Postpartum care knowledge and its determinants during the COVID-19 pandemic in mothers in Indonesia
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Feb 24, 2024
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Abstract
Background: Maternal deaths based on obstetric status in Semarang city, Indonesia, in 2018 occurred a lot during the postpartum (15 cases). Therefore, knowledge of postpartum care is essential in improving maternal health during the postpartum. This study aims to examine the picture of postpartum care knowledge during the COVID-19 pandemic and its determinants in Indonesia. Method: Cross-sectional research design. The study involved 92 postpartum mothers in 2 Puskesmas areas in Semarang City, Indonesia. The sample size was determined using the Cochrane formula with the inclusion criteria of pregnant women with a gestational age of 32-34 weeks. The study was conducted in January 2021. The instrument uses questionnaires and purposive sampling techniques. The Chi-Square and Fisher-Exact tests in this study are used to analyze the relationship between variables. Backward stepwise logistic regression test to determine determinants of postpartum care knowledge. Result: Mothers who had poor knowledge of postpartum care were 45.7%. Poor knowledge is found mainly in the aspects of nutritious food (65.2%), vitamin A (46.7%), and personal hygiene (47.7%). Mothers exposed to digital information are more likely to have knowledge of postpartum care (OR= 2.6; CI 95%= 1,100-6,018; p=0.029). Conclusion: Knowledge of postpartum care during the COVID-19 pandemic in Indonesia is still low and needs to be improved. The use of digital media as a medium for promoting postpartum care has an opportunity to improve maternal and infant health.
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How to Cite
Wulandari, R., Anggraini , F. D. P., Belladiena, A. N. and Waluyo, D. E. (2024) “Postpartum care knowledge and its determinants during the COVID-19 pandemic in mothers in Indonesia ”, Science Midwifery, 11(6), pp. 902-909. doi: 10.35335/midwifery.v11i6.1409.
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Wagner, M., Falcone, V., Neururer, S. B., Leitner, H., Delmarko, I., Kiss, H., Berger, A., & Farr, A. (2022). Perinatal and postpartum care during the COVID-19 pandemic: A nationwide cohort study. Birth, 49(2), 243–252. https://doi.org/10.1111/birt.12594
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Wulandari R, Suwandono A, Kartasurya, M. I. (2022). Postpartum Care Behavior Improvement during COVID-19 Pandemic in Indonesia Using Mobile-Health Interactive Message. Ethiopian Journal of Health Sciences, 32(2), 243–254. https://doi.org/10.4314/ejhs.v32i2.4
Aye, Y. M., Kim, S. J., Suriyawongpaisal, W., Hong, S. A., & Chang, Y. S. (2022). Utilization of Postnatal Care Services among Thai Women during the COVID-19 Pandemic: Results of a Web-Based Survey. International Journal of Environmental Research and Public Health, 19(11). https://doi.org/10.3390/ijerph19116536
Beraki, G. G., Tesfamariam, E. H., Gebremichael, A., Yohannes, B., Haile, K., Tewelde, S., & Goitom, S. (2020). Knowledge on postnatal care among postpartum mothers during discharge in maternity hospitals in Asmara: A cross-sectional study. BMC Pregnancy and Childbirth, 20(1), 17. https://doi.org/10.1186/s12884-019-2694-8
Dashraath P, Wong JL, Lim MXK, Lim LM, Li S, Biswas A, Choolani M, Mattar C, S. L. (2020). Special Report and pregnancy. Am J Obstet Gynecol, 222(6), 521–531.
Dinas Kesehatan Kota Semarang. (2020). Protokol Pelayanan KIA untuk Puskesmas, 4 (2020).
Dinas Kesehatan Provinsi Jawa Tengah. (2019). Profil Kesehatan Provinsi Jateng Tahun 2019. In Dinas Kesehatan Provinsi Jawa Tengah (Vol. 3511351, Issue 24).
Du, L., Gu, Y. B., Cui, M. Q., Li, W. X., Wang, J., Zhu, L. P., & Xu, B. (2020). [Investigation on demands for antenatal care services among 2 002 pregnant women during the epidemic of COVID-19 in Shanghai]. Zhonghua fu chan ke za zhi, 55(3), 160–165. https://doi.org/10.3760/cma.j.cn112141-20200218-00112
Eldawati, S. (2015). Hubungan Pengetahuan Dan Sikap Ibu Nifas Dengan Praktik Perawatan Masa Nifas Di Kecamatan Gunungpati Kota Semarang Bulan Januari-Maret 2015. Jurnal Kesehatan Masyarakat (e-Journal), 3(3), 228–237.
Jabeen, N., Zaheer, F., Ali, K., Faruqi, A., Mughal, I. A., & Irfan, A. (2021). Impact of COVID-19 on Antenatal, Natal, and Postnatal Care of pregnant females at Akbar Niazi Teaching Hospital. Journal of Rawalpindi Medical College, 25(1), 60–65. https://doi.org/10.37939/jrmc.v25i1.1471
Jardine, J., Relph, S., Magee, L. A., von Dadelszen, P., Morris, E., Ross-Davie, M., Draycott, T., & Khalil, A. (2021). Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care. BJOG: An International Journal of Obstetrics and Gynaecology, 128(5), 880–889. https://doi.org/10.1111/1471-0528.16547
Kemenkes RI. (2021). Profil Kesehatan Indonesia 2021. In Pusdatin.Kemenkes.Go.Id.
Kementerian Kesehatan RI. (2018). Laporan Riskesdas 2018. In Laporan Nasional Riskesdas 2018 (Vol. 53, Issue 9). http://www.yankes.kemkes.go.id/assets/downloads/PMK No. 57 Tahun 2013 tentang PTRM.pdf
Khuzaiyah, S., Khanifah, M., & Chabibah, N. (2018). Evaluasi Pencatatan & Pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) Oleh Bidan, Ibu dan Keluarga. Indonesian Journal of Nursing Practice, 2(1), 22–27. https://doi.org/10.18196/ijnp.2175
Liu, Z., Chen, S., Zhang, G., & Lin, A. (2015). Mobile phone-based lifestyle intervention for reducing overall cardiovascular disease risk in guangzhou, China: A pilot study. International Journal of Environmental Research and Public Health, 12(12), 15993–16004. https://doi.org/10.3390/ijerph121215037
Mirzaee K, Ghadikolaee SO, Shakeri MT, Bazzaz, S. (2015). Maternal Knowledge on Postpartum Care in Healthcare Centers of Mashhad, Iran in 2013. Journal of Midwifery and Reproductive Health, 3(4), 456–464. http://jmrh.mums.ac.ir/article_4810.html
Moorhead, S. A., Hazlett, D. E., Harrison, L., Carroll, J. K., Irwin, A., & Hoving, C. (2013). A new dimension of health care: Systematic review of the uses, benefits, and limitations of social media for health communication. Journal of Medical Internet Research, 15(4), 1–17. https://doi.org/10.2196/jmir.1933
Mudatsir, M. (2017). Faktor Budaya Dalam Perawatan Ibu Nifas. Jurnal Ilmu Keperawatan, 5(1), 36–49.
Pandori, J., Kartasurya, M. I., & Winarni, S. (2018). Penggunaan Buku KIA sebagai Media Edukasi pada Ibu Hamil. 6(2), 2356–3346. http://ejournal3.undip.ac.id/index.php/jkm
Probandari, A., Arcita, A., Kothijah, K., & Pamungkasari, E. P. (2017). Barriers to utilization of postnatal care at village level in Klaten district, central Java Province, Indonesia. BMC Health Services Research, 17(1), 1–10. https://doi.org/10.1186/s12913-017-2490-y
Trisna, A., & Rahayuningsih, F. B. (2016). Praktik Perawatan Masa Nifas Di Kecamatan Pecangaan Kabupaten Jepara Terkait Dengan Faktor Sosial Budaya. In Jurnal Ilmu Keperawatan (Vol. 6, Issue 1). Muhamadiyah University.
Usman, U., & Sapril, S. (2018). Pemanfaatan Budaya Posoropu dalam Perawatan Masa Nifas oleh Perempuan Buton Utara. Media Kesehatan Masyarakat Indonesia, 14(3), 268. https://doi.org/10.30597/mkmi.v14i3.4453
Vijayalakshmi, P. (2015). Knowledge, attitudes, and breast feeding practices of postnatal mothers: A cross sectional survey. 9(4).
Wagner, M., Falcone, V., Neururer, S. B., Leitner, H., Delmarko, I., Kiss, H., Berger, A., & Farr, A. (2022). Perinatal and postpartum care during the COVID-19 pandemic: A nationwide cohort study. Birth, 49(2), 243–252. https://doi.org/10.1111/birt.12594
World Health Organization. (2023). Maternal Mortality. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Wu, H., Sun, W., Huang, X., Yu, S., Wang, H., Bi, X., Sheng, J., Chen, S., Akinwunmi, B., Zhang, C. J. P., & Ming, W. K. (2020). Online antenatal care during the COVID-19 pandemic: Opportunities and challenges. Journal of Medical Internet Research, 22(7), 1–5. https://doi.org/10.2196/19916
Wulandari R, Suwandono A, Kartasurya, M I, et all. (2020). Development of M-Health Promotion in Postpartum Care. European Journal of Molecular & Clinical Medicine, 07(01), 3834–3843. https://ejmcm.com/article_4738.html
Wulandari R, Suwandono A, Kartasurya, M. I. (2022). Postpartum Care Behavior Improvement during COVID-19 Pandemic in Indonesia Using Mobile-Health Interactive Message. Ethiopian Journal of Health Sciences, 32(2), 243–254. https://doi.org/10.4314/ejhs.v32i2.4