INAJOG Indonesia Journal of Obtetrics and Gynecology (Vol.9 N0. 3 Page 119-172, July 2021)
Abstract
Objective:
To determine the quality of antenatal care
received by pregnant women, and perceptions of pregnant
women and antenatal care providers regarding antenatal
care.
Methods:
A quantitative and qualitative study of cases of
referred pregnant women in the Emergency Room (ER) of
Dr. Cipto Mangunkusumo Hospital (RSCM) from 2017–
2018 was conducted. Quantitative data was obtained by
assessing the overall completeness of
fi
lling in the Maternal
Child Health (MCH) book used to report the antenatal care
received by the subjects. The completeness of antenatal
care in the health facility was obtained using a checklist.
Qualitative data was obtained by interviewing pregnant
women and antenatal care providers in health facilities.
Result:
There were 1.442 cases of referred pregnant women
in RSCM’s ER for the year 2017–2018, of whom 820 possessed
and could show their MCH Book. Pregnancy in adolescence
below 20 years (9.1%) and pregnancy after age 35 (19.5%)
were reported. Most pregnant women were well educated
(74.3%), referred from hospital or clinic (57.6%), received
antenatal care in a public health center (38.7%), were in
labor (32%), and were in the third trimester of pregnancy
(92%). All subjects presented an incomplete MCH book.
Almost half had inadequate antenatal frequency (46%). The
completeness of antenatal care components in health care
was 90–100%. Qualitatively, the perceptions of mothers and
antenatal care providers regarding quality of antenatal care,
was inadequate.