Health Information Exposure and Obstetric Emergency Knowledge Among Pregnant Women: A Cross-Sectional Study in Makassar, Indonesia

Alamsyah; Arfinayanti; Ruqaiyah; Tut Handayani; Ayatullah Harun

doi:10.35816/jiksh.v15i1.261

Authors

Alamsyah Department of Nursing, Institut Ilmu Kesehatan Pelamonia Kesdam XIV/Hasanuddin, South Sulawesi https://orcid.org/0000-0001-7675-7702
Arfinayanti Department of Nursing, Institut Ilmu Kesehatan Pelamonia Kesdam XIV/Hasanuddin, South Sulawesi
Ruqaiyah Department of Nursing, Institut Ilmu Kesehatan Pelamonia Kesdam XIV/Hasanuddin, South Sulawesi https://orcid.org/0000-0002-5567-7954
Tut Handayani Department of Nursing, Institut Ilmu Kesehatan Pelamonia Kesdam XIV/Hasanuddin, South Sulawesi https://orcid.org/0009-0000-1016-6731
Ayatullah Harun Department of Nursing, Institut Ilmu Kesehatan Pelamonia Kesdam XIV/Hasanuddin, South Sulawesi https://orcid.org/0000-0001-9072-531X

DOI:

https://doi.org/10.35816/jiksh.v15i1.261

Keywords:

Health information exposure, maternal health literacy, obstetric emergencies, pregnancy; antenatal care

Abstract

Introduction: Maternal mortality remains a significant public health concern, particularly in low- and middle-income countries where delays in recognizing obstetric danger signs contribute to preventable complications. Adequate maternal knowledge regarding obstetric emergencies is essential for timely care-seeking. This study aimed to examine the association between health information exposure and knowledge of obstetric emergencies among pregnant women attending antenatal care services.

Research Methodology: An analytical cross-sectional study was conducted at the Antenatal Care (ANC) clinic of Labuang Baji Hospital, Makassar, Indonesia, from August to September 2025. A total of 45 pregnant women were recruited using accidental sampling. Data were collected using validated questionnaires measuring health information exposure (10 Likert-scale items; Cronbach’s α = 0.856) and obstetric emergency knowledge (20 true–false items; Cronbach’s α = 0.876). Descriptive statistics were used to summarize respondent characteristics. Fisher’s Exact Test and logistic regression analysis were performed to examine associations between variables. Statistical significance was set at α = 0.05.

Results: Exposure to maternal health information was significantly associated with knowledge of obstetric emergencies. Pregnant women exposed to health information were nearly seven times more likely to demonstrate good knowledge compared with those who were not exposed (OR = 6.93; 95% CI: 1.18–40.55; p = 0.026). Multivariate logistic regression confirmed that information exposure remained the strongest predictor of obstetric emergency knowledge (OR = 6.96; 95% CI: 1.11–43.41; p = 0.038).

Conclusion: Health information exposure plays a critical role in improving pregnant women’s knowledge of obstetric emergencies. Strengthening structured maternal health education within antenatal care services, complemented by community and digital health communication strategies, may enhance maternal awareness and support early recognition of obstetric complications

References

Anumudu, S. I., Uhegwu, C. C., & Anumudu, C. K. (2025). A scoping review of maternal mortality, its health determinants, and factors that influence care utilization in women of childbearing age in Nigeria. Global Health Journal, 9(3), 185–199. https://doi.org/10.1016/j.glohj.2025.10.004

Atkin, K., Christopulos, G., Turk, R., Bernhardt, J. M., & Simmonds, K. (2024). Educating Pregnant Women About the Dangers of Extreme Heat and Air Pollution. Journal of Obstetric, Gynecologic & Neonatal Nursing, 53(4), 438–446. https://doi.org/10.1016/j.jogn.2024.01.005

Axmon, A., Liu, C., Grotta, A., Edvardsson, K., & Sandberg, M. (2025). Maternal outcomes among women with intellectual disabilities in comparison with the general population (IDcare). AJOG Global Reports, 5(4), 100569. https://doi.org/10.1016/j.xagr.2025.100569

Baker, B. (2026). Improving care for incarcerated pregnant women: Policy implications for advancing maternal and child health. Nursing Outlook, 74(1), 102608. https://doi.org/10.1016/j.outlook.2025.102608

Benhalima, K., Durnwald, C., Sweeting, A., Adams, D., Addala, A., Battelino, T., Bergenstal, R. M., Carlson, A., Donovan, L. E., Reis Franco, D., Heverly, J., Isaacs, D., Khunti, K., Kihara, A.-B., Levitt, N., Levy, C. J., Lewer, M., Mathiesen, E., Murphy, H. R., … Scott, E. M. (2026). Application of continuous glucose monitoring and automated insulin delivery technologies for pregnant women with type 1, type 2, or gestational diabetes: an international consensus statement. The Lancet Diabetes & Endocrinology, 14(2), 157–177. https://doi.org/10.1016/S2213-8587(25)00335-3

Chaudhary, M., Cutland, C. L., Bonet, M., Gentile, A., Jones, C. E., Marshall, H. S., Stergachis, A., Voss, G., Darko, D. M., Sevene, E., Hyde, T., Fairlie, L., Kampmann, B., Everett, D., & Munoz, F. M. (2025). Burden of Lassa fever disease in pregnant women and children and options for prevention. Vaccine, 43, 126479. https://doi.org/10.1016/j.vaccine.2024.126479

Choi, E.-Y., van Gelder, M. M. H. J., Geisler, B. P., Oh, I.-S., & Nordeng, H. M. E. (2026). Antirheumatic medication use among pregnant women with rheumatoid arthritis: a Norwegian nationwide drug utilization study. EULAR Rheumatology Open, 2(1), 79–89. https://doi.org/10.1016/j.ero.2025.11.023

Cohen, S. R., Marchand, V., Calkins, K., Stephens, M. J., Barbara, M. L., Minja, L. M., Olomi, G. A., Mlay, J., Mlay, P. S., Hanson, O. R., Mmbaga, B. T., & Watt, M. H. (2025). Participatory simulation training design: The MAMA interprofessional team-training program for obstetric care of pregnant individuals living with HIV in Tanzania. Evaluation and Program Planning, 110, 102550. https://doi.org/10.1016/j.evalprogplan.2025.102550

Dalugoda, Y., Vilcins, D., Darssan, D., Steel, A., & Phung, D. (2025). Protecting pregnant women from extreme heat: A content analysis of heat health action plans. International Journal of Disaster Risk Reduction, 130, 105831. https://doi.org/10.1016/j.ijdrr.2025.105831

Dos Santos, F., Steer, P. J., & Johnson, M. R. (2025). Maternal cytokine and cellular adhesion molecules profile in pregnant women with and without congenital heart disease. Cytokine, 188, 156886. https://doi.org/10.1016/j.cyto.2025.156886

ElHassan, N. O., Farnam, C., Thompson, J. W., Stanley, N., Hayes, C. J., Li, C., Mourani, P. M., Hudson, T. J., Mcgehee, R., & Martin, B. C. (2026). From card to cradle: examining medical cannabis purchasing among pregnant women in Arkansas. American Journal of Obstetrics & Gynecology MFM, 8(2), 101857. https://doi.org/10.1016/j.ajogmf.2025.101857

Goldberg, A., Wiberg-Itzel, E., Tingström, J., & Ekéus, C. (2026). Maternal outcomes among women with type 1 diabetes in Sweden. A population-based cohort study. Sexual & Reproductive Healthcare, 47, 101193. https://doi.org/10.1016/j.srhc.2026.101193

Hayati, I., Ismail, I. A., Daud, S., Mohd Rashid, M. S., & Ismail, Z. (2025). Development and validation of SaPeIH-Q: A questionnaire to measure knowledge, attitude, and practice on seat belt usage among pregnant women in Indonesia. Clinical Epidemiology and Global Health, 32, 101944. https://doi.org/10.1016/j.cegh.2025.101944

Hodge, A. T., Tognolini, A. R., Liu, X., Won, H., Roberts, J. A., Wallis, S. C., Woods, C. A., & Eley, V. A. (2026). Plasma levels and postpartum breastmilk concentrations of sugammadex: a pharmacokinetic study in women undergoing general anesthesia for cesarean delivery. International Journal of Obstetric Anesthesia, 66, 104874. https://doi.org/10.1016/j.ijoa.2026.104874

Jackson, H., Grzeskowiak, L., Enticott, J., Wise, S., & Callander, E. (2024). How the structural determinants of health inequities impact access to prescription medication for pregnant women in Australia: a narrative review. The Lancet Regional Health - Western Pacific, 42, 100934. https://doi.org/10.1016/j.lanwpc.2023.100934

Lichtsztejn, M. C., Molas, A., & Pujol-Tarrés, J. (2025). Risk and decision-making: Communication between health professionals and pregnant women at risk of preeclampsia in Catalonia. Social Science & Medicine, 367, 117786. https://doi.org/10.1016/j.socscimed.2025.117786

Ning, N., Chen, S., Mwakawanga, D. L., Mwilike, B., Lyimo, A. A., & Shimpuku, Y. (2026). Association between antenatal care service utilization and birth preparedness among Tanzanian pregnant women: A cross-sectional study. Midwifery, 155, 104724. https://doi.org/10.1016/j.midw.2026.104724

Okonta, P. I., & Umeora, O. U. J. (2024). Ethical challenges in obstetric emergencies in low- and middle-income countries. Best Practice & Research Clinical Obstetrics & Gynecology, 92, 102451. https://doi.org/10.1016/j.bpobgyn.2023.102451

Peters, L. L., Ormsby, S. M., Makris, A., Schmied, V., & Dahlen, H. G. (2025). Obstetric, child health outcomes, trends and readmissions for term women birthing in South-West Sydney (2001–2016): A linked data population-based study. Sexual & Reproductive Healthcare, 45, 101130. https://doi.org/10.1016/j.srhc.2025.101130

Russell, J. A., & King, D. R. (2025). The challenges of breastfeeding a late preterm or early term infant: Women’s and clinicians’ perceptions of provision of antenatal information when considering early planned birth. Midwifery, 143, 104314. https://doi.org/10.1016/j.midw.2025.104314

Sarkodie, K., Poku, A. A., Gyabaah, K. O. Y., Damte, F. K., Boakye, D. S., & Ansah, P. (2025). Influencing factors of place and healthcare-seeking behavior of pregnant women accessing care at a herbal clinic in Ghana. Advances in Integrative Medicine, 12(2), 100491. https://doi.org/10.1016/j.aimed.2025.100491

Scaioli, G., Martella, M., Moro, G. Lo, Mara, A., Castagnotto, M., Prospero, E., Fortunato, C., Di Naro, E., Montagna, M. T., Mattioli, M., Bianconi, A., Langiano, E., De Vito, E., Agodi, A., Barchitta, M., Bianco, A., Licata, F., Cappadona, R., Troia, A., … Alessia, S. (2025). Assessing vaccination intentions and perceptions among pregnant women in Italy: A multicenter cross-sectional study in the context of mandatory policies and the COVID-19 pandemic. Vaccine, 62, 127528. https://doi.org/10.1016/j.vaccine.2025.127528

Soussan, S., Peyronnet, V., Henriet, E., Dias, P., Floch, C., Mandelbrot, L., & Picone, O. (2026). RSV immunization campaign among pregnant women and newborns in a French tertiary maternity in 2024–2025. Journal of Gynecology Obstetrics and Human Reproduction, 55(5), 103148. https://doi.org/10.1016/j.jogoh.2026.103148

Suprapto, S. (2026). Relationship between knowledge level and contraceptive compliance among family planning acceptors: A Cross-Sectional Study. Journal Interdisciplinary Health, 2(1), 27–34. https://doi.org/10.61099/jih.v2i1.175

Trostian, B., Curtis, K., Dikshit, S., Binks, S., Smith, A., Munroe, B., Hicks, G., & McCloughen, A. (2025). Barriers and enablers to evidence-based practice for the initial management of women with early pregnancy bleeding in the Emergency Department. International Emergency Nursing, 83, 101693. https://doi.org/10.1016/j.ienj.2025.101693

Zheng, M., Sun, S., Wang, M., & Qian, J. (2026). Mapping fear of childbirth and the role of family support in pregnant women: A network approach. Midwifery, 156, 104746. https://doi.org/10.1016/j.midw.2026.104746