p–ISSN: 2723 - 6609 e-ISSN: 2745-5254

Vol. 5, No. 4 April 2024 http://jist.publikasiindonesia.id/

Indonesian Journal of Social Technology, Vol. 5, No. 4, April, 2024 1753

The Level of Knowledge of Pregnant Women About the MCH

Book and ITS Relationship with Antenatal Visits at The Kopo

Health Center, Bandung Regency in 2023

*Correspondence

directed to improve the degree of public health (Astari & Kirani, 2020). Indicators of the

degree of public health and well-being are characterized by a decrease in maternal

mortality, infant mortality and longevity. The high rate of maternal and child mortality in

Indonesia is caused by several factors, namely direct and indirect causes of death

(Nugroho, Milanti, & Fransiska, 2017). Indirect causes of death include late recognition

of danger signs in deciding to be referred to a health facility, late reaching a health facility,

and late getting health facility services. This delay usually goes undetected early due to

irregular service, lack of knowledge of the mother about danger signs during pregnancy,

during childbirth and puerperium (Sakti, 2017).

women cards, toddler health cards (KMS) and records of maternal and child health

services (Khuzaiyah, Khanifah, & Chabibah, 2018). MCH books are kept at home and

brought every time mothers and children come to health care places anywhere to get MCH

services (Anggraini, Hutabarat, & Sitorus, 2021).

Development Goals (SDGs) target of 70 per 100,000 live births by 2030. While the

Sustainable Development Goals (SDGs) target to end preventable newborn and under-

five deaths, with all countries trying to reduce Neonatal Mortality Rates to at least 12 per

1000 KH (Live Births) and Infant Mortality Rates to 25 per 1000 by 2030.6 According to

WHO, MMR in the World reached 289,000 people in 2019 (Lubu, 2019). According to

high at 24%.

and understanding of pregnant women so that complications that may occur during

pregnancy can be detected as early as possible by the purpose of antenatal services,

namely to prevent obstetric complications and ensure that complications can be detected

and treated adequately (Karim & Sari, 2021). In addition, the expected results of the

procurement of MCH Books in the short term are increased maternal knowledge,

increased knowledge of health worker skills and in the long term, there is a change in the

behaviour of mothers, families and communities in maintaining maternal and child health

and there is an increase in the health and nutritional status of mothers and children. But

Environment and Information. As a result, if the mother's knowledge is lacking about the

use of MCH books, most pregnant women do not know what are the danger signs during

pregnancy, and prevention of late is not resolved (Damayanti & Nur A, 2010).

mother, early detection and treatment of at-risk pregnant women need to be improved,

especially in MCH service facilities.13 MCH books are given when the mother first

Antenatal Visits at The Kopo Health Center, Bandung Regency In 2023

Indonesian Journal of Social Technology, Vol. 5, No. 4, April, 2024 1755

2023).

Village, of the five pregnant women interviewed, all of them already have MCH books,

but three pregnant women do not know about the contents of MCH books because they

have never been read, one pregnant woman knows what MCH is but only explains a little,

and one other person knows and understands the contents of MCH books. So it can be

said that many pregnant women do not want to read and learn about MCH books even

though in the book there are many instructions on how to keep pregnancy healthy. Then,

when the survey was conducted directly in Cilame RW.09 village by interviewing 5

pregnant women asked about their compliance with visits during pregnancy, 1 pregnant

Knowledge Level

particular object. Sensing occurs through the five human senses, namely sight, hearing,

smell, taste and touch.

Pregnant Women

offspring. In the body of a pregnant woman there is a fetus growing in the uterus.

Pregnancy is an important period of life. A pregnant woman must prepare herself as well

as possible so as not to cause problems with the health of the mother, baby, and during

the birth process. One of the factors that affect maternal health is the state of nutrition.

mother, establish early diseases that accompany pregnancy, establish early pregnancy

complications, and determine the risk of pregnancy (high risk, doubtful risk and low risk).

Research Methods

namely the object of research is measured at the same time to determine the picture of the

totaling 76 respondents. The instrument used in this study was in the form of a questionnaire

given directly to respondents. Based on the data obtained, the results of univariate analysis of the

level of knowledge of pregnant women on MCH books and also the description of antenatal visit

compliance during pregnancy can be seen as follows:

Table 1.

Overview of the Level of Knowledge of Pregnant Women on MCH Books

(55.3%) pregnant women have a good level of knowledge, while the remaining 19 people

pregnant women have a level of adherence to frequent visits, while the remaining 18 people

(23.7%) pregnant women have a level of adherence to infrequent visits. Thus, it can be seen that

pregnant women in Puskemas Kopo Bandung Regency almost all have a level of adherence to

frequent antenatal visits during pregnancy.

Bivariate Analysis

analysis is carried out using the chi-square test to determine the relationship that each variable

has, here are the results of the analysis:

Table 3 The relationship between the level of knowledge of pregnant women on MCH books and

antenatal visits during pregnancy

Antenatal Visits at The Kopo Health Center, Bandung Regency In 2023

Indonesian Journal of Social Technology, Vol. 5, No. 4, April, 2024 1757

have antenatal visits during pregnancy. The results of statistical tests show a p value of

0.000 < 0.05 which means that there is a significant relationship between the level of

knowledge of pregnant women about MCH books and antenatal visits during pregnancy.

prenatal care. One tool that plays an important role in monitoring and health care during

pregnancy is the Mother and Child Card (MCH). MCH is not only a recording tool, but

also a source of information that can provide guidance to pregnant women about the

stages of pregnancy development, expected changes, and warning signs to watch out

for.21

changes, and the biological processes that support a healthy pregnancy. Thus, they can

identify normal and expected changes, such as weight gain, hormonal changes, and

corresponding fetal growth. This creates a sense of closeness and involvement with the

pregnancy process.

pregnant women recognize warning signs to look out for. They are taught to recognize

symptoms that may indicate a health problem or potential complication, such as bleeding,

high blood pressure, or lack of fetal movement. This is very important because it allows

pregnant women to seek medical care immediately if these signs appear, which can reduce

the risk of serious complications.

antenatal visits are not just a routine ritual. They realized that the visit was designed to

achieve a number of important goals, including monitoring maternal and fetal health, as

well as detecting potential problems early.41 This makes them more open to regular visits.

During the visit, the doctor or health care provider will perform a physical examination,

measure blood pressure, monitor fetal growth, and perform necessary tests. Expectant

mothers who have this understanding will appreciate the information provided during the

visit even more, as they know that this information is an important tool in ensuring a

healthy pregnancy.

books can improve pregnant women's understanding of the importance of antenatal visits

in pregnancy monitoring. This can help expectant mothers feel more connected to their

medical care during pregnancy and raise awareness of its benefits. In addition, the results

of this study also strengthen the findings of Rahmayati and Mugiati33's research that

supports a positive relationship between pregnant women's knowledge of antenatal health

services and their attendance rate to health facilities during pregnancy.

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Indonesian Journal of Social Technology, Vol. 5, No. 4, April, 2024 1759

less than half of pregnant women did not utilize MCH books optimally.

Antenatal Visits at The Kopo Health Center, Bandung Regency In 2023

Indonesian Journal of Social Technology, Vol. 5, No. 4, April, 2024 1761