Effectiveness of Antenatal Class Education in Improving Early Detection of Pregnancy Danger Signs
DOI:
https://doi.org/10.35816/jiksh.v14i2.292Keywords:
Danger Signs, Education, Early Detection, Maternal Class, Pregnant WomenAbstract
Introduction: Maternal mortality remains a significant public health concern in Indonesia, with inadequate early detection of pregnancy danger signs contributing significantly to preventable complications. Maternal classes are one of the key educational strategies aimed at improving pregnant women’s knowledge and awareness related to pregnancy risks. This study aimed to analyze the effectiveness of maternal class education in improving early detection abilities regarding pregnancy danger signs among pregnant women in UPT Puskesmas Ulaweng, Bone Regency.
Methods: his study applied a pre–pre-experimental design using a one-group pretest–posttest approach. A total of 30 pregnant women were selected through quota sampling. Data were collected using an observation sheet and a questionnaire assessing early detection abilities. Statistical analysis was performed using the Wilcoxon signed-rank test to determine differences before and after the educational intervention.
Results: Pretest findings indicated that 70% of participants had low early detection abilities, while only 13% demonstrated good ability. Following the maternal class intervention, 84% of participants achieved good ability, with only 3% remaining in the low category. The Wilcoxon test showed a significant difference between pretest and posttest scores (p = 0.003), indicating a substantial improvement in early detection skills after participating in the maternal class.
Conclusion: The findings of this study indicate that maternal class education plays a crucial role in improving pregnant women’s ability to identify early danger signs during pregnancy. A significant increase in post-intervention scores, supported by the Wilcoxon test result (p = 0.003), confirms that the educational sessions effectively enhance maternal knowledge and vigilance. Strengthening early detection skills is essential for preventing complications and ensuring the safety of both mother and fetus. Based on these results, it is recommended that maternal classes be implemented consistently and systematically at the primary healthcare level. The involvement of husbands and family members is also encouraged to optimize support and facilitate timely decision-making when danger signs arise.
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Aderoba, A. K. and Adu-Bonsaffoh, K. (2022) ‘Antenatal and Postnatal Care’, Obstetrics and Gynecology Clinics of North America, 49(4), pp. 665–692. doi: https://doi.org/10.1016/j.ogc.2022.07.005.
Albahri, A. S. et al. (2023) ‘A systematic review of trustworthy and explainable artificial intelligence in healthcare: Assessment of quality, bias risk, and data fusion’, Information Fusion, 96, pp. 156–191. doi: https://doi.org/10.1016/j.inffus.2023.03.008.
Ali, P. et al. (2021) ‘How accurate and effective are screening tools and subsequent interventions for intimate partner violence in non-high-risk settings (IPV)? A rapid review’, Journal of Criminal Psychology, 11(4), pp. 273–300. doi: https://doi.org/10.1108/JCP-03-2021-0007.
Alzakari, S. A. et al. (2024) ‘Artificial intelligence-driven predictive framework for early detection of still birth’, SLAS Technology, 29(6), p. 100203. doi: https://doi.org/10.1016/j.slast.2024.100203.
Anumudu, S. I., Uhegwu, C. C. and Anumudu, C. K. (2025) ‘A scoping review of maternal mortality, its health determinants, and factors that influence care utilization in women of child-bearing years in Nigeria’, Global Health Journal. doi: https://doi.org/10.1016/j.glohj.2025.10.004.
Brown, M. A. et al. (2018) ‘The hypertensive disorders of pregnancy: ISSHP classification, diagnosis & management recommendations for international practice’, Pregnancy Hypertension, 13, pp. 291–310. doi: https://doi.org/10.1016/j.preghy.2018.05.004.
Edu-Mensah, M. et al. (2025) ‘Interventions to improve skilled birth attendance in sub-Saharan Africa. What has been done, and what has worked? A narrative synthesis’, Midwifery, 147, p. 104426. doi: https://doi.org/10.1016/j.midw.2025.104426.
Elhage, J. C. et al. (2024) ‘Assessing awareness of danger signs of pregnancy and its associated factors among pregnant women in Libya: A cross-sectional study’, Sexual & Reproductive Healthcare, 42, p. 101044. doi: https://doi.org/10.1016/j.srhc.2024.101044.
Feroz, A. S. et al. (2022) ‘Understanding the Needs of a Mobile Phone–Based Telemonitoring Program for Pregnant Women at High Risk for Pre-Eclampsia: Interpretive Qualitative Description Study’, JMIR Formative Research, 6(2). doi: https://doi.org/10.2196/32428.
Ilardo, M. L. and Speciale, A. (2020) ‘The community pharmacist: perceived barriers and patient-centered care communication’, International journal of environmental research and public health, 17(2), p. 536. doi: https://dx.doi.org/10.3390/ijerph17020536
Karaçay Yikar, S., Keklik, D. and Nazik, E. (2025) ‘The effect of Reiki in the third trimester on breastfeeding self-efficacy, pregnancy-related complaints, and quality of life: Randomized controlled study’, European Journal of Integrative Medicine, 73, p. 102423. doi: https://dx.doi.org/10.1016/j.eujim.2024.102423.
Khresheh, R. et al. (2018) ‘Implementation of a childbirth preparation program in the maternal and child health centres in Jordan’, Midwifery, 61, pp. 1–7. doi: https://doi.org/10.1016/j.midw.2018.02.010.
Kumar, V., Kumar, A. and Darmstadt, G. L. (2010) ‘Behavior Change for Newborn Survival in Resource-Poor Community Settings: Bridging the Gap Between Evidence and Impact’, Seminars in Perinatology, 34(6), pp. 446–461. doi: https://doi.org/10.1053/j.semperi.2010.09.006.
Moulaei, K. et al. (2025) ‘Telemidwifery: A scoping review on applications, advantages and obstacles’, Midwifery, 148, p. 104477. doi: https://doi.org/10.1016/j.midw.2025.104477.
Porat, T. et al. (2020) ‘Public health and risk communication during COVID-19—enhancing psychological needs to promote sustainable behavior change’, Frontiers in public health, 8, p. 573397. doi: https://dx.doi.org/10.3389/fpubh.2020.573397
Putri, S. Z., Bachtiar, S. M. and Suprapto, S. (2025) ‘A Descriptive Case Series on Combined Education, Breast Care, and Oxytocin Massage for Lactation Support in Indonesia’, Journal of Public Health Sciences, 4(02), pp. 165–179. doi: https://doi.org/10.56741/IISTR.jphs.001030.
Rakers, M. M. et al. (2023) ‘Perceived barriers and facilitators of structural reimbursement for remote patient monitoring, an exploratory qualitative study’, Health Policy and Technology, 12(1), p. 100718. doi: https://dx.doi.org/10.1016/j.hlpt.2022.100718
Riyandani, R. and Sriwahyuni, S. (2024) ‘The effect of nutritional status of pregnant women on the incidence of stunting in early childhood’, Jurnal Ilmiah Kesehatan Sandi Husada, 13(2), pp. 419–426. doi: https://doi.org/10.35816/jiskh.v13i2.1240.
Sarker, S. et al. (2025) ‘Effectiveness of prenatal intervention on neonatal hyperbilirubinemia management in rural Bangladesh: Results from a cluster-randomized trial’, Public Health, 238, pp. 221–228. doi: https://doi.org/10.1016/j.puhe.2024.12.018.
Shah, N. M. et al. (2024) ‘Antimicrobial stewardship and targeted therapies in the changing landscape of maternal sepsis’, Journal of Intensive Medicine, 4(1), pp. 46–61. doi: https://doi.org/10.1016/j.jointm.2023.07.006.
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