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All Journal South East Asia Nursing Research
Sri Rejeki
[Scopus-ID: 57224064358], Universitas Muhammadiyah Semarang
Education Health Professions Nursing Public Health

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Website-Based Antenatal Education and Changes in Knowledge and Attitudes among Pregnant Women in Rural Indonesia Retno Hidayati Khasanah; Sri Rejeki; Rahayu Astuti
South East Asia Nursing Research Vol 7, No 1 (2025)
Publisher : University of Muhammadiyah Semarang

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Abstract

Digital antenatal education may extend pregnancy counseling beyond conventional classes. This quasi-experimental pretest–posttest study assessed an antenatal education website, EDUMIL, among 80 first-trimester pregnant women at Talun Primary Health Center, Pekalongan, Indonesia, in 2025. Forty women accessed EDUMIL, a website combining antenatal care information, visit monitoring and WhatsApp appointment reminders; 40 comparison participants attended standard pregnancy classes. Participants were recruited purposively from different villages. Knowledge and attitude scores were assessed before and after education. Mean knowledge increased from 7.83 ± 1.45 to 12.50 ± 1.65 in the EDUMIL group and from 7.93 ± 1.23 to 11.38 ± 1.15 in controls. Mean attitude scores increased from 61.83 ± 7.89 to 71.93 ± 5.03 and from 62.05 ± 8.13 to 65.20 ± 7.37, respectively. Mean changes favored EDUMIL for knowledge (4.68 versus 3.45) and attitude (10.10 versus 3.15); the reported Mann–Whitney p values were <0.001 for both comparisons. The intervention was associated with larger improvements in knowledge and attitude scores, but village-level nonrandom assignment and lack of observed antenatal attendance outcomes limit causal and behavioral conclusions.
SAFE Antenatal Education and Pregnant Women’s Knowledge and Attitudes Toward Postpartum Blues: A Controlled Study Beta Karlistiyaningsih; Sri Rejeki; Machmudah Machmudah
South East Asia Nursing Research Vol 8, No 1 (2026)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.8.1.2026.16-20

Abstract

Postpartum blues is a common, generally transient mood disturbance after birth, whereas postpartum depression is a distinct condition requiring assessment. This study examined safe antenatal education and pregnant women’s knowledge and attitudes toward postpartum blues using a nonrandom pretest–posttest controlled quasi-experiment. The study took place at Saigon and Banjar Serasan primary health centres, Pontianak Timur, Indonesia, in 2026 and included 60 third-trimester pregnant women, with 30 at Saigon (intervention) and 30 at Banjar Serasan (control). The intervention consisted of Supportive Antenatal Care for Emotional Well-Being (SAFE): information on postpartum emotional changes, risk factors, coping, family support and self-care. Outcomes were assessed using knowledge and attitude questionnaires relating to postpartum blues. In the SAFE group, knowledge increased by 8.5 points, from 70.5 to 79.0, while the control mean decreased from 67.5 to 64.5. Attitude increased from 67.0 to 81.4 in the intervention group and changed little (62.9 to 62.3) in controls. The analysis reports between-group p values below 0.001 for knowledge and attitude after education. In interpretation, antenatal education can help expectant mothers label common emotional experiences and identify support routes before delivery. Greater knowledge and more constructive attitudes are feasible proximal targets; neither is direct evidence that postpartum blues or depression has been prevented. The design and measurement constraints mean that associations should not be represented as definitive causal effects.
WhatsApp-Delivered Infographic Breastfeeding Education and Exclusive Breastfeeding at Six Months: A Quasi-Experimental Study in Makassar Nur Umi Kalsum; Sri Rejeki; Rahayu Astuti
South East Asia Nursing Research Vol 7, No 1 (2025)
Publisher : University of Muhammadiyah Semarang

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Exclusive breastfeeding remains challenging even where routine maternal and child health education is available. This study examined whether a WhatsApp-delivered infographic e-book (e-EDU_ASIEK), added to routine counseling, was associated with exclusive breastfeeding at six months in the Tamamaung Primary Health Center catchment area, Makassar, Indonesia. A quasi-experimental posttest comparison enrolled all 40 eligible mothers of infants aged approximately 4.0–4.5 months; 20 received weekly access and reminders concerning e-EDU_ASIEK and 20 received routine health-worker or community-volunteer counseling. At six months, exclusive breastfeeding was reported by 17 of 20 mothers (85.0%) in the intervention group and 11 of 20 (55.0%) in the comparison group. The Pearson chi-square test yielded p = 0.038; the source statistical output additionally reported a two-sided Fisher exact p = 0.082. The observed 30-percentage-point difference favored digital education, although the small nonrandomized sample and sensitivity to test choice limit causal inference. Digitally accessible breastfeeding information may complement primary-care education, but a larger controlled study using independently verified feeding outcomes is needed.
Co-Authors Beta Karlistiyaningsih Machmudah Machmudah Nur Umi Kalsum Rahayu Astuti Retno Hidayati Khasanah