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Analysis of Risk Factors for Pregnancy Complications Based on Maternal and Child Health Data in Primary Midwifery Services Dewi Susanti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55558

Abstract

Pregnancy complications remain a major challenge in maternal health care, particularly in the obstetric referral system from primary health care facilities. The high number of referrals often reflects the presence of undetected or inadequately managed maternal risk factors from the outset. This study aims to identify maternal risk factors associated with pregnancy complications in obstetric referral cases from Basic Emergency Obstetric and Neonatal Care (PONED) facilities throughout 2025. This study used a quantitative approach with an analytical observational design based on secondary data, which was analyzed through bivariate tests and multivariate logistic regression to identify independent risk factors. The results showed that severe preeclampsia was the most dominant referral indication, while hypertension in pregnancy, maternal anemia, gestational age less than 37 weeks, and a history of obstetric complications were significantly associated with the occurrence of pregnancy complications. After controlling for confounding variables, hypertension in pregnancy and maternal anemia remained the most consistent risk factors. These findings confirm that maternal clinical conditions play an important role in determining the level of obstetric urgency and the need for referral. Conceptually and practically, these results contribute to strengthening the risk-based antenatal care approach at the primary care level and provide an empirical basis for strengthening early detection, referral decision-making, and efforts to prevent pregnancy complications to improve maternal safety
The Effectiveness of mHealth in Improving Adherence to Antenatal Care Among Pregnant Women Dewi Susanti
International Journal of Multidisciplinary Research and Literature Vol. 3 No. 3 (2024): INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH AND LITERATURE
Publisher : Yayasan Education and Social Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53067/ijomral.v3i3.461

Abstract

Antenatal care (ANC) is an essential service in an effort to improve maternal and infant health, but pregnant women's compliance with ANC visits is still a challenge in many countries, especially in areas with limited access to health services. The development of digital technology through mobile health (mHealth) offers innovative solutions to improve compliance through digital reminders, health education, and communication between pregnant women and health workers. This study aims to analyze the effectiveness of mHealth in improving antenatal care adherence in pregnant women through a systematic literature review approach. The study was conducted by examining ten relevant scientific articles from various academic databases, including systematic review, meta-analysis, scoping review, and implementation studies in various countries, including Indonesia. The results of the synthesis showed that mHealth interventions were consistently able to improve ANC visit adherence, both in the form of increasing the frequency of visits, the timeliness of examinations, and the continuity of pregnancy monitoring. SMS reminder-based interventions and mobile applications are the most dominant and effective forms, especially in the context of health services with limited access. This research confirms that mHealth has significant potential in supporting digital-based maternal health service transformation. The implications of these findings show the need to integrate mHealth technology in the primary health care system to improve the quality and coverage of antenatal care in a sustainable manner.
THE EFFECTIVENESS OF NONPHARMACOLOGICAL INTERVENTIONS IN REDUCING DISCOMFORT DURING PREGNANCY Dewi Susanti
International Journal of Multidisciplinary Research and Literature Vol. 4 No. 4 (2025): INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH AND LITERATURE
Publisher : Yayasan Education and Social Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53067/ijomral.v4i4.462

Abstract

Pregnancy is a physiological process accompanied by various anatomical, hormonal, biomechanical, and psychological changes that often cause discomfort such as nausea, vomiting, low back pain, leg cramps, fatigue, constipation, sleep disturbances, edema, and anxiety that can affect the quality of life of pregnant women. This study aims to analyze the effectiveness of various nonpharmacological interventions in reducing discomfort during pregnancy through a systematic literature review approach. This study uses the PRISMA 2020 guidelines in the process of identifying, selecting, and synthesizing scientific articles obtained from Google Scholar with a publication range of 2021–2026. The articles analyzed included experimental, quasi-experimental, randomized controlled trials, systematic reviews, and meta-analyses that discussed interventions such as antenatal yoga, acupressure, massage, deep breathing relaxation, aromatherapy, and mindfulness in pregnant women. The results of the synthesis showed that nonpharmacological interventions consistently had a positive impact in reducing physical and psychological complaints during pregnancy, including a decrease in pain intensity, nausea and vomiting, anxiety, as well as improved sleep quality and comfort of pregnant women. The working mechanism of this intervention is related to the regulation of the autonomic nervous system, increased relaxation, and modulation of physiological stress responses. In conclusion, nonpharmacological interventions are a complementary approach that is effective, safe, and potentially integrated in evidence-based obstetric care to improve maternal well-being during pregnancy.