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The Relationship Between Distance To Health Facilities And Regularity Of Pregnancy Check-Ups (Anc) In Remote Areas Hasrianti, Hasrianti; Rasdiana, Rasdiana; R, Cakrawati
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.894

Abstract

Access to maternal health services is a determining factor in the success of maternal and child health programs. One important indicator is the regularity of antenatal care ( ANC ) visits, which is significantly influenced by geographic conditions, including distance to health facilities. This study aims to analyze the relationship between distance to health facilities and the regularity of antenatal care visits among pregnant women in remote areas. The study used an observational analytical design with a cross-sectional approach. Sectional. The research population was all pregnant women in the working area of Health Center X, totaling 120 people, and the sample consisted of 80 respondents taken proportionally. Random sampling. Primary data were collected through interviews using a structured questionnaire, while secondary data were obtained from the KIA book and community health center reports. Data analysis was performed univariately and bivariately using the Chi- Square (χ²) test with a 95% confidence level. The results showed that 62.5% of respondents traveled >5 km to a health facility, and 58.7% did not undergo regular ANC check-ups. Statistical tests showed a p-value of 0.002 (<0.05), indicating a significant relationship between distance traveled and the regularity of prenatal check-ups. The longer the distance traveled, the lower the frequency of ANC visits. In conclusion, difficult geographic access is a significant determinant of irregular antenatal care in remote areas. It is recommended that the government and health facilities expand the reach of maternal services through mobile services, the role of village midwives, and integrated integrated health posts (Posyandu) to improve the accessibility and regularity of ANC.
Hubungan Pengetahuan Ibu Hamil tentang Tanda Bahaya Kehamilan dengan Kepatuhan Melakukan Antenatal Care (ANC) Rohmi, Rohmi; R, Cakrawati
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 1 (2025): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i1.902

Abstract

Pregnancy compliance with antenatal care (ANC) is crucial for preventing pregnancy complications and ensuring the health of both mother and fetus. Knowledge of pregnancy danger signs is a key factor influencing ANC compliance. This study aims to determine the relationship between knowledge of pregnancy danger signs and ANC compliance. The study used a cross-sectional study design, with a sample of 100 pregnant women visiting the Integrated Health Post (Posyandu) and Community Health Center (Puskesmas) in District X, selected using purposive sampling. Data were collected through a structured questionnaire regarding knowledge of pregnancy danger signs and ANC visit records. Data analysis was performed using the Chi-square test to determine the relationship between variables. The results showed that pregnant women with good knowledge had higher ANC compliance than those with poor knowledge (p = 0.001; OR = 3.5). Conclusion: There is a significant relationship between knowledge of pregnancy danger signs and ANC compliance. Antenatal education and counseling efforts are essential to improve maternal compliance.
The Effect of Traditional Herbal Medicine Consumption on Liver Function in Pregnant Women in Rural Areas Kasmara, Dwi Pratiwi; R, Cakrawati
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.909

Abstract

The use of traditional herbal medicine remains common practice in various rural areas of Indonesia, including among pregnant women. Jamu is considered an easily accessible, culturally based alternative healthcare treatment and is believed to provide benefits such as increasing stamina, reducing nausea, and alleviating pregnancy symptoms. However, some active herbal ingredients are known to be metabolized in the liver and have the potential to increase hepatocellular function, especially in specific physiological conditions such as pregnancy. This study aims to analyze the effect of traditional herbal medicine consumption on liver function in pregnant women in rural areas The study used a cross-sectional design with a sample of 60 pregnant women in their second and third trimesters selected through a purposive sampling technique. Data were collected using a structured questionnaire regarding herbal medicine consumption patterns (type of herbal medicine, frequency, duration of consumption), then laboratory tests were conducted on liver enzyme levels SGOT and SGPT as indicators of hepatic function. As many as 40% of respondents were recorded as consuming herbal medicine regularly (≥3 times per week), with the most common types of herbal medicine being turmeric and tamarind, beras kencur, and temulawak. On average, respondents had had a habit of consuming herbal medicine long before pregnancy. Analysis using the Mann -Whitney test showed a significant difference in SGOT (p = 0.031) and SGPT (p = 0.038) levels between pregnant women who regularly consumed herbal medicine and those who did not. However, the median SGOT and SGPT values in the herbal medicine group were still within normal limits, thus not indicating clinical liver damage. However, this statistically significant increase indicates an additional metabolic burden on the liver due to exposure to the active ingredients of the herbal plant. This study concludes that consumption of traditional herbal medicine has the potential to affect liver function in pregnant women, although the effects have not yet reached pathological levels. Therefore, herbal medicine use during pregnancy should be done wisely, in a controlled manner, and in consultation with a healthcare professional. Further research with a longitudinal design, larger sample sizes, and laboratory analysis of herbal medicine ingredients is recommended to obtain a more comprehensive picture.
The Relationship Between Husband's Support And The Success Of Normal Delivery In Primigravid Mothers R, Cakrawati; Rahmat, Rezqiqah Aulia; Azizah, Fara Khanza
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.943

Abstract

Husband's support is a crucial factor influencing a mother's psychological well-being during pregnancy and childbirth. In primigravida mothers, husband's support has been shown to increase self-confidence, reduce anxiety, and contribute to a successful vaginal delivery. This study aimed to analyze the relationship between husband's support and the success of vaginal deliveries in primigravida mothers at Community Health Center X. The study used a cross-sectional design, involving 82 primigravida mothers who gave birth in the last six months. Data were collected using a husband support questionnaire and medical records of the delivery process. Analysis used the Chi- Square test. The study results showed that primigravida mothers who received high levels of husband support were more likely to experience normal delivery than those with low levels of support (p=0.001). Husband support plays a role in reducing anxiety, increasing mental readiness, and strengthening the mother's adaptation to the labor process.
Program Edukasi Asuhan Kebidanan Untuk Mencegah Komplikasi Kehamilan Pada Ibu Dengan Pernikahan Dini Ula, Zumrotul; Azizah, Fara Khansa; Hartati, Andi; R, Cakrawati
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2025): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Desember)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v4i1.930

Abstract

Early marriage remains a significant public health problem in Indonesia, particularly in rural areas. Pregnancy at a young age increases the risk of complications such as anemia, preeclampsia, premature birth, low birth weight (LBW), and even maternal and infant mortality. Lack of knowledge about midwifery care and reproductive health is a major factor in the high risk of these complications. This community service program aims to increase mothers' knowledge and awareness of early marriage through integrated midwifery care education. The program was conducted with 40 pregnant women aged 15–20 years in the target area. Methods used included direct counseling, prenatal care demonstrations, simple antenatal check-ups, educational materials, and evaluation through pre- and post-tests. Results showed a significant increase in mothers' knowledge regarding pregnancy danger signs, nutrition, prenatal care, and the importance of regular check-ups. The average knowledge score increased from 54.2 to 88.5. Eighty-five percent of participants reported behavioral changes in ANC visits and iron tablet consumption. This program has proven effective in increasing the capacity of young mothers to prevent pregnancy complications. Sustainable interventions are essential to minimize the long-term impact of early marriage on maternal and child health.
Penyuluhan Tanda Bahaya Kehamilan Untuk Meningkatkan Kewaspadaan Dan Keselamatan Ibu Hamil Asikin, Siti Badria; Tarnoto, Tenny; Subani, Natalia Debi; Nurhayati, Nurhayati; Rahmat, Rezqiqah Aulia; R, Cakrawati
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2025): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Desember)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v4i1.932

Abstract

The maternal mortality rate (MMR) remains a health indicator that requires significant attention, especially in areas with limited health facilities. One contributing factor to the high MMR is pregnant women's limited knowledge of pregnancy danger signs, often leading to delays in seeking medical help. This community service activity aims to improve pregnant women's knowledge of pregnancy danger signs through integrated counseling and education. The activity was conducted in Village X and involved 45 pregnant women. The methods used included classroom counseling, interactive discussions, demonstrations of danger signs, distribution of leaflets, and knowledge evaluation using pre- and post-tests. The results showed a significant increase in knowledge, with an average pre-test score of 56.2 increasing to 86.7 in the post-test. Ninety-one percent of participants stated that this activity was very beneficial and increased their awareness of pregnancy risks. In conclusion, counseling on pregnancy danger signs is effective in increasing the knowledge and awareness of pregnant women. This activity is recommended for routine implementation by health workers as an effort to prevent complications early and improve maternal safety.
Pelatihan Senam Ibu Hamil Sebagai Upaya Meningkatkan Kesehatan Ibu Dan Janin R, Cakrawati; Susanti, Susanti; Insani, Uswatun
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2025): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Desember)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v4i1.962

Abstract

Pregnancy is a physiological process that requires the mother's physical and psychological readiness. Lack of physical activity during pregnancy can increase the risk of pregnancy-related complaints, labor complications, and maternal and fetal health problems. Prenatal exercise is a safe and beneficial form of physical activity that improves maternal fitness and supports fetal growth and development. This Community Service activity aims to increase the knowledge and skills of pregnant women regarding prenatal exercise as an effort to maintain maternal and fetal health. Implementation methods include counseling, demonstrations, practical training in prenatal exercise, and activity evaluation. The results of the activity indicate an increase in pregnant women's knowledge about the benefits of prenatal exercise, improved skills in performing correct exercise movements, and a decrease in physical complaints during pregnancy. This activity is expected to serve as a promotive and preventive effort to improve maternal and fetal health.