The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Areas, Indonesia: A Mixed-Method Study
Background: Prenatal diagnosis in rural areas is a global challenge especially for maternal reproductive health. The challenges of implementing prenatal diagnosis in rural areas include: low public awareness and knowledge, minimal access to health care facilities, low economic fac...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2024-11-01
|
| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/51/11/10.31083/j.ceog5111255 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846149112322326528 |
|---|---|
| author | Supriyatiningsih Wenang Lidia Febrianti Riken Nur Diaz Fajar Hafiz Sandiawan Diyah Nahdiyati Franz Bahlmann |
| author_facet | Supriyatiningsih Wenang Lidia Febrianti Riken Nur Diaz Fajar Hafiz Sandiawan Diyah Nahdiyati Franz Bahlmann |
| author_sort | Supriyatiningsih Wenang |
| collection | DOAJ |
| description | Background: Prenatal diagnosis in rural areas is a global challenge especially for maternal reproductive health. The challenges of implementing prenatal diagnosis in rural areas include: low public awareness and knowledge, minimal access to health care facilities, low economic factors. Yogyakarta represents Indonesia as a province with the same proportion of urban and rural areas. Apart from that, there is still a culture that influences the knowledge and behavior the health care community. The incidence of congenital abnormalities is increasing in rural areas due to delays in early detection during pregnancy. By using a mixed-method approach, this study aims to provide insight into the importance of prenatal diagnosis for pregnant women in rural areas. Methods: This research is a mixed-method study with 100 webinar participants of community service, 6 health care workers, and 6 pregnant women. Demographic data and knowledge about prenatal diagnosis are presented through quantitative methods. The qualitative data presented through in-depth interviews explored the perspectives of health care workers and pregnant women regarding experiences, obstacles, and support in carrying out prenatal diagnosis. Thematic analysis was used in this study. Results: The importance of knowledge in the early detection of fetal abnormalities and children’s growth development has a significance value of 0.000 each (p-value < 0.05). In contrast, the hospital services expectation has 0.243. Qualitative reports indicated that the achievement of prenatal diagnosis services requires awareness of pregnant women and support from health care workers as direct providers of counseling and services. Pregnant women in this study realized the importance of prenatal diagnosis to detect early pregnancy abnormalities. Conclusions: Prenatal diagnosis in rural areas is an effort to increase early detection of fetal abnormalities and improve child development. The implementation of prenatal diagnosis in rural areas is supported by the active role of health workers and non-health workers. Several obstacles to the implementation of prenatal diagnosis in rural areas are the lack of knowledge of pregnant women, fear of poor examination results, distance from the pregnant woman’s house to the health care facilities, uneven availability of ultrasound equipment, and high costs of ultrasound examinations. The government can increase access of prenatal diagnosis in rural areas, through free ultrasound subsidies and the implementation of pregnant women’s classes in each village. |
| format | Article |
| id | doaj-art-8e30bf8c480c44ceb6e58fe3bd31a8df |
| institution | Kabale University |
| issn | 0390-6663 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-8e30bf8c480c44ceb6e58fe3bd31a8df2024-11-30T03:06:43ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632024-11-01511125510.31083/j.ceog5111255S0390-6663(24)02473-4The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Areas, Indonesia: A Mixed-Method StudySupriyatiningsih Wenang0Lidia Febrianti1Riken Nur Diaz2Fajar Hafiz Sandiawan3Diyah Nahdiyati4Franz Bahlmann5Department of Obstetrics and Gynecology, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta/PKU Muhammadiyah Gamping UMY Teaching Hospital, 55183 Yogyakarta, IndonesiaDepartment of Midwifery, Sekolah Tinggi Ilmu Kesehatan Guna Bangsa, 55283 Yogyakarta, IndonesiaDepartment of Obstetrics and Gynecology, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta/PKU Muhammadiyah Gamping UMY Teaching Hospital, 55183 Yogyakarta, IndonesiaDepartment of Obstetrics and Gynecology, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta/PKU Muhammadiyah Gamping UMY Teaching Hospital, 55183 Yogyakarta, IndonesiaRehabilitation Center for Children and Youth, Viktoriastift Clinic, 55543 Bad Kreuznach, GermanyDepartment of Obstetrics and Gynecology, Buergerhospital, Frankfurt am Main, 60318 Frankfurt, GermanyBackground: Prenatal diagnosis in rural areas is a global challenge especially for maternal reproductive health. The challenges of implementing prenatal diagnosis in rural areas include: low public awareness and knowledge, minimal access to health care facilities, low economic factors. Yogyakarta represents Indonesia as a province with the same proportion of urban and rural areas. Apart from that, there is still a culture that influences the knowledge and behavior the health care community. The incidence of congenital abnormalities is increasing in rural areas due to delays in early detection during pregnancy. By using a mixed-method approach, this study aims to provide insight into the importance of prenatal diagnosis for pregnant women in rural areas. Methods: This research is a mixed-method study with 100 webinar participants of community service, 6 health care workers, and 6 pregnant women. Demographic data and knowledge about prenatal diagnosis are presented through quantitative methods. The qualitative data presented through in-depth interviews explored the perspectives of health care workers and pregnant women regarding experiences, obstacles, and support in carrying out prenatal diagnosis. Thematic analysis was used in this study. Results: The importance of knowledge in the early detection of fetal abnormalities and children’s growth development has a significance value of 0.000 each (p-value < 0.05). In contrast, the hospital services expectation has 0.243. Qualitative reports indicated that the achievement of prenatal diagnosis services requires awareness of pregnant women and support from health care workers as direct providers of counseling and services. Pregnant women in this study realized the importance of prenatal diagnosis to detect early pregnancy abnormalities. Conclusions: Prenatal diagnosis in rural areas is an effort to increase early detection of fetal abnormalities and improve child development. The implementation of prenatal diagnosis in rural areas is supported by the active role of health workers and non-health workers. Several obstacles to the implementation of prenatal diagnosis in rural areas are the lack of knowledge of pregnant women, fear of poor examination results, distance from the pregnant woman’s house to the health care facilities, uneven availability of ultrasound equipment, and high costs of ultrasound examinations. The government can increase access of prenatal diagnosis in rural areas, through free ultrasound subsidies and the implementation of pregnant women’s classes in each village.https://www.imrpress.com/journal/CEOG/51/11/10.31083/j.ceog5111255early detectionprenatal diagnosispregnancyrural areareproduction health |
| spellingShingle | Supriyatiningsih Wenang Lidia Febrianti Riken Nur Diaz Fajar Hafiz Sandiawan Diyah Nahdiyati Franz Bahlmann The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Areas, Indonesia: A Mixed-Method Study Clinical and Experimental Obstetrics & Gynecology early detection prenatal diagnosis pregnancy rural area reproduction health |
| title | The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Areas, Indonesia: A Mixed-Method Study |
| title_full | The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Areas, Indonesia: A Mixed-Method Study |
| title_fullStr | The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Areas, Indonesia: A Mixed-Method Study |
| title_full_unstemmed | The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Areas, Indonesia: A Mixed-Method Study |
| title_short | The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Areas, Indonesia: A Mixed-Method Study |
| title_sort | importance of prenatal diagnosis for the early detection of fetal abnormalities in rural areas indonesia a mixed method study |
| topic | early detection prenatal diagnosis pregnancy rural area reproduction health |
| url | https://www.imrpress.com/journal/CEOG/51/11/10.31083/j.ceog5111255 |
| work_keys_str_mv | AT supriyatiningsihwenang theimportanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT lidiafebrianti theimportanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT rikennurdiaz theimportanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT fajarhafizsandiawan theimportanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT diyahnahdiyati theimportanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT franzbahlmann theimportanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT supriyatiningsihwenang importanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT lidiafebrianti importanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT rikennurdiaz importanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT fajarhafizsandiawan importanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT diyahnahdiyati importanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy AT franzbahlmann importanceofprenataldiagnosisfortheearlydetectionoffetalabnormalitiesinruralareasindonesiaamixedmethodstudy |