Do mothers who meet the minimum standard of antenatal visits have better knowledge? A study from Indonesia

Abstract

BACKGROUND: Maternal knowledge is one of the indirect causes of maternal mortality in Indonesia. Maternal knowledge that mothers must possess includes knowledge about pregnancy, childbirth, and postpartum. Maternal knowledge should be provided during pregnancy. The aim of this study is to identify maternal knowledge in postpartum women who have a history of the frequency of pregnancy visits according to the minimum standard. MATERIALS AND METHODS: A descriptive quantitative design was performed by assessing maternal knowledge to postpartum mothers using an online questionnaire which conducted in 2020 at two public health centers of Surabaya, Indonesia. A sample of this research involved postpartum mothers who completed inclusion criteria, namely physiological postpartum mothers and had regular pregnancy at least 6 antenatal care (ANC) visits. In contrast, the exclusion criteria were postpartum mothers who were not included in the target areas of research. It uses random sampling techniques and performs an analysis using descriptive statistics. RESULTS: Three research questions showed a large percentage of wrong answers, namely preparation to face complications (64%), contraceptive methods in breastfeeding mothers (50%) and the first time using contraception during childbirth (42%). Meanwhile, all the correct results (100%) are exclusive breastfeeding and supplementary feeding for babies. CONCLUSION: Completing minimal standards of ANC visits cannot ensure adequate maternal knowledge, particularly crucial health information that influences maternal and neonatal health status.

Implementation of Robson classification for caesarean section using health insurance claims: the experience of Indonesia

“…Unfortunately, even using the previous WHO manual, there were about 25% of pregnant women who had not completed the four antenatal care visits [22]. Additionally, many still did not have good maternal knowledge, including the knowledge on pregnancy emergency sign, sign of childbirth, preparation for complications and childbirth [23].…”

The relationship between maternal death due to COVID-19 and the human development index in East Java, Indonesia

“…The availability of competent and skilled health workers plays a vital role in increasing access to quality maternal health services. 18,19…”

“…The availability of competent and skilled health workers plays a vital role in increasing access to quality maternal health services. 18,19 In addition, in the second dimension, namely the level of education, the related components are the literacy rate and the average length of schooling. From the results of the analysis, there is no link between educational attainment and COVID-19 Maternal Mortality.…”

“…22 More attention should be paid to broader social determinants of health when designing strategies to reduce maternal mortality and achieve the Sustainable Development Goals (SDGs) so this level of education does not always indicate maternal awareness of maternal health, which is closely related to maternal mortality. 19,23 Moreover, the third dimension, namely the standard of living, focuses on assessing the total population density and poverty level. A significant global health hazard has been the highly contagious disease COVID-19.…”

“…22 More attention should be paid to broader social determinants of health when designing strategies to reduce maternal mortality and achieve the Sustainable Development Goals (SDGs) so that this level of education does not always indicate maternal awareness of maternal health, which is closely related to maternal mortality. 19,23…”