The role of continuity of care in high-risk pregnant women in Indonesia
2025

The role of continuity of care in high-risk pregnant women in Indonesia

Sample size: 134 publication Evidence: high

Author Information

Author(s): Sholikah Siti Mar’atus, Nurwulansari Fitria, Aini Elfira Nurul, Wardoyo Slamet, Pramudita Jessica Juan

Primary Institution: Poltekkes Kemenkes Surabaya

Hypothesis

This study aims to analyze the effectiveness of continuity of care (COC) in improving the family independence of high-risk pregnant women in preventing pregnancy complications.

Conclusion

The COC intervention significantly improved family self-reliance in supporting high-risk pregnant women and preventing pregnancy complications.

Supporting Evidence

  • The study showed a significant increase in family self-reliance after the COC intervention.
  • Before the intervention, the mean score for physiological and psychological needs fulfilment was 17.45, which increased to 36.42 after the intervention.
  • Labor preparation scores increased from 11.40 to 24.38 after the intervention.
  • Postpartum preparation scores increased from 13.00 to 28.79 after the intervention.
  • Preparation after the baby is born scores increased from 13.25 to 28.75 after the intervention.

Takeaway

This study shows that helping families support pregnant women can make a big difference in keeping them healthy and safe during pregnancy.

Methodology

A quasi-experimental design with a pretest-posttest approach without a control group was used, involving structured questionnaires before and after a COC intervention.

Potential Biases

The study may have bias due to the non-randomized design and the lack of a control group.

Limitations

The study only included samples from urban areas, which may not represent high-risk pregnant women in rural areas, and the long-term impact of COC was not fully explored.

Participant Demographics

Participants were high-risk pregnant women, primarily aged 21-35 years, with most in their first trimester.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.18332/ejm/195831

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication