The Effect of “Moi Kintal”-Based Counselling on Husbands’ Knowledge and Actions, and Birth Outcomes: A Quasi-Experiment in Ambon, Indonesia
DOI:
https://doi.org/10.25159/2520-5293/16756Keywords:
adverse birth outcomes, antenatal counselling, “Moi Kintal”Abstract
Antenatal counselling is one of the 10 standard antenatal care (ANC) services in Indonesia, but the husbands are not involved in the counselling. The husbands’ lack of knowledge and actions during pregnancy care could have an impact on birth outcomes, so it is necessary to involve them in ANC. However, the Husbands’ role in ANC is important because they are decision-makers. This study aimed to examine the effect of counselling based on “Moi Kintal” on the husbands’ knowledge and actions during pregnancy, and the impact on birth outcomes. The quasi-experimental study was implemented in four community health centres from August to November 2023 in Ambon, Maluku Province, Indonesia. The purposive sampling method based on established criteria was used in the study and a total of 60 husbands of pregnant women in the third trimester (30 interventions and 30 controls) were included in the analysis. The Chi-squared test, paired sample t-test and analysis of covariance were used to compare the variables in the two groups. The study results showed the effect of counselling based on “Moi Kintal” on the husbands’ knowledge (p = 0.000) and actions (p = 0.005) during pregnancy, and the impact on birth outcomes (p = 0.038). The Chi-squared test showed that decision-making as a confounding variable had a significant impact on birth outcomes (p = 0.033). Thus, the study concluded that ”Moi Kintal”-based counselling is effective in improving the husbands’ involvement in ANC. Therefore, the ”Moi Kintal”-based counselling model can be used widely in health facilities to help decrease adverse birth outcomes.
References
Akselsson, A., S. Georgsson, H. Lindgren, K. Pettersson, and I. Rådestad. 2017. “Women’s Attitudes, Experiences and Compliance Concerning the Use of Mindfetalness – a Method for Systematic Observation of Fetal Movements in Late Pregnancy.” BMC Pregnancy and Childbirth 17 (1): 359. https://doi.org/10.1186/s12884-017-1548-5
Anderson, N. H., A. Gordon, M. Li, R. S. Cronin, J. M. D. Thompson, C. H. Raynes-Greenow, A. E. P. Heazell, T. Stacey, V. M. Culling, J. Wilson, L. M. Askie, E. A. Mitchell, and L. M. E. McCowan. 2019. “Association of Supine Going-to-Sleep Position in Late Pregnancy with Reduced Birth Weight.” JAMA Network Open 2 (10): e1912614. https://doi.org/10.1001/jamanetworkopen.2019.12614
Andriani, D. 2022. “Efektifitas Posisi Sleep on Side terhadap Kualitas Tidur Ibu Hamil Trimester III.” Adi Husada Nursing Journal 8 (1): 36. https://doi.org/10.37036/ahnj.v8i1.223
Anggondowati, T., A. A. E. El-mohandes, S. N. Qomariyah, M. Kiely, J. J. Ryon, R. F. Gipson, B. Zinner, A. Achadi, and L. L. Wright. 2017. Maternal Characteristics and Obstetrical Complications Impact Neonatal Outcomes in Indonesia : A Prospective Study 17: 100. https://doi.org/10.1186/s12884-017-1280-1
Ariska, D., and D. Darmawati. 2019. “Pelaksanaan Konseling Pada Ibu Hamil Di Puskesmas Kota Banda Aceh.” Idea Nursing Journal 10 (3): 22–29.
Awasthi, M. S., K. R. Awasthi, H. S. Thapa, B. Saud, S. Pradhan, and R. A. Khatry. 2018. “Utilization of Antenatal Care Services in Dalit Communities in Gorkha, Nepal: A Cross-Sectional Study.” Journal of Pregnancy Article ID 8465463. https://doi.org/10.1155/2018/3467308
Bernad, E. S., F. Duica, P. Antoniadis, A. Moza, D. Lungeanu, M. Craina, B. C. Bernad, E. Maghet, I-A. Vasilache, A. L. Maghiari, D-A. Arnautu, and D. Iacob. 2023. “Maternal Fever and Reduced Fetal Movement as Predictive Risk Factors for Adverse Neonatal Outcome in Cases of Congenital SARS-CoV-2 Infection: A Meta-Analysis of Individual Participant Data from Case Reports and Case Series.” Viruses 15 (7): 1615. https://doi.org/10.3390/v15071615
Cronin, R. S., M. Li, J. M. D. Thompson, A. Gordon, C. H. Raynes-Greenow, A. E. P. Heazell, T. Stacey, V. M. Culling, V. Bowring, N. H. Anderson, L. M. O’Brien, E. A. Mitchell, L. M. Askie, and L. M. E. McCowan. 2019. “An Individual Participant Data Meta-Analysis of Maternal Going-to-Sleep Position, Interactions with Fetal Vulnerability, and the Risk of Late Stillbirth.” EClinicalMedicine 10: 49–57. ttps://doi.org/10.1016/j.eclinm.2019.03.014
Demilew, Y. M., G. D. Alene, and T. Belachew. 2020. “Effects of Guided Dounseling during Pregnancy on Birth Weight of Newborns in West Gojjam Zone, Ethiopia: A Cluster-Randomized Controlled Trial.” BMC Pediatrics 20 (1): 466. https://doi.org/10.1186/s12887-020-02363-8
Heazell, A. E. P., J. Budd, M. Li, R. Cronin, B. Bradford, L. M. E. McCowan, E. A. Mitchell, T. Stacey, B. Martin, D. Roberts, and J. M. D. Thompson. 2018. “Alterations in Maternally Perceived Fetal Movement and Their Association with Late Stillbirth: Findings from the Midland and North of England Stillbirth Case–Control Study.” BMJ Open 8 (7): e020031. https://doi.org/10.1136/bmjopen-2017-020031
Idris, H., and I. Sari. 2023. “Factors Associated with the Completion of Antenatal Care in Indonesia: A Cross-Sectional Data Analysis Based on the 2018 Indonesian Basic Health Survey.” Belitung Nursing Journal 9 (1): 79–85. https://doi.org/10.33546/bnj.2380
Indonesia MoH (Ministry of Health). 2020a. Buku Kesehatan Ibu dan Anak/Mother and Child Health Handbook. https://www.orangtuahebat.id/wp-content/uploads/2022/11/Buku-Kesehatan-Ibu-dan-Anak-KIA-Tahun-2020-Bagian-Ibu.pdf
Indonesia MoH (Ministry of Health). 2020b. “Pedoman Pelayanan Antenatal Terpadu.” Accessed July 5, 2024. https://repository.kemkes.go.id/book/147
Indonesia MoH (Ministry of Health). 2022. “Profil Kesehatan Indonesia 2021.” Accessed July 5, 2024. https://repository.kemkes.go.id/book/828
Mangesi, L., G. J. Hofmeyr, V. Smith, and R. M. Smyth. 2015. “Fetal Movement Counting for Assessment of Fetal Wellbeing.” Cochrane Database of Systematic Reviews 10: CD004909. https://doi.org/10.1002/14651858.CD004909.pub3
Moedjiono, A. I., K. Kuntoro, and H. B. Notobroto. 2017. “Indicators of Husband’s Role in Pregnancy and Maternity Care.” International Journal of Public Health Science 6 (2): 192–196. https://doi.org/10.11591/ijphs.v6i2.6181
Muluneh, A. G., M. H. Asratie, T. Gebremariam, A. Adu, M. M. Enyew, E. A., Cherkos, S. Melkamu, M. Berta, W. Mamo, and D. Kassahun. 2022. “Lifetime Adverse Pregnancy Outcomes and Associated Factors among Antenatal Care Booked Women in Central Gondar Zone and Gondar City Administration, Northwest Ethiopia.” Frontiers in Public Health 10: 966055. https://doi.org/10.3389/fpubh.2022.966055
Murray, M., D. Sundin, and V. Cope. 2018. “New Graduate Registered Nurses’ Knowledge of Patient Safety and Practice: A Literature Review.” Journal of Clinical Nursing 27 (1–2): 31–47. https://doi.org/10.1111/jocn.13785
Mussa, I., O. Makhubela-Nkondo, M. B. Maruta, and A. Debella. 2023. “Missed Opportunity of Antenatal Care Services Utilization and Associated Factors among Reproductive Age Women in Eastern Hararghe Zone, Eastern Ethiopia: Mixed Methods Study.” Journal of Pregnancy Article ID 8465463. https://doi.org/10.1155/2023/8465463
NSW (New South Wales) Government. 2019. “The First 2000 Days Framework.” Accessed July 5, 2024. https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2019_008.pdf
Nurdin, A., A. I. Amaruddin, A. Tahir, E. C. Jusuf, and M. Sari. 2023. “Men’s Determinant Factors on Antenatal Care Involvement and Childbirth Place Preference in Indonesia: An Analysis of the 2012 Indonesia Demographic and Health Survey (IDHS).” Journal of Public Health Research 12 (4). https://doi.org/10.1177/22799036231204318
Owusu, J. T., F. J. Anderson, J. Coleman, S. Oppong, J. D. Seffah, A. Aikins, and L. M. O’Brien. 2013. “Association of Maternal Sleep Practices with Pre‐Eclampsia, Low Birth Weight, and stillbirth among Ghanaian Women.” International Journal of Gynecology & Obstetrics 121 (3): 261–265. https://doi.org/10.1016/j.ijgo.2013.01.013
Phommachanh, S., D. R. Essink, E. P. Wright, J. E. Broerse, and M. Mayxay. 2019. “Do Health Care Providers Give Sufficient Information and Good Counseling during Ante-Natal Care in Lao PDR?: An Observational Study.” BMC Health Services Research 19 (1): 1–12.
Saaka, M., and I. Sulley. 2023. “Independent and Joint Contributions of Inadequate Antenatal Care Timing, Contacts and Content to Adverse Pregnancy Outcomes.” Annals of Medicine 55 (1). https://doi.org/10.1080/07853890.2023.2197294
Schuurmans, J., E. Borgundvaag, P. Finaldi, R. Senat-Delva, F. Desauguste, C. Badjo, M. Lekkerkerker, R. Grandpierre, G. Lerebours, C. Ariti, and A. Lenglet. 2021. “Risk Factors for Adverse Outcomes in Women with High-Risk Pregnancy and Their Neonates, Haiti.” Revista Panamericana de Salud Pública/Scientific Journals and Newsletters 45 (1). https://doi.org/10.26633/RPSP.2021.147
Shahid, S. A., M. Zaman, and L. Heng. 2018. “Soil Salinity: Historical Perspectives and a World Overview of the Problem.” In Guideline for Salinity Assessment, Mitigation and Adaptation Using Nuclear and Related Techniques, edited by M. Zaman, S. A. Shhahid and L. Heng, 43–53. https://doi.org/10.1007/978-3-319-96190-3_2
Shitu, S., H. Abebe, D. Adane, A. Wassie, A. Mose, and A. Yeshaneh. 2021. “Knowledge of Neonatal Danger Signs and Associated Factors among Husbands of Mothers Who Gave Birth in the Last 6 Months in Gurage Zone, Southern Ethiopia, 2020: A Community-Based Cross-Sectional Study.” BMJ Open 11 (8): e045930. https://doi.org/10.1136/bmjopen-2020-045930
Weller, E. J., F. Pacucci, Y. Ni, N. Chen, T. Di Matteo, M. Siwek, and L. Hernquist. 2023. “Orbital and Radiative Properties of Wandering Intermediate-Mass Black Holes in the ASTRID Simulation.” Monthly Notices of the Royal Astronomical Society 520 (3): 3955–3963. https://doi.org/10.1093/mnras/stad347
Wulandari, R. D., and A. D. Laksono. 2020. “Determinants of Knowledge of Pregnancy Danger Signs in Indonesia.” PLoS ONE 15 (5): e0232550. https://doi.org/10.1371/journal.pone.0232550
Yunitasari, E., F. Matos, H. Zulkarnain, D. I. Kumalasari, T. Kusumaningrum, T. E. Putri, A. Yusuf, and N. P. Astuti. 2023. “Pregnant Woman Awareness of Obstetric Danger Signs in Developing Country: Systematic Review.” BMC Pregnancy and Childbirth 23 (1): 357. https://doi.org/10.1186/s12884-023-05674-7
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Unisa Press
