Penyuluhan: Deteksi Dini Kehamilan Berisiko Mewujudkan Ibu Hamil yang Sehat di Kota Bandung, Jawa Barat, Indonesia

Abstract

High risk pregnancy is a pregnancy that must be handled immediately because it poses a threat to the mother's life, mother's health and/or the baby. Based on data from the Indonesian Ministry of Health, it was recorded that 40% of all cases of maternal deaths were mothers under the age of 20. Based on data from the World Health Organization (WHO) in 2015, the maternal mortality rate (MMR) in ASEAN countries is still much higher, namely Indonesia 98From these data, if the high-risk pregnancy rate is only focused on the island of Java, then the highest incidence of high-risk pregnancy is East Java and West Java (33.0%) and followed by Central Java (31.0%). According to data in West Java on the coverage of handling complications that have not reached the target are in 8 districts/cities, namely Ciamis, Bekasi , Bandung, Garut, West Bandung, Bogor and Cimahi. From the data (DINKES, 2018) antenatal referrals and visits show high numbers in Puter Primary Health Center. Purpose: the aim of this activity is to increase the knowledge of pregnant women regarding risky pregnancies Methods: The implementation method consists of the preparation, implementation and evaluation stages. Starting from the activities to prepare the location, the participants were pregnant women in First, second and third trimesters and their families who were being examined at the midwifery polyclinic at Puter Primary Health Center. At the implementation stage, this community service activity is carried out by providing counseling related to prevention and early detection of risky pregnancies for approximately 45 minutes. The evaluation phase of activities is carried out before and after the activity by asking several questions related to the material that has been given to participants. Results: Almost all participants were able to answer the questions given at the end of the last risk pregnancy activity and actively asked the instructors regarding the material that had been presented. There was an increase in maternal knowledge from before and after community service activities, namely an increase of 80%. Pregnant women who participated in this activity from the first, second, and second trimesters and after being screened were all at high risk pregnancy. Keywords : Risky Pregnancy, Screening, Pregnant Women ABSTRAK Pendahuluan:Kehamilan resiko tinggi (High Risk Pregnancy) adalah kehamilan yang harus segera ditangani karena membawa ancaman bagi jiwa ibu, kesehatan ibu dan / atau bayi (Sofian, 2011). Berdasarkan data Kementerian Kesehatan RI, tercatat 40% dari keseluruhan kasus meninggalnya ibu melahirkan adalah mereka para ibu berusia di bawah 20 tahun. Berdasarkan data dari World Health Organization (WHO) tahun 2015 mengatakan bahwa angka kematian ibu (AKI) di Negara-negara ASEAN masih jauh lebih tinggi yaitu Indonesia 98 %. Menurut (DINKES Prov Jabar, 2016) data cakupan penanganan komplikasi yang belum mencapai target terdapat di 8 Kabupaten / Kota yaitu Kabupaten Ciamis, Kota Bekasi, Kota Bandung, Kabupaten Garut, Kabupaten Bandung Barat, Kota Bogor dan Kota Cimahi. Tujuan: tujuan kegiatan ini adalah untuk meningkatkan pengetahuan ibu hamil terkait kehamilan berisiko agar mampu melakukan deteksi dini adanya kehamilan berisiko. Metode : Metode pelaksanaan terdiri dari tahap persiapan, pelaksanaan dan evaluasi. Dimulai dari kegiatan mempersiapkan lokasi, peserta yaitu ibu hamil trimester 1-3 beserta keluarga yang sedang periksa di poliklinik kebidanan Puskesmas Puter. Pada tahap pelaksanaan, kegiatan pengabdian 2 masyarakat ini dilakukan dengan cara memberikan penyuluhan terkait pencegahan dan deteksi dini kehamilan berisiko selama kurang lebih 45 menit. Tahap Evaluasi kegiatan dilakukan sebelum dan sesudah kegiatan dengan cara memberikan beberapa pertanyaan terkait materi yang sudah diberikan kepada peserta. Hasil : Hampir seluruh peserta mampu menjawab pertanyaan yang diberikan diakhir kegiatan terkahir kehamilan berisiko dan aktif bertanya kepada pesuluh terkait materi yang telah disampaikan. Ada peningkatan pengetahuan ibu dari sebelum dan sesudah kegiatan pengabdian masyarakat yaitu meningkat sejauh 80%. Kata Kunci : Kehamilan Berisiko, Deteksi Dini, Ibu Hamil