The Effectiveness Of Integrated Antenatal Classes In Improving Knowledge And Childbirth Preparedness Among Pregnant Women

Riska Mila Valentina; Fatmawaty Amir Tangke

doi:10.55227/ijhet.v5i3.1158

Authors

Riska Mila Valentina Akademi Kebidanan Murung Raya
Fatmawaty Amir Tangke

DOI:

https://doi.org/10.55227/ijhet.v5i3.1158

Keywords:

Birth Preparedness; Integrated Antenatal Class; Knowledge; Pre-Experimental; Pregnant Women.

Abstract

To reduce the Maternal Mortality Rate (MMR) in Indonesia often driven by delays in recognizing pregnancy risks and a lack of birth preparedness promotive efforts in the form of Integrated Antenatal Classes were implemented. The program's effectiveness in enhancing the knowledge and birth preparedness of pregnant women was evaluated at the Puruk Cahu Sebrang Community Health Center (Puskesmas). This pre-experimental study (using a one-group pretest-posttest design) involved 50 pregnant women selected via total sampling. All participants underwent a series of interventions, including a pretest, four integrated educational sessions, and a posttest. Data analysis was conducted using the Shapiro-Wilk test and the Paired t-test. A significant increase in mean understanding was observed a rise of 27.82 points, from 58.42 (±10.36) to 86.24 (±7.18) (t=18.64; p<0.001). Birth preparedness scores also rose by 26.98 points, increasing from 61.18 (±9.54) to 88.16 (±6.92) (t=17.91; p<0.001). The percentage of pregnant women with good knowledge levels grew from 16.0% to 84.0%, while the proportion classified as "prepared for childbirth" surged from 32.0% to 90.0%. These results demonstrate the clear effectiveness of Integrated Antenatal Classes in boosting knowledge and birth preparedness; consequently, it is highly recommended that this program be sustainably integrated into maternal health service.

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