The Effectiveness of Using Maternal and Child Health (MCH) Handbook through the 40 Days CARE Method for Independently Prevention of Postpartum Complications

Endah Kusuma Wardani, Machria Rachman, Lutvia Dwi Rofika
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Abstract

The puerperium is the period after delivery up to 40 days when the reproductive organs recover. Postpartum services according to standards are provided to mothers and newborns from 6 hours to 42 days after delivery at least three times through home visits for early detection, treatment, or referral of complications that may occur during the postpartum period, as well as provide an explanation about health in general. One of the efforts made by the government is to procure MCH Handbook equipped with important information for mothers and babies, including screening for early detection of complications. Cadres will assist mothers in maximizing the utilization of MCH handbooks in the obedience of postpartum mothers to carry out postpartum visits, independent screening media for complications of the postpartum period and sources of receiving informational educational counseling during the postpartum period. This study aimed to analyze the effectiveness of using MCH handbook through the 40 Days CARE method for independently preventing complications in postpartum mothers. The design used was the Pre-Experiment (One Shot Case Study) with a sample of 30 respondents using a purposive sampling technique. Data collection used a questionnaire. Data analysis used T Test (α = 0.05). The results showed p value of 0.000, which means that there was an effect of using MCH handbook through the 40 Days CARE method on independently preventing complications in postpartum mothers. Based on this result, it is known that postpartum assistance has an influence and is effective in increasing the mothers’ independence in detecting and preventing postpartum complications, so the consistency in postpartum assistance and outreach to health cadres regarding this activity are badly needed
通过 "40 天护理法 "使用《母子保健手册》独立预防产后并发症的效果
产褥期是指分娩后至 40 天内生殖器官恢复的时期。根据标准,在产后 6 小时至 42 天内,通过家访向母亲和新生儿提供至少三次产后服务,以 及早发现、治疗或转诊产后可能出现的并发症,并提供有关健康的一般解释。政府所做的努力之一是购买母婴保健手册,手册中载有母婴保健的重要信息,包括早期发现并发症的筛查。干部将协助母亲最大限度地利用《母婴保健手册》,使产后母亲服从进行产后访视、独立筛查产后并发症的媒体以及在产后期间接受信息教育咨询的来源。本研究旨在分析通过 "40 天关爱 "方法使用母婴保健手册独立预防产后母亲并发症的效果。采用的设计是预实验(一次性案例研究),使用目的性抽样技术抽取了 30 名受访者。数据收集采用问卷调查。数据分析采用 T 检验(δ± = 0.05)。结果显示,P 值为 0.000,这意味着通过 40 天护理方法使用母婴保健手册对独立预防产后母亲并发症有影响。根据这一结果可知,产后护理对提高产妇在发现和预防产后并发症方面的独立性有一定的影响和效果,因此,亟需坚持开展产后护理活动,并向卫生干部宣传这一活动。
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