Effectiveness of MCH handbook development with the addition of fps variables as an early detection for pregnancy and childbirth complications

Citra Dewi Fitri Setiani; Diyah Fatmasari; Ari Suwondo

doi:10.21927/jnki.2022.10(1).36-47

Effectiveness of MCH handbook development with the addition of fps variables as an early detection for pregnancy and childbirth complications

Citra Dewi Fitri Setiani, Diyah Fatmasari, Ari Suwondo

Abstract

Background: The development of an early detection guidebook for risk factors in pregnant women's complications packaged in MCH books was considered effective for health workers and mothers as guidelines for the prevention of complications. However, the use of MCH books has not been maximal. Of the 81.5% of mothers who own MCH books, only 60.5% understand it. This makes one of the causes of maternal and infant mortality is ignorance of the signs of complications. In addition, in MCH books there is only an assessment of physical disorders without judging from psychological and sociological.

Objectives: The purpose of this study was to produce an MCH handbook model with addition NEW FPS (Physiological, Psychological and Sociological) factors to maximize the understanding of pregnant women and the enforcement of high potential risk diagnoses carefully and accurately.

Methods: This was Research and Development (R&D) study using Borg and Gall models. The data in the study was obtained using interviews, NEW FPS questionnaires, pregnant women's response trial questionnaires. The population in this study consisted of 16 people and taken a sample of 16 respondents who were pregnant women in trimester 3 to 3 years by using Simple Random Sampling technique.

Results: The results showed the development of MCh handbooks with the addition of FPS variabels effectively used as one of the efforts in early detection of pregnancy and childbirth with percentage results: physiological (56.2%) psychological (62.5%) and sociological (68.7%). Based on the results, the response of pregnant women to trials in the development of MCH handbooks obtained an average percentage (87%), the addition of FPS variabels to MCH handbooks was effectively used as an effort to early detection of pregnancy and childbirth complications. The fulfillment of these three aspects can increase the achievement of the MCH program in the early screening of complications.

Conclusions: This study concludes that the addition of NEW FPS variabels in MCH handbooks is feasible and effectively used as one of the media to conduct early detection of the occurrence of pregnancy and childbirth.

Keywords

mch handbook development; psychological and sociological physiology; early detection; pregnancy; childbirth

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References

Kemenkes RI. Progil Kesehatan Indonesia Tahun 2016 [Internet]. Jakarta; 2017. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-2016.pdf

Dinkes Provinsi Jawa Timur. Profil Kesehatan Jawa Timur 2018 [Internet]. Surabaya; 2019. Available from: https://dinkes.jatimprov.go.id/userfile/dokumen/Buku Profil Kesehatan Jatim 2018.pdf

Kemenkes RI. Petunjuk Teknis Penggunaan Buku Kesehatan Ibu dan Anak. Jakarta: Kementerian Kesehatan RI; 2015.

Sistiarani C, Elvira G, Bambang H. Analisis Kualitas Penggunaan Buku Kesehatan Ibu Anak. Jurnal Kesehatan Masyarakat. 2014;10(1):14–20.

Schmied. V, Reilly N, Black E, Kingston D, Talcevska. K, Mule. V, et al. Opening the door: Midwives’ perceptions of two models of psychosocial assessment in pregnancy- a mixed methods study. BMC Pregnancy Childbirth. 2020;20(1):1–16.

Mmabojalwa Mathibe-Neke J, Suzan Masitenyane S. Psychosocial Antenatal Care: A Midwifery Context. In: Selected Topics in Midwifery Care. IntechOpen; 2019.

Nuraeni, Muhasidah, Djewarut H, Sumira. Model skrining faktor risiko dan komplikasi ibu hamil oleh tenaga kesehatan dan non kesehatan di kabupaten pinrang provinsi sulawesi selatan. Pros Semin Nas Rekarta. 2020;179–87.

Mintarsih W. Replikasi Kegiatan Pemanfaatan Buku Kia Melalui Pendampingan Mahasiswa Dan Kader Kesehatan. Jurnal Ilmu Bidan. 2018;(3):1–10.

Irwanto I, Ikhtiar I, Lutfiya I, Purnomo W. Determinants of Maternal and Child Health Handbook Utilization in Surabaya, Indonesia. Folia Medica Indones. 2019;55(3):223.

Elvina L, ZA RN, Rosdiana E. Faktor Yang Berhubungan dengan Kesiapan Psikologis Ibu Hamil Trimester III dalam Menghadapi Persalinan. Journal Healthc Technol Med. 2018;4(2):176.

Hiremath P. Need for Psychological Assessment during Pregnancy- A Nursing Perspective. Glob Journals Nurs Forensic Study. 2016;1(3):107–11.

Zahria Arisanti A. Dampak Psikologis Ibu Hamil pada Masa Pandemi COVID-19 (Literature Review). Jurnal Sehat Masada. 2021;15(2):241–50.

Wattimena RAA. Tentang Manusia Dari Pikiran, Pemahaman, sampai dengan Perdamaian Dunia. Yogyakarta: Maharsa; 2016.

Yunik Windarti, Rizki LK. Pengaruh Kecemasan Saat Pandemi Covid-19 terhadap Keteraturan Pemeriksaan Masa Nifas. Jurnal Ilmu Ilmu Kesehatan Vol 9, No 2, 2021, hal 223-229 [Internet]. 2021;9(4):9–11. Available from: https://jurnal.unitri.ac.id/index.php/care

Widiastuti T, Kartasurya MI, Dharminto. Management of Early Detection of High Risk Pregnant Women in Antenatal Services at the Health Center Level in Jepara Regency. Journals Health Manag. 2014;Volume 02(03):261–7.

Khadijah S, Arneti. Upaya Deteksi Dini Resiko Tinggi Kehamilan Ditentukan oleh Pengetahuan dan Dukungan Tenaga Kesehatan. Jurnal Sehat Mandiri. 2018;13(1):28–34.

Patimah M, Susilawati S, Sundari SW. Effect of Health Education on The Enhancement Knowledge of First Trimester Primigravida about Discomfort and Management at Tamansari Health Center. Jurnal Kebidanan. 2021;11(1):1–4.

Pandori J, Kartasurya MI, Winarni S, Kesehatan B, Kesehatan F, Diponegoro MU. Penggunaan Buku Kia Sebagai Media Edukasi Pada Ibu Hamil. Jurnal Kesehatan Masyarakat. 2018;6(2):63–73.

Andriani L. Hubungan Tingkat Pengetahuan Dengan Kinerja Bidan Dalam Pengisian Kartu Skor Poedji Rohyati Pada Deteksi Dini Kehamilan Risiko Tinggi Di Puskesmas Kabupaten Lima Puluh Kota. Jurnal Menara Med. 2020;2(2):119–27.

Irawati I, Ahmad M, Syarif S. Optimasi sistem pakar deteksi dini preeklampsia berbasis mobile di puskesamas Jumpandang baru Makassar. Jurnal Ners dan Kebidanan (Journal Ners Midwifery). 2018 Sep 3;5(2):159–62.

Yuliani DR, Hadisaputro S, Nugraheni SA. Distribution of Preeclampsia Risk Factors in Pregnant Woman With Mild Preeclampsia in Banyumas District. Jurnal Kebidanan. 2019;9(2):135.

Rustikayanti, Nety R, Kartika I, Herawati Y. Perubahan Psikologis pada Ibu Hamil Trimester III. Southeast Asian J Midwifery. 2016;2(1):45–9.

Rahmawati A, Wulandari RCL. Influence of Physical and Psychological of Pregnant Women Toward Health Status of Mother and Baby. Jurnal Kebidanan. 2019 Oct 30;9(2):148–52.

Pramudianti DN, Fathony Z, Ulfa B. Edukasi melalui pendidikan kesehatan pada ibu hamil tentang pencegahan depresi postpartum. J Masy Mandiri. 2020;4(4):6–9.

Takubo Y, Tsujino N, Aikawa Y, Fukiya K, Iwai M, Uchino T, et al. Psychological impacts of the COVID-19 pandemic on one-month postpartum mothers in a metropolitan area of Japan. BMC Pregnancy Childbirth [Internet]. 2021;21(1):1–13. Available from: https://doi.org/10.1186/s12884-021-04331-1

Aiga H, Nguyen VD, Nguyen CD, Nguyen TTT, Nguyen LTP. Knowledge, attitude and practices: Assessing maternal and child health care handbook intervention in Vietnam. BMC Public Health. 2016;16(1):1–10.

Lumempouw VJ. Hubungan Faktor Sosial Ekonomi Ibu Hamil dengan Wanea Kota Manado. e-journal Keperawatan (e-Kp). 2016;4(2):1–7.

Kitabayashi H, Chiang C, Al-Shoaibi AAA, Hirakawa Y, Aoyama A. Association Between Maternal and Child Health Handbook and Quality of Antenatal Care Services in Palestine. Matern Child Health J. 2017;21(12):2161–8.

Fita Romalasari N, Astuti K. Hubungan Antara Dukungan Suami Dan Partisipasi Mengikuti Kelas Ibu Hamil Dengan Kecemasan Menghadapi Persalinan Pada Ibu Hamil Primigravida Trimester Tiga Di Puskesmas Nglipar Ii. G-Couns Jurnal Bimbingan dan Konseling. 2020;4(2):304–18.

Juariah. Cultural practices and beliefs during pregnancy of karangsari village community, garut district. Jurnal Ilmu-Ilmu Sosial dan Hum. 2018;20(2):162–7.

DOI: http://dx.doi.org/10.21927/jnki.2022.10(1).36-47