Developmental Trial of Maternity Education Control Cards

Adolfina Nilasari(1*), Mora Claramita(2), Shinta Prawitasari(3), Lisa Soldat(4)

(1) Puskesmas Banguntapan I (Community and Primary Health Care Center); Yogyakarta; Indonesia
(2) Department of Medical Education; Department of Family and Community Medicine; Faculty of Medicine, Public Health and Nursing; Universitas Gadjah Mada; Indonesia
(3) Department Obstetrics and Gynecology; Faculty of Medicine; Universitas Gadjah Mada; Indonesia
(4) Adjunct faculty member at Department of Family Medicine; University of Iowa; United State of America
(*) Corresponding Author


Background: The behavior of a pregnant woman in maintaining her health during pregnancy is influenced by her knowledge of pregnancy. The greater the knowledge of pregnant women about pregnancy, the better the attitude of pregnant women in maintaining their pregnancy. Consequently, a primary care physician who is a health manager of pregnant women needs to pay attention to this knowledge aspect. Primary care physicians should be able to quickly identify the level of knowledge of pregnant women about pregnancy and determine whether that knowledge is sufficient. For that purpose, primary care physicians need to have the right measurement instruments. Objectives: This study aimed to develop, validate and test the instruments that primary care physicians can use to identify and add to pregnant women’s level of knowledge about pregnancy. Methods: This study involved research and development of a validated instrument that consisted of several stages, namely development, validation and testing. Validation was done through two stages, specifically content validation by experts and face validation by 7 doctors. The experimental phase was a quasi-experimental research with 35 pregnant women who presented for antenatal examination at the Puskesmas Banguntapan I (Community and Primary Health Care Center). T-tests were used to determine whether there was a significant difference between the knowledge of pregnant women before and after using the Maternity Education Control Cards. Results: The validated instrument called the Maternity Education Control Card developed by primary care physicians can be used to identify and increase the level of knowledge of pregnant women about pregnancy. The Maternity Education Control Card was validated by several experts, including communication experts, obstetricians and the Maternal and Child Health Program Coordinator at Bantul Regency. Layout, style, accessibility, and feasibility were assessed by a team of validators at the Puskesmas Banguntapan I (7 doctors and 1 midwife coordinator). The data analysis showed that there was a significant difference between pre-test and post-test scores (p = 0.000). This value was not influenced by age variables, educational level, number of pregnancies nor previous antenatal care frequency, but the level of education did affect the post-test value. The duration required for education was between 9 - 20 minutes, with an average of 14.63 minutes (± 2.61). The duration required for education related to the delta of pre and post-test values. The greater the delta, the longer time required for education. Conclusions: Maternity Education Control Card has been successfully established, validated and proven to significantly increase pregnant women’s knowledge about pregnancy.


education; pregnant women; knowledge; natal knowledge instruments; family doctors

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1. Nuraini E, Parker E. Improving knowledge of antenatal care (ANC) among pregnant women: a field trial in Central Java, Indonesia. Asia-Pacific J Public Heal [Internet]. 2005;17(1):3–8.

2. Ngy M-H, Nakamura K, Ohnishi M, Kizuki M, Suyama S, Seino K, et al. Improved perinatal health through qualified antenatal care in urban Phnom Penh, Cambodia. Environ Health Prev Med [Internet]. 2007;12(5):193–201.

3. Nurul MR, Hurhayani, Balqis. Relation of knowledge and attitude of pregnant mother to compliance of antenatal care implementation at Puskesmas Antang Raya, Makassar tahun 2011. Jurnal Kebidanan (Journal of Midwifery) STIKES Nani Hasanuddin. 2012;1(1):1-7.

4. Irnawati. Relation of knowledge of primigravida pregnant women to compliance of antenatal care in Puskesmas Nailan Ponorogo district. 1st ed. Ponorogo: Universitas Muhammadiyah Ponorogo. 2012.

5. Wahyuni KS, Witono, Setyaningsih, D. Relation of mother’s knowledge level to pregnan cy care with the accuracy of ANC visit in Puskesmas Sewon 2. 1st ed. Yogyakarta: STIE Respati. 2007.

6. Directorate General of Community Health Development. Guidelines for Integrated Antenatal Services. 1st ed. Jakarta : Kemenkes RI. 2010.

7. Renkert S, Nutbeam D. Opportunities to improve maternal health literacy through antenatal education: an exploratory study. Health Promotion International. 2001 Dec 1;16(4):381-8.

8. Ministry of Health and Long Term Care with Ontario Medical Association. Ontario Antenatal Record. 1st rev. ed. Ontario Medical Association. Ontario: Ministry of Health and Long-Term Care. 2006.

9. Perinatal services BC. A Guide for Completion of the Antenatal Record. 1st & 2nd ed. Canada: Perinatal Services BC. 2012.

10. Health, Seniors and Active Living Departement. Manitoba Prenatal Record. 1st ed. Manitoba: Health, Seniors and Active Living Departement. 2016.

11. Reproductive Care Program of Nova Scotia. Nova Scotia Prenatal Record. 1st ed. Nova Scotia: Reproductive Care Program of Nova Scotia. 2015. 1-2 p.

12. General Services Administration. Medical Record Prenatal and Pregnancy. 1st ed. USA: General Services Administration. 1999. 1-2 p.


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