Merasa aman karena dianggap normal, kemudahan dan kepasrahan sebagai alasan ibu-ibu memilih persalinan rumah di desa: studi kualitatif di Kalimantan Tengah

https://doi.org/10.22146/bkm.6646

Aderi Aderi(1*), Yayi Suryo Prabandari(2), Atik Triratnawati(3)

(1) Puskesmas Kuala Pembuang II
(2) Departemen Perilaku Kesehatan, Lingkungan, dan Kedokteran Sosial, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Fakultas Ilmu Budaya, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Feeling safe due to normal antenatal care, easier to going to health facility, and compliance to God decision as reasons for home delivery choice among village mothers: a qualitative study in Central Kalimantan

Purpose

The purpose of this paper was to explore mothers’ perceptions of delivery at home in Kartika Bhakti Village, Province of Central Kalimantan. 

Methods

A case study was conducted involving observations, in-depth interviews and focus group discussion with 7 maternity women, 1 maternity women’s husbands, 1 village midwife, 1 community leader and 1 midwife of the village health post in Kartika Bhakti village, Province of Central Kalimantan.

Results

The study found six reasons why mothers tended to choose to do delivery at home: barriers to delivery at health facilities; attitudes and preparedness of the midwife to deliver home deliveries; delivery at home benefits; based on the results of the pregnancy examination; not afraid of the risks of delivery; and ready to accept the dangers and risks of delivery.

Conclusion

The reasons will be used as a consideration for choosing the birthplace. When the results of a pregnancy examination is good, mothers will tend to choose a home delivery. Furthermore, obstacles in health facilities such as barriers in health centers, geographical, hospital barriers, no postpartum services, and economic abilities are also some of the main reasons to choose to deliver at home. Health education and approaches related to delivery safety need to be improved to change mothers’ perceptions.



Keywords


perception; labor; giving birth at home



References

  1. WHO, UNICEF, UNFPA, & Bank World. Trends in Maternal Mortality: 1990 to 2010. 2012.
  2. Kementerian Kesehatan Republik Indonesia. Pedoman Pemantauan Wilayah Setempat Kesehatan Ibu dan Anak 2010. Jakarta.
  3. Millennium Development Goals. The Report 2010.
  4. Kementerian Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan RI. Nomor 1529/Menkes/SK/ X/2010 tentang Pedoman Umum Pengembangan Desa dan Kelurahan Siaga Aktif. Jakarta:
  5. Badan Penelitian dan Pengembangan Kesehatan Republik Indonesia. Riset Kesehatan Dasar 2013. Jakarta.
  6. Dinas Kesehatan Provinsi Kalimantan Tengah.  Profil Kesehatan Provinsi Kalimantan Tengah 2014. Palangkaraya.
  7. Dinas Kesehatan Kabupaten Seruyan. Profil Kesehatan Kabupaten Seruyan 2012. Kuala Pembuang.
  8. Puskesmas Kuala Pembuang II. Profil Kesehatan 2014. Pematang Panjang.
  9. Sarwono S. Sosiologi Kesehatan: Beberapa Konsep dan Aplikasinya (edisi 4., p. 66) 2004. Gadjah Mada University Press. Yogyakarta.
  10. Jackson, M. Dahlen H. & Schmied V.  Birthing Outside the System: Perceptions of Risk amongst Australian Women Who Have Freebirths and High Risk Homebirths. Journal Midwifery. 2012. No. 28. Hal. 561–567.
  11. Saeedi Z. A. Tabatabaie M. G. Moudi Z. Vedadhir A.A. & Navidian A. Childbirt at Home: A Qualitative Study Exploring Perceptions of Risk and Risk Management among baloch Women in Iran. Journal Midwifery. 2013. No. 29. Hal. 44-52.
  12. Vallely L. M. Homiehombo P. Vallely A. Homer C. S. E. & Whittaker A. 2013. Exploring women’s Perspectives of Access to Care During Pregnancy and Childbirth: A Qualitative Study from Rural Papua New Guinea. Journal Midwifery. 2013. No. 29. Hal. 1222–1229.
  13. Kumar S., Dansereau E. & Murray C. Does Distance Matter for Institutional Delivery in Rural India? An Instrumental Variable Approach, (45762). Munich Personal RePEc Archive. 2013. No. 45762.
  14. Edmonds J. K. Paul M. & Sibley L. Determinants of Place of Birth Decisions in Uncomplicated Childbirth in Bangladesh: An Empirical Study. Journal Midwifery. 2012. No. 28. Hal. 554–60.
  15. Lock L. & Gib H. 2003. The Power of Place. Journal Midwifery. No. 19. Hal. 132–139. Journal Midwifery. 2003
  16. Pitchfort E., Teijlingen E. van Watson V., J, J. T. Kiger A. Ireland J. & Ryan, M. Choice" and place of delivery: a qualitative study of women in remote and rural Scotland. Journal Quality Safety Health Care. 2009. No. 18. Hal. 42–48.
  17. Pearson L. Gandhi M. Admasu K. & Keyes E. B. User Fees and Maternity Services in Ethiopia. International Journal of Gynaecology and Obstetrics. 2011. No. 115. Hal. 310–315.
  18. Dahlen H., Jackson, M. & Stevens, J. Homebirth, Freebirth and Doulas: Casualty and Consequences of A Broken Maternity System. Journal Women Birth. 2011. No. 24. Hal. 47–50.
  19. WHO, UNICEF, UNFPA, Bank W., & UN 2013. Trends in Maternal Mortality: 1990 to 2013. 2013.
  20. Mander R. & Melender H. L. Choice in Maternity: Rhetoric, Reality and Resistance. Journal Midwifery. 2009. No. 25. Hal. 637–48. 
  21. Hadjigeorgiou E. Kouta C. Papastavrou E. Papadopoulos I. & Mårtensson L. B. Women’s Perceptions of their Right to Choose the Place of Childbirth: An Integrative Review. Journal Midwifery. 2012. No. 28. Hal. 380–90.
  22. Boucher D. Bennett C. McFarlin B. & Freeze R. Staying Home to Give Birth: Why Women in the United States Choose Home Birth. Journal of Midwifery & Women’s Health. 2009. No. 54. Hal. 119–126
  23. Wild K. Barclay  L. Kelly  P. & Martins N. 2010. Birth choices in Timor-Leste: A framework for understanding the use of maternal health services in low resource settings. Journal Social Science & Medicine. 2010. No. 71. Hal. 2038-2045.
  24. Sjoblom I. Nordstrom B. & Edberg A. A Qualitative Study of Women’s Experiences of Home Birthin Sweden. Journal Midwifery. 2006. No. 22. Hal. 348–355.
  25. Bryanton J. Gagnon A. Johnston C. & Hatem M. Predictors of Women’s Perceptions of the Childbirth Experience.  Journal Obstetric Gynecologic & Neonatal Nursing. 2008. No. 37. Hal.  24–34.
  26. Barber T. Rogers J. & Mars S. The Birth Place Choice Project: Phase One. British Journal of Midwifery. 2006 No. 14. Hal. 609–613.
  27. O’Cathain A. Walters S. J. Nicholl J. P. Thomas K. J. & Kirkham M. Use of Evidence based Leaflets to Promote Informed Choice in Maternity Care: Randomised Controlled Trial in Everyday Practice. Journal BMJ (Clinical Research Ed.). 202. No. 324. Hal. 1-5.
  28. Magoma M. Requejo J. Campbell O. Cousens S. & Filippi V. 2010. High ANC Coverage and Low Skilled Attendance in a Rural Tanzanian District: A Case for Implementing a Birth Plan Intervention. Journal Biomedcentral Pregnancy Childbirth. 2010. No. 10. Hal. 1-12.
  29. Cheyney M. J. Homebirth as Systems-Challenging Praxis: Knowledge, Power, and Intimacy in the Birthplace. Journal Qualitative Health Research. 2008. No. 18. Hal. 254–268. 



DOI: https://doi.org/10.22146/bkm.6646

Article Metrics

Abstract views : 292 | views : 303

Refbacks

  • There are currently no refbacks.




Copyright (c) 2016 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:


Web
Analytics Visitor Counter