran pentingnya pemeriksaan kehamilan (ANC) dan menanamkan sikap positif terhadap pelayanan kesehatan diperlukan koordinasi dan bekerja sama dengan lintas sektor Pemda serta menggerakkan pemberdayaan masyarakat dalam memanfaatkan tenaga kesehatan sebagai penolong persalinan.

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Regency of Bangka Tengah especially Central Public Health of Lubuk Besar, target of labour by health worker are 88 % (Profile of Central Public Health of Lubuk Besar, 2012). Still under target of Minimal Delivery Standar in health area in 2015 year must obtained 90 %. This goal research to know related factors to choice labour attendant in Central Public Health Regency of Bangka Tengah. Research desain was cross sectional, total of sample are 126 early post partum woman with interview with quisionair.

Result of research indicated history of antenatal and attitude to labour attendant related to choice of labour attendant. Attitude is dominant factor related to choiced of labour attendant. Positive attitude to labour attendant have risk 28 to choice helath worker among negative attitude of post partum woman after controlled antenatal history. To increased awareness of important pregnancy assessment and have positive attitude to health delivery by sector line coordination with Regional Government to activate public empowerment in used helath worker as a labour attendant."

"Rendahnya kunjungan pemeriksaan kehamilan dalam bentuk K4 di Puskesmas DTP Sindangratu,menjadi salah satu penyebab AKI dan AKB yang masih tinggi. Penelitian ini mengenai faktor-faktor yang berhubungan dengan kunjungan pemeriksaan kehamilan K4 di puskesmas DTP Sindangratu, dengan tujuan untuk mengetahui secara lebih mendalam gambaran dan faktor-faktor apa saja yang berhungan dengan rendahnya kunjungan pemeriksaan kehamilan K4 yang baru mencapai 76.7% dari target 90%. Penelitian ini menggunakan desain cross sectional, jumlah responden 121 ibu yang mempunyai bayi berumur 0 ? 6 bulan, dengan teknik pengambilan sampel Symple Random Sampling. Hasil penelitian menunjukkan bahwa pengetahuan dan dukungan suami merupakan faktor yang berhubungan dengan kunjungan K4. Berdasarkan penelitian diatas disarankan agar puskesmas meningkatkan kegiatan penyuluhan mengenai pentingnya pemeriksaan kehamilan bagi ibu hamil, keluarga dan masyarakat.

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The low visit of the antenatal care in the form of K4 in Public Health Center of DTP Sindangratu becomes one of the causes of the Number of Mother?s Death (AKI) and the Number of Baby?s Death (AKB) that are still high. This research is about the factors that connect with the antenatal care K4 in Public Health Center of DTP Sindangratu, with the aim of recognizing deeper description and factors of anything that connects with the low visit of the antenatal care K4 that only attains 76,7% from the target of 90%.

This research uses the cross sectional design, the amount of respondent is 121 of mothers who have babies at the age of 0-6 months by taking sample technique of random sampling. The result of the research shows that knowledge and support from husband is the factor that connects with the antenatal care K4. Based on the research above, it is suggested that Public Health Center should improve the counseling activity about the importance of antenatal care for pregnant mother, family and society."