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Assistance for Early Detection of High-Risk Pregnancy Wahyuningsih, Endang
WASATHON Jurnal Pengabdian Masyarakat Vol 4 No 1 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/wasathon.v4i1.2117

Abstract

Pregnancy is a physiological process that women will experience during their reproductive years. In Indonesia, maternal mortality is a major issue in the health sector. One of the key indicators of a country's health status is the Maternal Mortality Ratio (MMR). The MMR is an important indicator that describes the number of women who die from causes related to pregnancy complications or their management during pregnancy, childbirth, and the postpartum period. The target of the Sustainable Development Goals (SDGs) by 2030 is to reduce the MMR to below 70 per 100,000 live births. The phenomenon of high-risk cases in 2023 is assessed based on potential emergencies, warning signs, urgent situations, total case numbers, and total referrals. The number of potential emergencies is 11 cases. The number of warning sign cases is 19, while there are 192 urgent cases. Over one year, the total number of cases is 29, with 15 referrals to hospitals and 14 cases handled at primary health centers. Efforts to reduce maternal mortality include an integrated antenatal care program. Integrated antenatal care is a comprehensive and coordinated service at health facilities that includes promotive, preventive, curative, and rehabilitative efforts. The number of pregnant women participating in the service activities is 14 Therefore, the proposed community service is related to the high-risk pregnant women early detection assistance program. The results of the service activities show that the majority of pregnant women (71.4%) are aged 20-29 years, but education about high-risk pregnancy is still necessary, especially for the age group of 30-39 years (28.6%) who are more vulnerable. The high level of education (50% high school, 42.9% associate/bachelor’s degree) supports health understanding, but access to health information remains limited for housewives. This assistance is very important to increase awareness and prevent complications, especially for pregnant women aged 30-39 years who require special attention
Implementasi Triad Sehat Kehamilan Pada Kelas Ibu Hamil: Deskripsi Pola Gizi-PHBS-Aktivitas Fisik Ibu Hamil Wahyuningsih, Endang; Uswatun Qoyyimah, Ana; Wahyuningsih, Astri; Apriadi Farkhati Nafi'ah, Eka
INVOLUSI: Jurnal Ilmu Kebidanan Vol 16 No 1 (2026): Vol. 16, No. 1 Januari 2026
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/involusi.v16i1.2223

Abstract

Kehamilan sehat sangat dipengaruhi oleh pemenuhan gizi seimbang, perilaku hidup bersih dan sehat (PHBS), serta aktivitas fisik yang adekuat, yang dirumuskan dalam konsep Triad Sehat Kehamilan dan diadopsi dalam kelas ibu hamil sebagai upaya pencegahan primer risiko maternal. Penelitian ini bertujuan mendeskripsikan implementasi Triad Sehat Kehamilan yang meliputi pola gizi, PHBS, dan aktivitas fisik pada ibu hamil peserta kelas ibu hamil di Desa Buntalan, Klaten Tengah. Desain penelitian menggunakan kuantitatif deskriptif dengan teknik total sampling, melibatkan 14 ibu hamil yang mengisi kuesioner Triad Sehat Kehamilan; data dianalisis secara univariat menggunakan distribusi frekuensi dan persentase. Hasil menunjukkan seluruh ibu hamil mengonsumsi gizi seimbang, seluruhnya menerima suplementasi kalsium dan hampir seluruhnya mendapat TTD, membatasi konsumsi kafein, serta sebagian besar membatasi asupan garam dan memperhatikan hidrasi, meski masih terdapat ibu dengan lingkar lengan atas <23,5 cm yang mengindikasikan risiko gizi. PHBS umumnya sangat baik, ditunjukkan dengan praktik cuci tangan pakai sabun, penggunaan air bersih, sanitasi dan kebersihan diri yang terjaga, tidak merokok maupun terpapar asap rokok, serta tidak mengonsumsi alkohol dan jamu. Aktivitas fisik harian sebagian besar cukup, didukung bantuan suami dan keterlibatan dalam aktivitas rumah tangga dan aktivitas ringan, meskipun partisipasi senam hamil masih rendah. Penelitian ini menegaskan bahwa implementasi Triad Sehat Kehamilan di kelas ibu hamil sudah relatif baik, namun tetap diperlukan penguatan edukasi gizi, pemantauan status gizi, promosi senam hamil, dan penguatan PHBS tertentu untuk mendukung pencapaian target SDG 3 terkait kesehatan maternal.