Knowledge and Perception of Bajo Tribe Women on High-Risk Pregnancy

Abstract

Every day more than 830 mothers die from diseases related to pregnancy and childbirth, 99% of maternal mortality rate (MMR) occurs in developing countries and in poor communities. Risk factors for 75% of maternal deaths are caused by severe postpartum bleeding, postpartum infections, high blood pressure during pregnancy (eclampsia), prolonged / obstructed labor which caused by narrow pelvic, or the baby breech location. Maternal mortality rate in Indonesia is 305 which is the highest in ASEAN countries (SUPAS 2015). The aim of this research was to obtain indepth information about knowledge and perceptions of Bajo women towards high risk pregnancies, since one factor that often causes late delivery of labor in risky pregnancies is mother's lack of knowledge in recognizing risky pregnancies. This was a qualitative study with phenomenological approach, 13 Bajo women were interviewed during this research. Results shows that Bajo women did not consider that some characteristics of risky pregnancies as a problem which could be a danger sign of pregnancy and childbirth. They assumed that high blood pressure (eclampsia), mothers with small and short pelvic is a normal condition for pregnancy and labor and so that they could still give birth normally. Their perception is formed based on empirical experience that they see from their daily lives, where in their society there are some women who have risky pregnancy signs but still able to give birth normally without any troubles or experiencing significant health problems until now. Due to this society perception and lack of knowledge related to pregnancy risk factors, most of Bajo women still entrust "shaman" as their helper during pregnancy and childbirth compared to midwives or health workers. The active role of midwives in providing counseling and education to Bajo society is necessary to overcome this problem so that pregnant women could recognize and identify risky pregnancies better.

Effect of education level on delivery at home evidence from eastern Indonesia

“…Another study stated that women in rural area tend to choose traditional birth attendants to facilitating their delivery at home because they has more experience is assisting childbirth and more patient in caring for women in labor. Traditional birth attendants will wait for women from the initiation phase of the delivery process until will not set a price in providing their services, which is different from health workerd which already set a price for every services (18).…”

“…The higher level of the family's economy, the easier access to health services will be. Families with low income are unable to provide funds for antenatal care until delivery (18).…”

Case Report: Perceptions of the Bajo Community on Children's Education in Bajo Indah Village, Soropia District, Konawe District

“…F. A. Gobel et al (2020) reported that for the Bajo people, the education that should not be lost is the value that is taught from generation to generation, and this should not be lost from the lives of their children and grandchildren. At the same time, formal education is not seen as necessary, so finishing elementary school (SD) is enough.…”

Ritual Pammungkara jodoh Terhadap Pernikahan Dini Di Kabupaten Jeneponto Tahun 2020

“…Namun dalam pelaksanaannya, diperlukan kematangan emosi dan kedewasaan sehingga kelangsungan pernikahannya dapat terjaga dengan baik (2) Pola perilaku budaya yang diturunkan dari generasi ke generasi memberikan kerangka kerja konseptual untuk memahami esensi dari semua perilaku manusia, dukun atau Sandro masih dipercaya oleh masyarakat dapat menyelesaikan segala permasalahan yang dihadapi. (3) Penyebab pernikahan usia dini antara lain pemaksaan dari pihak orang tua, pergaulan bebas, rasa keingintahuan tentang dunia seks, faktor lingkungan, rendahnya pendidikan, faktor ekonomi. Ditinjau dari masalah sosial ekonomi adalah pernikahan usia dini biasanya tidak diikuti dengan kesiapan keadaan ekonomi.…”