MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENING

Background: Preeclampsia-related maternal mortality is a persistent issue globally, including in Indonesia. The International Federation of Gynecology and Obstetrics (FIGO) recommends universal preeclampsia screening in obstetric services. In Indonesia's NTT Province, pregnant women are screene...

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Main Authors: Febronia Martina Dua Lehang, Aditiawarman, Ivon Diah Wittiarika, Linda Dewanti
Format: Article
Language:English
Published: Universitas Airlangga 2024-04-01
Series:Indonesian Midwifery and Health Sciences Journal
Subjects:
Online Access:https://e-journal.unair.ac.id/IMHSJ/article/view/52910
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author Febronia Martina Dua Lehang
Aditiawarman
Ivon Diah Wittiarika
Linda Dewanti
author_facet Febronia Martina Dua Lehang
Aditiawarman
Ivon Diah Wittiarika
Linda Dewanti
author_sort Febronia Martina Dua Lehang
collection DOAJ
description Background: Preeclampsia-related maternal mortality is a persistent issue globally, including in Indonesia. The International Federation of Gynecology and Obstetrics (FIGO) recommends universal preeclampsia screening in obstetric services. In Indonesia's NTT Province, pregnant women are screened based on guidelines in the MCH book. Sikka Regency mandates midwives to use the KSPR and MCH manuals for risk factor screening In 2022, 154 out of 9,685 screened pregnant women exhibited signs of preeclampsia risk factors. Despite the reduction in maternal deaths in Sikka Regency, the number of deaths directly linked to preeclampsia increased from one in 2021 to four in 2022. Notably, at Watubaing Public Health Center, two cases of maternal death were specifically attributed to preeclampsia. This underscores a significant gap in midwives' perceptions and clinical practices, elevating maternal mortality risk. This study explores midwives' perceptions of preeclampsia screening. Method: Qualitative research with a phenomenological approach at Watubaing Public Health Center involved three informants selected through purposive sampling, meeting the inclusion criteria.  Data collection, conducted from April to July 2023, comprised in-depth semi-structured interviews that were subsequently analyzed thematically. Results: Midwives' expressed divergent opinions on preeclampsia screening, yet a consensus prevailed on its crucial importance. Conclusion: Midwives' perceptions of preeclampsia screening in ANC services are significantly shaped by internal and external factors, including knowledge and experience.
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spelling doaj-art-7a63d0e9dcd04b94ab2f5091ad5aa6c62025-01-09T05:54:22ZengUniversitas AirlanggaIndonesian Midwifery and Health Sciences Journal2656-78062024-04-018210211610.20473/imhsj.v8i2.2024.102-11651071MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENINGFebronia Martina Dua Lehang0https://orcid.org/0009-0009-5252-5347Aditiawarman1https://orcid.org/0000-0003-0680-5136Ivon Diah Wittiarika2https://orcid.org/0000-0003-1981-0356Linda Dewanti3https://orcid.org/0000-0001-7300-0309Universitas Airlangga Fakultas kedokteran Prodi KebidananDepartment of Obstetrics and Gynecology at Airlangga University RSUD Dr. Soetomo, SurabayaMidwifery Study Programme, Faculty of Medicine, Airlangga University,SurabayaDepartment of Public Health and Preventive Medicine at the Faculty of Medicine, Airlangga University, SurabayaBackground: Preeclampsia-related maternal mortality is a persistent issue globally, including in Indonesia. The International Federation of Gynecology and Obstetrics (FIGO) recommends universal preeclampsia screening in obstetric services. In Indonesia's NTT Province, pregnant women are screened based on guidelines in the MCH book. Sikka Regency mandates midwives to use the KSPR and MCH manuals for risk factor screening In 2022, 154 out of 9,685 screened pregnant women exhibited signs of preeclampsia risk factors. Despite the reduction in maternal deaths in Sikka Regency, the number of deaths directly linked to preeclampsia increased from one in 2021 to four in 2022. Notably, at Watubaing Public Health Center, two cases of maternal death were specifically attributed to preeclampsia. This underscores a significant gap in midwives' perceptions and clinical practices, elevating maternal mortality risk. This study explores midwives' perceptions of preeclampsia screening. Method: Qualitative research with a phenomenological approach at Watubaing Public Health Center involved three informants selected through purposive sampling, meeting the inclusion criteria.  Data collection, conducted from April to July 2023, comprised in-depth semi-structured interviews that were subsequently analyzed thematically. Results: Midwives' expressed divergent opinions on preeclampsia screening, yet a consensus prevailed on its crucial importance. Conclusion: Midwives' perceptions of preeclampsia screening in ANC services are significantly shaped by internal and external factors, including knowledge and experience.https://e-journal.unair.ac.id/IMHSJ/article/view/52910perceptionmidwifepreeclampsia screeningantenatal care
spellingShingle Febronia Martina Dua Lehang
Aditiawarman
Ivon Diah Wittiarika
Linda Dewanti
MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENING
Indonesian Midwifery and Health Sciences Journal
perception
midwife
preeclampsia screening
antenatal care
title MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENING
title_full MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENING
title_fullStr MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENING
title_full_unstemmed MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENING
title_short MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENING
title_sort midwives perceptions of preeclampsia screening
topic perception
midwife
preeclampsia screening
antenatal care
url https://e-journal.unair.ac.id/IMHSJ/article/view/52910
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