Journal for Quality in Women's Health(JQWH ) ANALYSIS OF PROVISION OF PREMARRIAGE HEALTH
COUNSELING ON THE INTEREST OF DELAYING RISK
PREGNANCY IN PROSPECTIVE COUPLES FERTILIZER AGE
UNDER 20 YEARS OLD
Rahmi Pebrianti 1.
Asruria Sani Fajriah2 1Cempaka Mulia Community Health Center.
Central Kalimantan.
Indonesia Faculty of Nursing and Midwifery.
Institute of Health Sciences STRADA INDONESIA.
Kediri.
Indonesia E-mail : rahmi.
99spt@gmail.
ABSTRACT
Background : The low number of couples of childbearing age (PUS) under the age of 20 years in the interest of delaying risky pregnancies, as well as the lack of complete information in providing premarital health counseling to couples of childbearing age (EFA) under the age of 20 years about the impact of risky pregnancies, namely the occurrence of low birth weight, the risk of maternal and infants and the risk of abnormalities.
The purpose of this study was to analyze the effect of providing premarital health counseling on the interest in delaying risky pregnancies in prospective couples of childbearing age under 20 years at KUA.
Cempaga District.
East Kotawaringin Regency.
Method : The research design uses a pre-experimental design with a one-group pre-test-post-test The sample of this study was some prospective couples of childbearing age under 20 years in in May - June 2022, as many as 12 respondents.
sampling method using accidental sampling Data collection by using a questionnaire.
Bivariate analysis using Wilcoxon statistical test with significant level = 0.
Results : The results showed that from 12 respondents before giving premarital health counseling had a low interest in delaying a risky pregnancy as many as 9 respondents .
0%) and after giving premarital health counseling had a moderate interest in delaying a risky pregnancy as many as 7 .
3%).
The Wilcoxon test results obtained p = 0.
002 <0.
05, which means that there is an effect of providing premarital health counseling on the interest in delaying risky pregnancies in prospective couples of childbearing age under 20 years at KUA.
Cempaga District.
East Kotawaringin Regency.
Conclution : is that there is an effect of providing premarital health counseling on the interest in delaying risky pregnancies in prospective couples of childbearing age under 20 years at KUA.
Cempaga District.
East Kotawaringin Regency.
Keywords: Pre-Marriage Health Counseling.
Interest in Delaying Pregnancy.
Age under 20 Years BACKGROUND The prevalence of child marriage in Indonesia has more than doubled in recent years but is still one of the highest in the East Asia and Pacific region (Central Bureau of Statistics & UNICEF, 2.
In line with the various efforts that have been made by the government in dealing with the number of early marriages, the BKKBN has intensively carried out campaigns but it is 195 | Journal for Quality in Women's Health still not optimal, through GenRe (Generation Plannin.
it is hoped that it can reduce the number of early marriages in Indonesia, namely under 21 years for women, and under 25 years.
for men ( Premarital preparations carried out in Indonesia are still limited to providing TT immunization, not yet related to providing In terms of services, which are Journal for Quality in Women's Health(JQWH ) still limited to professionals who provide education about the lack of knowledge of prospective partners so that it is possible not to delay pregnancy, even though pregnancy at the age of less than 20 years can lead to various complications during childbirth, babies born to mothers who are under 20 years old can face a 50% higher risk of stillbirth or infant death in the first few weeks compared to babies born to mothers aged 20-29 years.
Babies born to mothers under the age of 20 years are more likely to have low birth weight with long-term risk effects (Sri Astuti et al, 2.
Meanwhile, high-risk pregnancy is a pregnancy that allows complications during pregnancy and childbirth from the risks that the mother has compared to normal Pregnancy has a high risk if it is influenced by trigger factors that will cause complications during pregnancy, even during childbirth and also during the puerperium (Sri Astuti et al, 2.
The process of pregnancy and birth during adolescence also contributes to increasing the perinatal mortality rate in Indonesia.
Newborns born to adolescent mothers are also more likely to have low birth weight, with the risk of long-term effects (WHO.
The first pregnant woman aged <20 years is a risky mother because her pelvis has not developed optimally and her mental condition is not ready to face pregnancy and carry out her role as a mother (Fina et al, 2.
Ay.
Pregnancy with complications in pregnant women and childbirth is a complex problem, because these pregnancy complications can cause direct death of pregnant women or childbirth.
As many as 50,000 women die every year in Nigeria due to complications of pregnancy and Most 50% of maternal deaths occur in one week after delivery and 25% occur during the first 24 hours after (WHO, 2.
Causes of high risk in pregnancy are age <20 years or> 35 years, children more than 4 last delivery interval and current pregnancy less than 2 years, height less than 145 cm, family history of diabetes, 196 | Journal for Quality in Women's Health hypertension, etc.
(Helmi, 2015 ).
The Central Statistics Agency (BPS) also noted 30% of youth in Indonesia were married for the first time at the age of 19-21 years in 2020.
A total of 26.
83% of youth married at the age of 22-24 years.
Then, 68% of youth married at the age of 16-18 (Data word, 2.
The number of high-risk pregnancies in Central Kalimantan Province in the last two years has increased the coverage of high-risk pregnant women from .
%) in 2019 to .
%) in 2020 (Central Kalimantan Provincial Health Office 2.
The Central Statistics Agency (BPS) in 2020 recorded the number of early marriages .
nder 20 years ol.
in Kalimantan Province at 16.
3%, higher than Java at 11.
2% (BPS, 2.
Services for high-risk/complicated pregnant women in 2020 in East Kotawarangin Regency reached 2,715 High-risk pregnant women .
eferred pregnant women/complications are 19.
of the target number of pregnant women.
This achievement is down when compared to the previous year of 95.
Data as of June 30, 2021 as many as 953 cases.
For this case in East Kotawaringin Regency has around 176 cases.
Paser 151 cases and Samarinda City 109.
(Health Profile of East Kotawaringin Health Office, 2.
The childbearing age (<20 year.
in the KUA Cempaga area.
East Kotawaringin Regency is 15 people.
From the results of a preliminary study conducted by conducting interviews with 5 prospective bride and groom couples (PUS < 20 year.
at KUA Cempaga.
East Kotawaringin Regency, it was found that 3 of them did not want to delay pregnancy and 2 other prospective bridal couples wished to postpone Knowledge of reproductive health is still lacking, accompanied by factors of education, economic status, behavior, socio-culture, and mass media related to early pregnancy, causing many young couples under the age of 20 not to delay pregnancy, even though it is very risky for the mother and baby.
Journal for Quality in Women's Health(JQWH ) Efforts are being made to reduce pregnancy at an early age, namely by providing pre-marital health counseling which aims or is intended to help prospective brides and grooms to analyze possible problems and challenges that will arise in their household and equip them with the skills to solve problems including in determining family planning wishes.
delayed pregnancy.
In addition, midwives or health workers are expected to provide education related to contraception/KB programs to prospective brides and grooms to prevent pregnancy at an early age.
Based on the description above, the researcher is interested in conducting research on the analysis of the provision of premarital health counseling on the interest in delaying risky pregnancies in prospective couples of childbearing age under 20 years at KUA Cempaga.
East Kotawaringin Regency.
METHODS
In this study using pre-experimental research with a one-group pre-test-post-test The sample of this study was some prospective couples of childbearing age under 20 years at KUA KUA.
Cempaga District.
East Kotawaringin Regency in May - June 2022, as many as 12 respondents.
sampling method using accidental sampling Data collection by using a Bivariate analysis to see the relationship between the independent variable and the dependent variable using the Wilcoxon statistical test with a significant level of = 0.
This research has also received information that it has passed the ethical test.
, namely sampling by dividing the population into strata .
tudy program.
consisting of 30 people in Bachelor of Pharmacy.
Bachelor of Nursing.
Diploma 3 of Nursing, and Diploma 3 of Midwifery, each of which amounted to 30 The collection of data in this study is secondary data based on the value of the research achievement index obtained by students to determine the development of student research.
This study was conducted with univariate analysis.
Shapiro-Wilk normality test, and independent t-test analysis with the STATA 14 program.
RESULTS
Tabel 1 The effect of providing premarital health counseling on the interest in delaying pregnancy at risk for prospective couples of childbearing age under 20 years at KUA Cempaga Konseling Kesehatan Pra Nikah No.
Minat Penundaan kehamilan Tinggi Sedang Rendah Jumlah Sebelum The results showed that before giving premarital health counseling they had a low interest in delaying pregnancy, as many as 9 respondents .
0%).
3%).
program (IP 197 | Journal for Quality in Women's Health Sesudah score = 3.
The result of the average value of the research development of the entire sample of students is 3.
Journal for Quality in Women's Health(JQWH ) Statistical Test Results Table 2 The results of statistical tests on the effect of providing premarital health counseling on the interest in delaying risky pregnancies in prospective couples of childbearing age under 20 years After Counseling Ae Before Counseling P- value Based on the Wilcoxon signed rank test statistic using SPSS, it was found that the p value was smaller than 0.
002 < 0.
H0 is rejected and H1 is accepted, meaning that there is an effect of providing premarital health counseling on the interest in delaying risky pregnancies in prospective couples of childbearing age under 20 years in Cempaga.
East Kotawaringin Regency.
DISCUSSION