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All Journal Journal of Health Technology Assessment in Midwifery Jurnal Pengabdian Kesehatan Masyarakat Mulawarman
Nita Indah Lestari
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Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Nursing Public Health Other

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Edukasi Kesehatan Reproduksi dan Skrining Kehamilan di Desa Kedungwungu, Kabupaten Banyuwangi: Studi Intervensi Komunitas Permatasari, Ineke; Nita Indah Lestari; Rizky Dwiyanti Yunita; Tria Eni Rafika Devi
Jurnal Pengabdian Kesehatan Masyarakat Mulawarman Vol. 3 No. 1 (2025): Juni 2025
Publisher : Fakultas Kedokteran, Universitas Mulawarman

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Abstract

The level of public awareness about reproductive health and the importance of pregnancy screening in rural areas is still low, resulting in a high risk of pregnancy complications. Kedungwungu Village, Banyuwangi, is one of the areas with suboptimal coverage of antenatal check-ups (K1). Education is provided with the aim of increasing community understanding of reproductive health and early detection of pregnancy risks through education and health screening. The service activities are carried out through: (1) Interactive counseling with visual media, (2) Individual counseling, (3) Basic health checks (blood pressure and physical examination). Participants consisted of 71 mothers who were purposively selected. After the activity, there was a 65% increase in participants' knowledge (from pretest to posttest) regarding reproductive health and pregnancy danger signs. Screening identified 1 mothers at risk of anemia who were get according to the procedure. Participants also showed high enthusiasm in group discussions. This program is effective in improving understanding and early detection of reproductive health problems. Continued collaboration with health cadres is needed to monitor at-risk participants.
Association between high-risk pregnancy and mode of delivery in Kalibaru Aslina, Wiwit; Silviatul Amalia; Nita Indah Lestari
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.4087

Abstract

High-risk pregnancy is a critical public health concern associated with increased maternal and neonatal morbidity and mortality, particularly in developing regions such as Banyuwangi, Indonesia. The Kalibaru area reported the highest number of pregnant women with complications in 2024. This study aims to examine the relationship between high-risk pregnancy status and mode of delivery in Kalibaru, addressing a gap in literature regarding their association. A retrospective cross-sectional study was conducted using secondary data from 762 postpartum mothers in Kalibaru. A total of 262 samples were selected using Slovin’s formula with a 5% margin of error and simple random sampling. Eligibility criteria included complete medical records from women who delivered in Kalibaru in 2024. Data were anonymized and analyzed using the Chi-Square test to determine the association between high-risk pregnancy status (categorized as high-risk or not) and delivery method (vaginal or cesarean section).Among the 262 respondents, 198 (75.6%) had high-risk pregnancies and delivered via cesarean section (CS), while 64 (24.4%) had spontaneous vaginal births. The Chi-Square test showed a statistically significant association between high-risk pregnancy and cesarean delivery (p = 0.000). Odds ratio analysis revealed that high-risk pregnant women were 63.68 times more likely to undergo cesarean section (OR = 63.677; 95% CI: 9.108–445.161) compared to non-high-risk women. Key risk factors contributing to the increased likelihood of cesarean delivery included maternal age <20 or >35 years, height ≤145 cm, low parity, and prior cesarean history. These findings highlight the importance of early detection and comprehensive risk assessment during antenatal care to reduce medically unnecessary cesarean sections. Implementation of routine pregnancy risk screening using tools such as the Poedji Rochyati Scorecard (KSPR), along with strengthening referral systems and public education, is essential for improving maternal outcomes in high-risk pregnancies.
Co-Authors Aslina, Wiwit Ineke Permatasari Rizky Dwiyanti Yunita Silviatul Amalia Tria Eni Rafika Devi