Mothers' Experiences of Husband’s Involvement in Maternal Fetal Attachment: A Qualitative Study

Background: The involvement of husbands during pregnancy within the Iranian culture is one of the challenging topics. In this context, efforts to encourage male involvement in the maternal health issues can strengthen family bonds and consequently improve the relationships between men and women in societies. Objectives: This qualitative study aimed to elucidate the involvement of husbands in maternal-fetal attachment (MFA). Methods: Using a qualitative approach and conventional content analysis, 11 pregnant women referring to the health care centers in Sari, Iran were interviewed from March 2020 to February 2021. The participants met the maximum diversity criteria in terms of age, level of education, occupation, and socioeconomic status. Deep and unstructured interviews were utilized to obtain the research data. All the interviews were then transcribed verbatim and analyzed using the qualitative content analysis method developed by Graneheim and Lundman in MAXQDA Software. Results: A total of 350 codes emerged from the data. We identified a main theme entitled ‘husband support’, which included four categories and 11 sub-categories. The main categories were: (1) empathic response, (2) emotional support, (3) continued support, and (4) attention to fetus. Conclusions: Interventions to enhance husband support could increase MFA. Planning to promote male participation in pregnancy process is essential to promote maternal and child health.

Association of Husband Support With Visual Inspection With Acetic Acid in Tamalanrea Health Care Makassar

Data World Health Organization (WHO) kejadian kanker serviks kanker pada wanita dengan perkiraan 570.000 kasus tahun 2018. Riskesdas 2013, prevalensi kanker serviks terdapat 5.349 kasus (12,8%). Tahun 2015 program deteksi dini kanker serviks berjalan pada 1.986 puskesmas di 304 kabupaten/kota provinsi di Indonesia. Dinas kesehatan provinsi Sulawesi selatan 24 kabupaten 440 puskesmas, perempuan dengan usia 30-49 tahun sebanyak 180.821 jiwa yang melakukan pemeriksaan IVA hanya sebanyak 882 wanita (0,49%). Puskesmas Tamalanre Makassar, jumlah Pasangan Usia Subur 306 orang. wanita yang melakukan test IVA pada tahun 2018 terdapat 3 wanita. Tujuan penelitian ini untuk mengetahui hubungan dukungan suami dengan pemeriksaan Inspeksi Visual Asam Asetat (IVA) pada Pasangan Usia Subur (PUS) di Puskesmas Tamalanrea Makassar. Jenis penelitian adalah penelitian kuantitatif, dengan menggunakan desain penelitian cross sectional dengan menggunakan uji fisher exact. Dengan jumlah sampel sebanyak 75 responden, pengambilan sampel dengan teknik purposive sampling menggunakan instrument penelitian kuesioner. Hasil penelitian didapatkan nilai ρ = 0.000 (ρ < α (0,05), menunjukkan bahwa ada hubungan dukungan suami dengan pemeriksaan Inspeksi Visual Asam Asetat (IVA) pada Pasangan Usia Subur (PUS) yang berarti hipotesis diterima. Simpulan dari penelitian ini terdapat hubungan dukungan suami dengan pemeriksaan Inspeksi Visual Asam Asetat (IVA) pasangan usia subur (PUS) di Puskesmas Tamalanrea Makassar. Disarankan agar peningkatan literasi dan edukasi dilakukan oleh fasyankes kepada para suami untuk memberikan dukungan kepada pasangan dalam pemeriksaan IVA.

FAKTOR YANG MEMPENGARUHI DETEKSI KANKER SERVIKS DENGAN METODE TES IVA

Background; IVA test is a visual inspection with the naked eye all over the surface of the cervix with the help of diluted acetic acid / vinegar. Based on preliminary surveys show that problems that occur women do not want to do IVA examination because many women are shy, lack insight and are afraid to do the examination. Objectives; to determine the factors that influence early detection of cervical cancer IVA method. Methods; the research design used is Cross Sectional. The population in this study were 142 people with a sample of 59 people. Data collection methods are primary, secondary and tertiary data. Analysis of the data used is univariate, bivariate and multivariate analysis with logistic regression tests. Results; multivariate analysis sig-p value 0.011 <0.05, sig-p attitude 0.031 <0.05, the role of health cadres sig-p 0.276> 0.05, health education sig-p 0.366> 0.05, husband support sig-p 0.024 <0.05 and sig-p distance / access 0.014 <0.05. Conclusion; there is an influence of education, knowledge, attitude, husband support and distance / access to early detection of cervical cancer IVA method, there is no influence of the role of health cadres and health education to early detection of cervical cancer IVA method.Suggestions For the community, it is hoped that this research can raise awareness for women about the importance of preventing cervical cancer through VIA examinations and provide motivation for women to do cervical cancer screening/early detection so that symptoms of cervical cancer can be recognized as early as possible. Keywords : Early Detection, Cancer Services, IVA ABSTRAK Latar Belakang Pendahuluan; tes IVA merupakan pemeriksaan inspeksi visual dengan mata telanjang seluruh permukaan leher rahim dengan bantuan asam asetat/cuka yang diencerkan. Berdasarkan survei awal menunjukkan bahwa masalah yang terjadi wanita tidak mau melakukan pemeriksaan IVA dikarenakan banyak wanita yang malu, wawasan yang kurang dan takut melakukan pemeriksaan.Tujuan; untuk mengetahui faktor yang memengaruhi deteksi dini kanker serviks metode IVA. Metode; desain penelitian yang digunakan adalah Cross Sectional. Populasi dalam penelitian ini sebanyak 142 orang dengan sampel sebanyak 59 orang. Metode pengumpulan data yaitu data primer, sekunder dan tersier. Analisa data yang digunakan yaitu analisis univariat, bivariat dan multivariat dengan uji regresi logistik.Hasil; analisis multivariat nilai sig-p 0,011 < 0,05, sikap sig-p 0,031 < 0,05, peran kader kesehatan sig-p 0,276 > 0,05, penyuluhan kesehatan sig-p 0,366 > 0,05, dukungan suami sig-p 0,024 < 0,05 dan jarak/akses sig-p 0,014 < 0,05.Kesimpulan; ada pengaruh pendidikan, pengetahuan, sikap, dukungan suami dan jarak/akses terhadap deteksi dini kanker serviks metode IVA, tidak ada pengaruh peran kader kesehatan dan penyuluhan kesehatan terhadap deteksi dini kanker serviks metode IVA.Saran Bagi masyarakat diharapkan penelitian ini dapat menumbuhkan kesadaran bagi wanita pentingnya pencegahan terhadap kanker serviks melalui pemeriksaan IVA dan memberikan motivasi bagi wanita untuk melakukan skrinning/deteksi dini kanker serviks sehingga gejala kanker serviks dapat dikenali sedini mungkin. Kata Kunci : Deteksi Dini, Kanker Serviks, IVA

PENGARUH DUKUNGAN SUAMI DAN KADER POSYANDU TERHADAP MINAT IBU MENGGUNAKAN KB IMPLAN

Berdasarkan Profil Kesehatan Indonesia cakupan KB implant sebesar 11,20%. Proporsi KB aktif implan di Jawa Timur sebesar 10,23%. Data dari Dinas Kesehatan Kota Probolinggo tahun 2019, di Kelurahan Sumbertaman terdapat KB Aktifnya yaitu 1.470 PUS dan Implan (146 PUS) serta yang ber KB di RW 1 sebanyak 21 orang. Tujuan menganalisis Pengaruh Dukungan Suami Dan Kader Posyandu terhadap Minat Ibu Menggunakan KB Implan di RW 1 Kelurahan Sumbertaman Kota Probolinggo. Desain penelitian analitik korelasional dengan metode cross sectional. Penelitian dilaksanakan Bulan Mei - Juni di kelurahan Sumbertaman Kota Probolinggo dengan 107 sampel. Data dianalisis dengan uji Spearman dan Regresi Ordinal ?: 0,05. Hasil penelitian menunjukkan dukungan suami sangat mendukung sebesar 47 responden (43,9%), dukungan kader posyandu kurang mendukung sebesar 59 responden (55,1%), minat ibu dalam menggunakan alat kontrasepsi implant dengan kategori minat tinggi sebesar 57 responden (53,5%) dengan p value : 0,000. Kesimpulan ada Pengaruh Dukungan Suami Dan Kader Posyandu Terhadap Minat Ibu Menggunakan KB Implan. Saran bagi puskesmas/tenaga kesehatan meningkatkan pemberian edukasi secara berkala kepada suami dan keluarga tentang pentingnya menggunakan alat kontrasepsi dan membentuk kelompok peduli KB. Kata kunci: Dukungan Suami, Dukungan Kader Posyandu, Minat Ibu, Alat Kontrasepsi Implan ABSTRACT Based on the Indonesian Health Profile, the coverage of implant family planning is 11.20%. The proportion of active implant family planning in East Java is 10.23%. Data from the Probolinggo Health Office in 2019, in Sumbertaman Village there were, namely 1,470 Childbearing Age Couple and implants (146 Childbearing Age Couple ) and 21 people who had an interest in implant Contraceptive in RW 1. The purpose was to analize the influence between husband support and Posyandu cadres to maternal interest in using implant family planning in RW 1, Sumbertaman, Probolinggo. The design of this research is correlational analytic using cross sectional method. The research was conducted on May - June in Sumbertaman, Probolinggo with 107 samples. Data collection analyzed by Spearman test and Ordinal Regression ?: 0.05. The results showed husband's support in the very supportive category was 47 respondents (43.9%), the support of posyandu cadres with less supportive criteria was 59 respondents (55.1%), the mother's interest in using implant contraceptives with high interest categories was 57 respondents (53,5%) with p value: 0,000. The conclusion of the study shows there is a influence between husband support and Posyandu cadres to maternal interest in using implant family planning. Suggestions are put forward for health centers / health workers to increase the provision of regular education to husbands and families about the importance of using contraceptives and to form family planning care groups or family planning villages. Keywords: Husband's Support, Posyandu Cadre Support, Mother's Interest, Implant Contraceptives

Prevalence and Factors Affecting the Labor Experience: A Systematic Review

Introduction: Labor experiences have potential short and long term physical and psychological effects on women’s lives. Many factors influenced role in a mother’s experience of childbirth, both positively and negatively. This study aimed to determine the prevalence and factors that influence the delivery experience.Methods: This study searched for articles in the databases, namely Pub Med, Scopus, ProQuest, ScienceDirect, and Sage. The keyword used is labor experience. A total of 3654 articles were found, after selecting studies using PRISMA found 18 corresponding articles.Results: In this study, 18 studies were included in this systematic review, eight studies examined the prevalence of labor experiences. The prevalence of labor experience was 6.8-44%. Factors related to childbirth experiences included: individuals, such as age, parity, fear, self-efficacy, participation, control, expectations, preparation, and interpersonal, such as husband support, caregiver support, unwanted medical problems, such as prolonged labor, stimulation, and induction, forceps delivery, emergency cesarean section, and use of analgesics in mothers, low APGAR scores and transfer to the NICU.Conclusion: This review showed the various factors associated with the childbirth experience. This finding suggests conducting further research into the reason these factors influence the experience of labor.

HUBUNGAN PENGETAHUAN, SIKAP, DUKUNGAN SUAMI DENGAN KESIAPAN WANITA MENGHADAPI MENOPAUSE DI RW 08 CIBEBER CIMAHI SELATAN

Background, in Indonesia most women experience menopause around the age of 50 years, and in some women menopause can take place at around 40 years of age or no later than 60 years (Soehartono, 2010). Until the end of the 21st century there were around 18,000,000-20,000,000 elderly, which is a significant number and requires serious attention. In Indonesia, it is the responsibility of the elderly to take care of them. The purpose of this study was to find out how the relationship between husband support and women's readiness to face menopause. The method used in this study was an analytical survey. The measurement design is carried out in a cross-sectional manner, namely a research design by measuring or observing at the same time (one time). The research was conducted at RW 8 Cibeber, South Cimahi. The study was conducted in January - August 2020. The population in this study were all mothers aged 45-59 years who lived in RW 8 Cibeber, Cimahi Selatan, totaling 163 people. Results of the analysis of the relationship between husband's support and readiness, there were 28 (44%) of 40 people whose husband's support was not supported with readiness in the unprepared category, while 7 (11%) of 23 people whose readiness were in the unprepared category. The results of the Chi-square test obtained a p value of 0.003, which means that there is a significant relationship between husband's support and women's readiness to face menopause. The conclusion in this study is that women's knowledge about menopause has a significant relationship with women's readiness to face menopause. The attitude of women about menopause has a significant relationship with women's readiness to face menopause. Husband's support for menopause has a significant relationship with women's readiness to face menopause.

Mix Method Analysis of Factors Affecting Implementation of Antenatal Care (ANC) in Pregnant Women in the Work Area of the Medan Deli Health Center, Medan Deli District, Medan

workers which includes physical and mental health to get mothers and babies who are healthy during pregnancy, childbirth and postpartum. Data from the Medan Deli Health Center shows that in 2019 the K1 coverage is only (87%) and K4 only (66%), while the target of K1 and K4 coverage is 100% respectively. Many factors are thought to be the cause of not achieving coverage of antenatal care (ANC) implementation. The purpose of this study was to analyze the factors that influence the implementation of ANC in pregnant women. This type of research is a mix method with quantitative and qualitative approaches. The study population was 195 people, with the Slovin formula taken a sample of 66 people. Quantitative analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level ( = 0.05). The qualitative analysis was analyzed by means of reduction, data display and verification. The results showed the variables that influenced the implementation of antenatal care (ANC) in pregnant women in the work area of ​​the Medan Deli Public Health Center in 2020, namely knowledge p = 0.032, attitude p = 0.018, parity p = 0.008, health services p = 0.016, husband support p = 0.026 and support for health workers p = 0.041. The unrelated variable was job status p = 0.269. The most dominant variable was the health service variable which had a value of Exp (B) = 12.048, meaning that respondents who received health services had 12 times the chance of implementing antenatal care compared to respondents who did not get health services. The conclusion of this research is that the implementation of antenatal care in pregnant women is influenced by knowledge, attitudes, parity, health services, husband support and support from health workers. It is hoped that health workers, especially midwives, will provide good IEC about the implementation of antenatal care to every pregnant woman and carry out more frequent home visit activities and provide advice to the puskesmas to re-attach the standby husband and cooperate with local regional leaders

Husband Support Affects Self Efficacy in Pregnant Women During the Covid 19 Pandemic

The period of the Covid 19 pandemic is a difficult time for all people, including pregnant women. In undergoing pregnancy, pregnant women must have self-efficacy, and husband support is needed. This paper determines the correlation between husband support and self-efficacy in pregnant women. This study was an analytical research design with a cross-sectional approach. The population was 52 pregnant women checked at Independent Midwifery Practice (IMP) Nanik Cholid, Sidoarjo, from May to November 2020. Meanwhile, the sample size was 46 respondents by purposive sampling. The independent variable was husband support, and the dependent variable was self-efficacy in pregnant women. The instrument to evaluate husband support was Family Support Questionnaire (FSQ), and to assess self-efficacy was a questionnaire with a Likert scale. Then, data were analyzed with the Spearmen Rank test with a significance (α) of 0.05. The results showed that most respondents had good self-efficacy (91.3%) and received high husband support (65.2%), particularly emotional support (28%). The statistical tests result using the Rank Spearmen test obtained p=0.016 indicating a correlation between husband support and self-efficacy in pregnant women. In conclusion, Husband support increases self-efficacy in pregnant women during the COVID 19 Pandemic. Health workers should educate husbands to provide support to pregnant women during pregnancy.

Husband Support Correlates with Maternal Anxiety Levels During Pregnancy in The Third Trimester

Husband support reduces psychosocial stress on pregnant mothers before delivery. However, many people do not comprehend how essential husband support is for psychology in pregnant women. This study investigates the correlation between husband support and maternal anxiety levels during pregnancy in the third trimester. It was a correlational analysis using a cross-sectional approach. The population was pregnant mothers in the third trimester from May to July 2020 at Jagir Public Health Center, Surabaya. Meanwhile, the samples were 40 pregnant mothers in the third trimester with consecutive sampling. In addition. the independent variable was husband support, and the dependent variable was maternal anxiety levels. The instrument to measure husband support was a Likert scale questionnaire, and to assess maternal anxiety levels was Hamilton Anxiety Rating Scale (HARS). The analysis utilized the Rank's Spearman test with a significant p<0.05. The results showed a correlation between husband support and maternal anxiety levels with p=0.000 (p<0.05). In conclusion, husband support significantly reduces maternal anxiety levels during pregnancy in the third trimester.

The Relationship Between Husband Support and Behavior of Pregnant Teenagers to Face Pregnancy During the Covid-19 Pandemic in Gombong, Kebumen, Indonesia

Background: Age influences pregnancy and childbirth. Pregnant women aged less than 20 years old or pregnant adolescents are not physically and mentally ready to cope with pregnancy or childbirth. The husband's support highly determines the health status of the mother. This research aimed to determine the relationship between husband support and the behavior of pregnant adolescents to face pregnancy during the COVID-19 pandemic in the Gombong District, Kebumen Regency. Methods: This study used a cross-sectional approach. The population was all pregnant women aged less than 20 years in the Gombong District, Kebumen Regency. It used a saturated sampling technique involving 256 people. Data were analyzed using univariate and bivariate analysis to answer the percentage and the Chi-Square test to answer the research hypothesis. Results: The study showed that 130 (50.8%) husbands did not support the mothers, and 126 (49.2%) husbands supported the mothers. The result also showed that 116 (45.3%) of the pregnant women showed positive behavior, while140 (54.7%) pregnant women showed negative behavior. The chi-square test found a p-value of 0.005, which proved a significant relationship between the husband's support and the behavior of pregnant adolescents to overcome pregnancy during the covid-19 pandemic. Conclusion: Pregnant teenagers with husband support will prepare for pregnancy and childbirth programs more maturely to ensure the safety of both mother and fetus.