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"[ABSTRAKIbu hamil risiko tinggi rentan mengalami kecemasan dan depresi yang berdampak pada kelekatannya dengan janin. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara dukungan sosial dengan kelekatan ibu dan janin pada ibu hamil risiko tinggi. Penelitian cross sectional ini melibatkan 108 ibu hamil risiko tinggi yang dipilih menggunakan consecutive sampling. Hasil penelitian menunjukkan bahwa terdapat hubungan antara dukungan sosial dengan kelekatan ibu dan janin pada ibu hamil risiko tinggi (p=0.003). Ibu dengan dukungan sosial tinggi berpeluang 3,9 kali mempunyai kelekatan tinggi dengan janinnya dibandingkan ibu yang dukungan sosialnya rendah setelah dikontrol depresi (OR=3.9; 95% CI=1.66-8.99). Hasil penelitian ini menegaskan bahwa aspek psikososial perlu lebih diperhatikan dalam perawatan ibu hamil sehingga status sejahtera bagi ibu dan bayi dapat dicapai.

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ABSTRACTHigh risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby.;High risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby.;High risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby., High risk pregnant women tend to experience anxiety and depression that occur prenatal attachment dismissed. This study aimed to identify the relationship between social support and prenatal attachment among high risk pregnant women. This cross sectional study involved 108 high risk pregnant women which selected by consecutive sampling. The result showed that there is relationship between social support and prenatal attachment among high risk pregnant women (p= 0,003). Pregnant women with high social support had prenatal attachment 3,9 times higher than women with low social support after controlled by depression (OR= 3,9; 95% CI=1.66-8.99). This finding confirms that the psychosocial aspects need to be considered in the antenatal care in order to achieve the wellness status for both mother and the baby.]"

"[ABSTRAKPenelitian ini bertujuan untuk mengidentifikasi kesadaran ibu hamil risiko tinggiterhadap tanda bahaya pada kehamilan dan faktor yang memengaruhi. Penelitiancross sectional ini melibatkan 107 ibu hamil risiko tinggi yang tersebar diPuskesmas di kota Depok, dipilih dengan consecutive sampling. Instrumen yangdigunakan adalah Birth Preparedness and Complication Readiness (BPCR) toolsversi Bahasa Indonesia. Hasil penelitian menunjukkan bahwa kesadaran ibu hamilrisiko tinggi terhadap tanda bahaya pada kehamilan kurang (54.8%) dan faktoryang memengaruhi adalah jumlah kunjungan pemeriksaan kehamilan, kualitaspelayanan, keterpaparan informasi, paritas dan perencanaan kehamilan (p=0.001,p=0.000, p=0.000, p=0,025, dan p=0,011). Faktor yang paling berpengaruh adalahketerpaparan informasi (OR=11.565; 95% CI=2.419-55.293). Kesadaran ibuhamil risiko tinggi terhadap tanda bahaya pada kehamilan perlu di tingkatkandengan komunikasi informasi dan edukasi (KIE) sampai terjadi perubahanperilaku.

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ABSTRACTThe aim of this study was to identification the influencing factors of the awarenessof danger signs of obstetric complications among of high risk pregnant women.The cross sectional study involved 107 high risk pregnant women in Depok andusing Birth Preparedness and Indonesian version of Complication Readiness(BPCR) tools. The findings showed that awareness of danger signs of obstetriccomplication among high risk pregnant women are less (54.8%) and antenatalcare visits, quality of services, information exposure, parity, and plannedpregnancy (p=0.001, p=0.000, p=0.000, p=0.025, and p=0.011) are theinfluencing factors and the dominant factor is information exposure (OR=11.565;95% CI=2.419-55.293). The pregnant women need to be aware of danger signs ofobstetric complication through providing proper information, education andcommunication.;The aim of this study was to identification the influencing factors of the awarenessof danger signs of obstetric complications among of high risk pregnant women.The cross sectional study involved 107 high risk pregnant women in Depok andusing Birth Preparedness and Indonesian version of Complication Readiness(BPCR) tools. The findings showed that awareness of danger signs of obstetriccomplication among high risk pregnant women are less (54.8%) and antenatalcare visits, quality of services, information exposure, parity, and plannedpregnancy (p=0.001, p=0.000, p=0.000, p=0.025, and p=0.011) are theinfluencing factors and the dominant factor is information exposure (OR=11.565;95% CI=2.419-55.293). The pregnant women need to be aware of danger signs ofobstetric complication through providing proper information, education andcommunication., The aim of this study was to identification the influencing factors of the awarenessof danger signs of obstetric complications among of high risk pregnant women.The cross sectional study involved 107 high risk pregnant women in Depok andusing Birth Preparedness and Indonesian version of Complication Readiness(BPCR) tools. The findings showed that awareness of danger signs of obstetriccomplication among high risk pregnant women are less (54.8%) and antenatalcare visits, quality of services, information exposure, parity, and plannedpregnancy (p=0.001, p=0.000, p=0.000, p=0.025, and p=0.011) are theinfluencing factors and the dominant factor is information exposure (OR=11.565;95% CI=2.419-55.293). The pregnant women need to be aware of danger signs ofobstetric complication through providing proper information, education andcommunication.]"

"Komplikasi kehamilan adalah salah satu penyebab kematian ibu yang dapat berdampak tidak hanya pada kesehatan ibu tetapi juga pada bayi baru lahir. Usia yang terlalu muda (<20 tahun) dan terlalu tua (>35 tahun) merupakan usia ibu hamil yang berisiko tinggi terhadap komplikasi kehamilan. Banten dan Jawa Barat berkontribusi terhadap tingginya angka wanita yang hamil pada usia risiko tinggi sekaligus juga menduduki peringkat lima tertinggi provinsi dengan persentase komplikasi kehamilan se-Indonesia. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan komplikasi kehamilan berdasarkan usia ibu hamil risiko tinggi di Provinsi Banten dan Jawa Barat. Desain penelitian ini adalah cross-sectional menggunakan data sekunder dari hasil Survei Demografi Kesehatan Indonesia (SDKI) 2017. Sampel penelitian ini adalah 777 wanita yang melahirkan anak terakhir lahir hidup dalam kurun waktu lima tahun terakhir yang berusia muda dan tua saat hamil dan bertempat tinggal di Provinsi Banten dan Jawa Barat. Data dianalisis menggunakan uji chi-square dan uji regresi logistik ganda model prediksi yang distratifikasi berdasarkan usia ibu hamil risiko tinggi. Hasil penelitian menunjukkan bahwa komplikasi kehamilan lebih banyak terjadi pada ibu hamil usia tua di kedua provinsi. Di Provinsi Banten, variabel yang berhubungan dengan komplikasi kehamilan pada ibu hamil usia muda adalah status kehamilan, umur kandungan saat pemeriksaan kehamilan pertama, jumlah pemeriksaan kehamilan, masalah akses perawatan kesehatan ibu, pengambilan keputusan perawatan kesehatan ibu, tingkat pendidikan ibu, dan indeks kekayaan dengan umur kandungan saat pemeriksaan kehamilan pertama dan masalah akses perawatan kesehatan ibu sebagai variabel yang paling berhubungan. Pada ibu hamil usia tua, variabel yang berhubungan secara signifikan adalah status kehamilan dan jumlah pemeriksaan kehamilan dengan jumlah pemeriksaan kehamilan sebagai variabel yang paling berhubungan. Di Provinsi Jawa Barat, variabel yang berhubungan secara signifikan pada ibu hamil usia muda adalah tingkat pendidikan ibu dengan status pekerjaan ibu sebagai variabel yang paling berhubungan. Untuk mencegah komplikasi kehamilan pada ibu hamil usia risiko tinggi, institusi kesehatan terkait perlu meningkatkan promosi edukasi terkait komplikasi kehamilan dan “4 Terlalu dan 3 Terlambat”; akses layanan kesehatan reproduksi; cakupan pelayanan kesehatan ibu hamil; serta deteksi komplikasi kehamilan berdasarkan faktor risiko yang berpengaruh signifikan.......Pregnancy complications are one of the causes of maternal death which can affect not only on mother’s health but also on the newborn. Ages that are too young (<20 years) and too old (>35 years) are the ages of pregnant women who are at high risk of pregnancy complications. Banten and West Java Province contribute to the high number of women who pregnant at a high-risk maternal age and are also ranked as the fifth highest province with the percentage of pregnancy complications in Indonesia. This study aims to determine the factors associated with pregnancy complications according to high-risk maternal age in the Provinces of Banten and West Java. The research design was cross-sectional using secondary data from 2017 Indonesia Demographic Health Survey (IDHS). The sample of this study was 777 women who gave birth to their last live birth within the last five years who were at young and advanced ages during pregnancy and lived in Banten and West Java Province. Data was analyzed using the chi-square test and multiple logistic regression stratified by high-risk maternal age. The results showed that pregnancy complications were more common in older pregnant women in both provinces. In Banten Province, the variables associated with pregnancy complications in young age pregnant women are pregnancy status, months pregnant at first received antenatal care, number of received antenatal care, problems accessing maternal health care, maternal health care decision-making, maternal education level, and wealth index with months pregnant at first received antenatal care and problems accessing maternal health care as the most related variables. In advanced age pregnant women, the variables that were significantly related were pregnancy status and number of received antenatal care with number of received antenatal care being the most related variable. In West Java Province, the variable that is significantly related to in young age pregnant women is maternal education level with maternal employment status as the most related variable. To prevent pregnancy complications in pregnant women of high risk age, health institutions need to increase promotion of education related to pregnancy complications and “4 Terlalu dan 3 Terlambat”; access to reproductive health services; coverage of health services for pregnant women; and detection of pregnancy complications based on risk factors that have a significant effect."