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All Journal Advances in Healthcare Research
Rikhaniarti, Tri
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Health Professions

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Limited Access to Health Services and Pregnancy Risks Irmadani, Andi Syarifah; Rikhaniarti, Tri; Ibrahim, Sitti Hasrah; Irwan, Hadriani
Advances in Healthcare Research Vol. 3 No. 2 (2025): March - August
Publisher : Yayasan Pendidikan Bukhari Dwi Muslim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60079/ahr.v3i2.538

Abstract

Purpose: This study aims to examine the limitations of access to health services and their relationship to increased pregnancy risk in Indonesia, highlighting the interacting geographical, socioeconomic, cultural, and policy factors that shape maternal access disparities. Research Method: This study employs a qualitative approach, utilizing the Systematic Literature Review (SLR) method to analyze academic literature published between 2015 and 2025. The search was conducted comprehensively through searches in reputable international journals from publishers Elsevier, Emerald, Wiley, and Springer. Results and Discussion: The study's results indicate that structural factors, including low socioeconomic status, geographical isolation, and a shortage of trained healthcare workers, primarily cause limited access to maternal health services. In addition, socio-cultural factors such as the dominance of non-medical personnel and gender norms also contribute to delays in accessing medical services. The mismatch between national policies and local needs exacerbates service gaps and increases the risk of pregnancy complications. Implications: This study highlights the importance of a multidisciplinary and contextual approach in developing maternal health policies. Community-based strategies that take into account the socio-cultural context and strengthen primary services and health literacy are needed as long-term, sustainable interventions.
Relationship Between Pregnant Women's Anxiety Levels and Baby Blues Syndrome During the Postpartum Period Rikhaniarti, Tri; Irmadani, Andi Syarifa; Ernawati, Ernawati
Advances in Healthcare Research Vol. 3 No. 2 (2025): March - August
Publisher : Yayasan Pendidikan Bukhari Dwi Muslim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60079/ahr.v3i2.540

Abstract

Purpose: This study aims to explore the relationship between the level of anxiety in pregnant women and the incidence of baby blues syndrome during the postpartum period. The primary focus is to understand the psychological and physiological mechanisms underlying the transition from prenatal anxiety to postpartum emotional disorders. Research Method: This study employs a qualitative approach, incorporating a systematic literature review of scientific articles published between 2015 and 2025. The analysis was conducted on secondary data from national and international journals, considering the psychosocial, hormonal, and neurobiological frameworks related to anxiety in pregnant women and baby blues. Results and Discussion: Findings indicate that anxiety during pregnancy is significantly correlated with an increased risk of postpartum baby blues syndrome. Factors such as lack of social support, cultural pressure on the role of mothers, and hormonal fluctuations contribute to the occurrence of emotional disturbances after childbirth. This study also confirms that emotional unpreparedness during pregnancy is an important indicator of mental stability in mothers during the postpartum period. Implications: The results of this study suggest the need for anxiety screening in antenatal services, training for healthcare workers in the early detection of emotional disorders, and strengthening psychosocial interventions as preventive measures. These findings also encourage the development of more holistic maternal mental health policies.
Co-Authors Ernawati Ernawati Ibrahim, Sitti Hasrah Irmadani, Andi Syarifa Irmadani, Andi Syarifah Irwan, Hadriani