Improving pregnancy care during the COVID-19 pandemic for pregnant women as vulnerable groups through assistance at the primary health care facility

https://doi.org/10.22146/jcoemph.60836

Muhamad Jauhar(1), Kurniati Puji Lestari(2*)

(1) Department of Nursing, Health Polytechnic of Ministry of Health Semarang, Semarang, Indonesia
(2) Department of Nursing, Health Polytechnic of Ministry of Health Semarang, Semarang, Indonesia
(*) Corresponding Author

Abstract


Since it was found in December 2019, the novel Coronavirus Disease 2019 (COVID-19) has spread from Wuhan, China, to many other countries. A rapid increase of newly found cases was observed, and finally, in March 2020, the World Health Organization declared that Coronavirus Disease 2019 (COVID-19) is a global pandemic. As one of the vulnerable groups, pregnant women need to avoid COVID-19 transmission and maintain pregnancy health during the pandemic. This study aimed to improve pregnant women's self-management during the COVID-19 pandemic in the working area of the Padangsari Primary Health Care Services, Semarang City. The research method used an experimental design with a pre-posttest without a control group. A Smartphone application, namely "SEHARI," was used to share the module and video about pregnancy health guidelines; furthermore, various activities of this study included online classes for pregnant women via a WhatsApp group, pregnancy care behavior surveys, and evaluations. The offline activity was done in 1 meeting for 90-120 minutes, while online activities were done as needed. This study's target population was 22 pregnant women in  Puskesmas Padangsari Semarang City's working area selected by purposive sampling. A questionnaire was used that measures mother's behavior while engaging in pregnancy care and pregnancy examination screening. The validity and reliability tests showed that the instrument was valid and reliable to improve self-management of pregnant women during the COVID-19 pandemic in the working area. Bivariate data analysis of the independent variable's effect on the dependent variables used paired and independent t-tests to measure the self-management of pregnant women. The results showed that 50% of pregnant women fulfilled nutritional needs well, 59.1% of pregnant women did tetanus immunization, and 59.1% did pregnancy examinations and visits. Despite being a vulnerable group, pregnant women must continue their antenatal care during the pandemic with a strict health protocol. Specially designed online classes and Smartphone application can be used as media to deliver the essential health meassages so that pregnant women can still monitor their pregnancy health and have a way to bridge the existing programs in primary health care.


Keywords


smartphone application, pregnant women, pregnancy care, COVID-19, primary health care

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References

  1. Yorita E, Simbolon D, Marsofely RL, Kebidanan J, Politeknik JG, Kebidanan J, et al. The maternal mobile message program can increase knowledge and attitude to antenatal care in pregnant women in Seluma District. 2019;14(Icihc 2018):66–9.
  2. Akinwaare M, Oluwatosin A. Birth preparedness and complication readiness among pregnant women attending antenatal classes at primary health center in Ibadan , Nigeria. 2019;1358–64.
  3. Oliveira-ciabati L, Vieira CS, Carolina A, Franzon A, Alves D, Zaratini FS, et al. PRENACEL – a mHealth messaging system to complement antenatal care: a cluster randomized trial. 2017;1–12.
  4. Freitas-Jesus JV, Rodrigues L, Surita FG. The experience of women infected by the COVID-19 during pregnancy in Brazil: a qualitative study protocol. Reprod Health. 2020;17(1):1–8.
  5. Soma-Pillay P, Nelson-Piercy C, Tolppanen H, Mebazaa A. Physiological changes in pregnancy. Cardiovasc J Afr. 2016;27(2):89–94.
  6. Elvira P, Judith D, Michele JR, Gipson QRRF. Maternal characteristics and clinical diagnoses influence obstetrical outcomes in Indonesia. 2015;1624–33.
  7. Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet (London, England). 2013;382(9890):452–77.
  8. Mortazavi F, Mehrabadi M, KiaeeTabar R. Pregnant women’s well-being and worry during the COVID-19 pandemic: a cross-sectional study. BMC Pregnancy Childbirth. 2021;21(1):1–12.
  9. Munir SI, Ahsan A, Iqbal S, Aslam S, Tahira T, Alqai S. Fetomaternal outcome in women with COVID-19 in a COVID designated hospital in Lahore, Pakistan. Biomedica. 2020;36:214–20. Available
  10. Changizi N, Raeisi A, Barekati H, Habibollahi A, Sajadi HS, Emami-Afshar N, et al. Provision of critical maternity care during the Coronavirus Disease 2019 (COVID-19) pandemic in the Islamic Republic of Iran. Arch Iran Med. 2020;23(8):557–60.
  11. Masjoudi M, Aslani A, Khazaeian S, Fathnezhad-Kazemi A. Explaining the experience of prenatal care and investigating the association between psychological factors with self-care in pregnant women during COVID-19 pandemic: a mixed method study protocol. Reprod Health. 2020;17(1):1–8.
  12. Güler O, Hatirnaz S. Comparison of the levels of antenatal anxiety in pregnant women admitted for delivery before and after COVID-19 outbreak in Turkey. Perinat J. 2020;28(2):108–12.
  13. Delahoy MJ, Whitaker M, Chai SJ, Daily Kirley P, Alden N, Kawasaki B, et al. Morbidity and mortality weekly report characteristics and maternal and birth outcomes of hospitalized pregnant women with laboratory-confirmed COVID-19-COVID-NET, 13 States. Morbidity Mortal Wkly Rep. 2020;69(38):1347–54.
  14. Indonesia KKRI. Pedoman Pemberdayaan Masyarakat Dalam Pencegahan COVID-10 Di RT/RW/Desa. Direktorat Jenderal Kesehatan Masyarakat Direktorat Promosi Kesehatan dan Pemberdayaan Masyarakat. 2020. 0–36 p.
  15. Wulandari IM. Peran guru mengoptimalkan unit kesehatan sekolah untuk melakukan pencegahan COVID-19. Edukatif J Ilmu Pendidik. 2020;2(1):71–7.
  16. Kotlar B, Gerson E, Petrillo S, Langer A, Tiemeier H. The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review. Reproductive Health. 2021;8.
  17. Dubey D, Amritphale A, Sawhney A, Amritphale N, Dubey P. Smart phone applications as a source of information on stroke. 2014;16(2):86–90.
  18. Gallagher A, Kring D, Whitley T. Effects of yoga on anxiety and depression for high risk mothers on hospital bedrest. Complement Ther Clin Pract. 2020;38:101079.
  19. Brody C, Tuot S, Chhoun P, Swendenman D, Kaplan KC, Yi S. Mobile Link - a theory-based messaging intervention for improving sexual and reproductive health of female entertainment workers in Cambodia: study protocol of a randomized controlled trial. Trials. 2018;19(1):1–15.
  20. Halket D, Singer J, Balucani C, Stefanov D, Levine SR. Mobile applications for stroke prevention: a survey of physicians’ perspectives. J Mob Technol Med. 2017;6(3):7–13.
  21. Azhar K, Dharmayanti I, Tjandrarini DH, Hidayangsih PS. The influence of pregnancy classes on the use of maternal health services in Indonesia. BMC Public Health. 2020;20(372):1–9.
  22. Moucheraud C, Gyal L, Gyaltsen K, Tsering L. Maternal health behaviors and outcomes in a nomadic Tibetan population. 2018;264–73.
  23. Id KT, Oliver S, Magwood O, Kpade V, Mayhew D, Pottie K. Effectiveness of home-based records on maternal, newborn and child health outcomes: a systematic review and meta- analysis. 2019;1–18.



DOI: https://doi.org/10.22146/jcoemph.60836

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