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Journal : health dynamics

Previous Preeclamptic Pregnancy and Chronic Hypertension Affects Current Preeclampsia at a Public Health Center in Bojonegoro, Indonesia Indrayanti Indrayanti; Abdul Latip; Masfuah Ernawati; Mariya Ulfah
Health Dynamics Vol 3, No 4 (2026): April 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30403

Abstract

Background: Preeclampsia is one of the leading causes of maternal mortality and occurs frequently in Indonesia. The high maternal mortality rate (MMR) reflects the low quality of health services during pregnancy, childbirth, and the postpartum period. This study aimed to analyze the risk factors associated with the incidence of preeclampsia among pregnant women at the Public Health Center in Sukosewu, Bojonegoro, Indonesia. Methods: This study used a cross-sectional design. The samples consisted of 120 pregnant women at the Public Health Center in Sukosewu, Bojonegoro District, Indonesia. Odds ratio and logistic regression tests were applied in this study. Results: Gravida (p = 0.046) and a history of chronic hypertension (p = 0.015) had a significant positive effect (p < 0.05) on the incidence of preeclampsia. Meanwhile, family history (p = 0.079), twin pregnancy (p = 0.999), gestational interval (p = 0.261), age (p = 0.132), BMI (p = 0.336), MAP (p = 0.997), history of hypertension during pregnancy (p = 0.260), and history of DM (p = 1.000) showed no significant effect on the incidence of preeclampsia. Conclusion: The incidence of preeclampsia among pregnant women at the Public Health Center in Sukosewu, Bojonegoro, Indonesia, was associated with the risk factors of previous preeclampsia and a history of chronic hypertension during pregnancy.
Influence of Knowledge, Motivation, and Family Support on Iron Supplement Adherence Among Pregnant Women for Anemia Prevention at a Public Health Center in Bojonegoro, Indonesia Sri Wahyuni; Lilik Triyawati; Ari Tri Rahayu; Abdul Latip
Health Dynamics Vol 3, No 5 (2026): May 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30503

Abstract

Background: Maternal Mortality Rate (MMR) is a crucial indicator for evaluating the success of a country's health development. In Indonesia, MMR remains high at 97.61 per 100,000 live births in 2020, falling short of the Sustainable Development Goals (SDGs) target of 70 per 100,000 live births by 2030. One contributing factor to this high rate is anemia during pregnancy. This study aims to analyze the influence of knowledge, motivation, and family support on pregnant women's adherence to consuming ferrous iron supplements as a preventive measure against pregnancy-related anemia in the working area of Kalitidu Public Health Center, Bojonegoro Regency. Methods: An analytical observational design with a cross-sectional approach was employed. The sample consisted of 167 pregnant women in their first, second, and third trimesters who agreed to participate. Data were collected through questionnaires and document reviews, and analyzed using multiple logistic regression tests. Results: Most respondents demonstrated adequate knowledge (89.3%), good motivation (87.3%), and strong family support (86.7%). Statistical analysis revealed a significant influence of knowledge, motivation, and family support on adherence to iron tablet consumption (p < 0.05). Conclusion: Educational interventions and social support play a vital role in improving compliance with iron supplementation, thereby reducing the prevalence of anemia and supporting the achievement of national MMR reduction targets. 
Knowledge, Husband Support, and Culture as the Main Determinants of Timeliness of K1 Visits for Pregnant Women Abdul Latip; Mariya Ulfah; Doni Yanu Arianto
Health Dynamics Vol 2, No 9 (2025): September 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20905

Abstract

Background: K1 is the first contact of pregnant women with health workers who have good clinical/obstetric and interpersonal competence, to get integrated and comprehensive services according to standards. The first contact should be made as early as possible in the first trimester (0-12 weeks). The achievement of K1 visits for pregnant women in Bojonegoro Regency in 2022 was 96.7% of pregnant women. Based on the 2022 Monitoring Report of Maternal Health at the Dander Public Health Center, Bojonegoro Regency, the achievement of Pure K1 Visits for pregnant women is 87.41% of the target of 100%, so that there are 12.59% of pregnant women who are not on time at the first visit. Methods: This observational analytic study employed a cross-sectional design. The sample consisted of 117 pregnant women in their second and third trimesters, selected using simple random sampling. Collecting data using a questionnaire. Data were analyzed using the Multiple Logistic Regression Test to assess influence of knowledge, accessibility, and husband support, and culture on the timeliness of K1 visits with p<0.05. Collecting data using a questionnaire. Results: There was an influence of knowledge (p=0.007), husband support (p=0.017), and culture (p=0.032) on the timeliness of K1 visits. There was no effect of accessibility (p=0.732). Conclusion: Good knowledge of K1 visits will foster awareness and positive attitudes in conducting early pregnancy checks; husband's support can provide motivation, and foster awareness of the importance of early pregnancy checkups; a culture that values and prioritizes the health of the mother and fetus will encourage pregnant women to immediately carry out pregnancy checks early. The researcher is then expected to be able to research other factors that can affect the K1 visit of pregnant women, namely belief, motivation, facilities, community leaders, and health workers.