Title: Pendampingan Penyusunan Birth Plan Pada Kelas Ibu Hamil Terhadap Pengetahuan Ibu

Menghadapi Persalinan

Authors: Indah Putri Ramadhanti (a*), Ayu Nurdiyan (b), lady Wizia (b)

Institutions: Faculty of Midwifery, Prima Nusantara Bukittinggi Health Institute, Indonesia

Content:
Ibu hamil merupakan kelompok rentan dan berisiko, melibatkan keselamatan dirinya dan
janin yang dikandungnya sehingga memelukan perhatian khusus dalam bentuk asuhan dalam
menghadapi proses persalinannya. Keterlambatan pemberian asuhan masih penyumbang
terbesar angka kesakitan dan kematian ibu dan neonatal di Indonesia di tahun 2020. Perlunya
peningkatan program pemerintah pada kelas Ibu Hamil untuk membantu mempersiapkan
kelahiran yag sehat dan aman melalui pendampingan Birth plan yaitu dokumen legal tertulis
yang di pilih ibu hamil pasca membangun relasi klinis dengan Bidan, membimbing perawatan
kesehatan selama proses kehamilan sampai prosedur persalinan. Penelitian ini bertujuan
mengetahui pengaruh pendampingan penyusunan birth plan pada kelas ibu hamil terhadap
pengetahuan ibu menghadapi persalinan. Metode Penelitian menggunakan quasi eksperimen
one group pre-post test design. Tempat penelitian adalah Puskesmas di Kabupaten Agam
pada tahun 2021. Pengambilan sampel dengan teknik cluster random yaitu semua pasangan
usia subur, Hamil Trimester 3 mengikuti kelas ibu hamil di Puskesmas wilayah Agam Barat
dan Timur berjumlah 10 responden. Instrumen yang digunakan adalah kuesioner
pengetahuan, video animasi, dan kartu birth plan. Data berdistribusi normal menggunakan
Shapiro wilc’s test sehingga menggunakan paired T-test. Berdasarkan univariat, rata-rata
pengetahuan ibu hamil sebelum dilakukan pendampingan penyusunan birth plan adalah
34,80 dan rata-rata setelahnya adalah 40,90. Berdasarkan uji paired T Test hasil p-value
0,001. Dapat diisimpulkan adanya pengaruh pendampingan penyusunan birth plan pada kelas
ibu hamil terhadap pengetahuan ibu menghadapi persalinan. Disarankan pelaksanaan
pendampingan penyusunan birth plan dilaksanakan secara konsisten oleh tenaga kesehatan
sehingga mampu menekan dan mengurangi terjadinya risiko kesakitan dan kematian ibu dan
neonatal masa kehamilan, persalinan dan nifas.

Keywords: Pengetahuan, Kesiapan Persalinan, Penyusunan Birth Plan, Kelas Ibu Hamil
Title: Assistance in the Preparation of Birth Plans on Knowledge of Pregnant Women Facing
Childbirth

Authors: Indah Putri Ramadhanti (a*), Ayu Nurdiyan (b), lady Wizia (b)

Institutions: Faculty of Midwifery, Prima Nusantara Bukittinggi Health Institute, Indonesia

Content:
Pregnant women are a vulnerable and at-risk group, involving the safety of themselves and
the fetus they contain so that they require special attention in the form of care in dealing with
the birth process. Delays in providing care are still the biggest contributor to maternal and
neonatal morbidity and mortality in Indonesia in 2020. There is a need to increase
government programs for pregnant women to help prepare for healthy and safe births
through birth plan assistance, which is a written legal document that is chosen by pregnant
women after construction clinical relationship with the Midwife, guiding health care
throughout the pregnancy process until the delivery procedure. This study aimed to
determine the effect of assistance in the preparation of birth plans in the class of pregnant
women on the knowledge of mothers facing childbirth. The research method used a quasi-
experimental one-group pre-post test design. The research location is the Public Health
Center in Agam Regency in 2021. Sampling with a random cluster technique is all couples of
childbearing age, 3rd-trimester pregnant taking classes for pregnant women at the West and
East Agam Public Health Centers totaling 10 respondents. The instruments used are
knowledge questionnaires, animated videos, and birth plan cards. The data is normally
distributed using Shapiro Wilc's test so that it uses a paired T-test. Based on the univariate,
the average knowledge of pregnant women before assistance in the preparation of birth plans
was 34.80 and the average after was 40.90. Based on the paired T-Test, the p-value is 0.001. It
can be concluded, there is an influence of assistance in the preparation of birth plans in the
class of pregnant women on the knowledge of mothers facing childbirth. It is recommended
that the implementation of assistance in the preparation of birth plans be carried out
consistently by health workers so that they can suppress and reduce the risk of maternal and
neonatal morbidity and mortality.

Keywords: Knowledge, Childbirth Preparedness, Birth Plan Preparation, Pregnant Women

Class