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Sri Wahyuni
Midwifery Study Program, Politeknik Sandi Karsa, Makassar, Indonesia

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Exploring Pregnant Women’s Experiences in Recognizing the Signs and Symptoms of Preeclampsia: A Qualitative Study Rina Inda Sari; Sri Wahyuni
Jurnal Ilmu Kesehatan Nusantara Vol. 2 No. 3 (2025): OCTOBER-JIKEN-2025-2026
Publisher : PT. Nasyah Medika Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67963/jiken.v2i3.79

Abstract

Background: Preeclampsia remains a major cause of maternal and perinatal morbidity and mortality. Early detection depends not only on clinical screening but also on pregnant women’s ability to recognise and interpret warning signs. However, symptoms may be normalised as ordinary pregnancy discomforts, potentially delaying timely care. Research Objective: This study explored pregnant women’s experiences of recognising, interpreting, and responding to the signs and symptoms of preeclampsia. Methods: A descriptive phenomenological study was conducted in the working area of Katobengke Community Health Centre, Baubau, Indonesia, from April to June 2025. Twenty pregnant women were recruited through criterion-based purposive sampling. Data were collected through individual, in-depth semi-structured interviews, supported by field notes and observations. Colaizzi’s method guided the analysis. Credibility was supported through member checking, peer debriefing, triangulation, reflexivity, and an audit trail. Results: Four themes were identified: interpreting ambiguous bodily changes, constructing knowledge about preeclampsia, negotiating decisions within the family, and moving from uncertainty to professional care. Participants frequently considered headaches, swelling, and visual disturbances normal pregnancy experiences until the symptoms persisted or worsened. Fragmented health information, family interpretations, access barriers, and healthcare professionals’ responses shaped care-seeking decisions. Data saturation was achieved when later interviews produced no new thematic insights. Conclusion: Recognition of preeclampsia is a socially situated interpretive process rather than simple factual knowledge. Antenatal services should provide repeated, understandable, action-oriented education, involve influential family members, and ensure responsive referral pathways while maintaining routine clinical screening.
The Relationship Between Husband's Support and Pregnant Women's Adherence to Antenatal Care Visits Sri Wahyuni; Ria Wahyuni
Jurnal Ilmu Kesehatan Nusantara Vol. 1 No. 2 (2024): JULY-JIKEN-2024-2025
Publisher : PT. Nasyah Medika Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67963/jiken.v1i2.31

Abstract

Background: Husband's support plays a crucial role in promoting maternal health behaviors, particularly adherence to antenatal care (ANC) visits, which are essential for preventing pregnancy-related complications and improving maternal and neonatal outcomes. However, inadequate family support remains a barrier to regular ANC utilization among pregnant women in Indonesia. Identifying the relationship between husband's support and adherence to ANC visits is important for developing family-centered maternal health interventions. Research Objective: This study aimed to determine the relationship between husband's support and pregnant women's adherence to antenatal care visits in Makassar City, Indonesia. Methods: This analytical observational study employed a cross-sectional design. A total of 31 pregnant women were recruited using a total sampling technique. Data on respondents' characteristics, husband's support (emotional, informational, instrumental, and appraisal support), and adherence to antenatal care visits were collected using a structured questionnaire. Data were analyzed using descriptive statistics and the Chi-square test with a significance level of p < 0.05. Results: Most respondents were aged 20–35 years (74.2%), had a high educational level (67.7%), and received good husband's support (64.5%). Furthermore, 67.7% of pregnant women adhered to the recommended antenatal care schedule. Bivariate analysis revealed a statistically significant relationship between husband's support and adherence to antenatal care visits (p = 0.001). Pregnant women who received good husband's support demonstrated a higher level of adherence to ANC visits than those who received poor support. Conclusion: Husband's support was significantly associated with pregnant women's adherence to antenatal care visits. Strengthening family-centered antenatal care through active husband involvement in maternal health education and counseling is essential to improve adherence to recommended ANC services and contribute to better maternal and neonatal health outcomes.