Pengaruh Pemeriksaan Kehamilan Terhadap Pemilihan Penolong Persalinan

Abstract

In Indonesia, the proportion of mother who delivered by professional birth attendant is still low. The Antenatal Care (ANC) can be used to motivate mothers to have delivery assisted by health personnel birth attendant. The objective of this study is to know the role of ANC and counselling on birth delivery choice. This study used a secondary data from the Evaluation on Benefit of Family Health Nutrition (FHN) Project, which was conducted in five provinces in Indonesia. Data were analyzed using multiple logistic regressions method. The effect of ANC on birth attendant choice was measured using association measurement of odd ratio. The study showed that mothers who had four times or more ANC had 2,0 times higher chance to have delivery assisted by professional birth attendant than mothers who had less than 4 times ANC, after adjusted for mother’s characteristics (family income, education, and occupation of household’s head), (ORadj = 2,1, 95% CI = 1,4-3,0). Mothers who got counselling were delivered by professional birth attendant 3,7 times higher than non counselled mother (ORadj = 3,7, 95% CI = 2,4-5,7). The ANC alone was not sufficient to increase the number of mother who delivered by professional birth attendant, the ANC should be complemented by counselling about pregnancy, birth attendance, breast feeding, and suggestion to have delivery assisted by professional birth attendant. Key words: Antenatal care, quality of care, professional birth attendant