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All Journal Jurnal Ilmiah Kesehatan Media Husada Jurnal Kesehatan Wira Buana An Idea Health Journal An Idea Nursing Journal Health Dynamics
Pratiwi Putri, Dian Utama
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Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Determinants Of Obstetric Ultrasound Utilization Among Pregnant Women In Efforts To Prevent The Infant Mortality Rate In Tulang Bawang Regency [Accepted] Firtanti, Afdinda; Budiati, Endang; Rahayu, Dewi; Pratiwi Putri, Dian Utama
Health Dynamics Vol 3, No 4 (2026): April 2026 (In progress)
Publisher : Knowledge Dynamics

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Abstract

Background: Low utilization of ultrasonography (USG) examinations among pregnant women, at only 16,1% during first antenatal care (ANC) visits and 18,7% during last ANC visits, may hinder the early detection of pregnancy complications and contribute to a high infant mortality rate (IMR) which reached 34 cases in 2024 in Tulang Bawang Regency. This study aimed to analyze the determinants of utilization with USG examinations among pregnant women in Tulang Bawang Regency in 2025. Methods: This quantitative analytic study used a cross-sectional design. From a population of 2,694 pregnant women in Tulang Bawang Regency in 2025, a sample of 267 respondents was selected using stratified random sampling from six primary health centers. Instruments included a questionnaire and secondary data sources. Data were analyzed using univariate, bivariate (Chi-square), and multivariate analyses was conducted using multiple logistic regression. Results: Of the 267 respondents, 141 (52.8%) adhered to ultrasound examinations. Knowledge (p=0.000), attitude (p=0.008), age (p=0.000), service availability (p=0.008), accessibility (p=0.000), and perception (p=0.013) were significantly associated with ultrasound adherence, whereas pregnancy risk status was not (p=0.643). Age was the dominant factor (p=0.001; OR=3.660; 95% CI: 1.751–7.650). Conclusions: Conclusion: Ultrasound utilization among pregnant women is primarily influenced by age, accessibility, and knowledge. To improve ultrasound utilization as an ANC-strengthening innovation, we recommend prioritizing target screening (pregnant women aged <20 and >35 years), providing structured ultrasound education, implementing written scheduling, tiered reminders, and active follow-up of missed appointments. This innovation should be supported by flexible service hours and improved access through scheduled transportation and mobile ultrasound services, subject to resource availability.
Co-Authors -, Lutfi Su'adah -, Nana Novariana Adi Ningsih, Septi admin admin, admin Arisandi, William Atikah Adyas Budiati, Endang Carunie Jatmiko, Mayliza Da Nerra Damayanti, Erisya Dewi Rahayu Dwi Yulia Maritasari, Dwi Yulia Faradila, Mulya Dwi Firtanti, Afdinda Hetrianto, Novian Dwi Irianto, Sugeng Eko Karyus, Aila Listina, Febria Noviansyah Noviansyah, Noviansyah Riana, Yana Sari, Dwi Yulia Marita Sari, Lia Puspita Wardhani, Annisa Avitami Kesuma