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, contributing to better preparedness and prevention of 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 when families are involved in caring for pregnant women, they can help prevent problems 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 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

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