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Effectiveness of Prenatal Class Participation on Maternal Anxiety: A Scoping Review

Tue, 01 Jul 2025 00:00:00 GMT

Title: Effectiveness of Prenatal Class Participation on Maternal Anxiety: A Scoping Review Authors: Rahmawati, Rahmawati; Hidayat, Asri; Koni Suryaningsih, Endang Abstract: Background: Pregnancy-related anxiety is a common condition that can negatively affect both maternal and fetal health. This type of anxiety has been associated with a higher risk of complications such as premature birth and low birth weight. One intervention shown to be effective in reducing anxiety during pregnancy is prenatal education through structured classes for expectant mothers. Method: The scoping review adapted the PICO (Population, Intervention, Comparison, Outcome). Framework and was systematically reported using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart, then selected from the PubMed, Biomed Central, Wiley Online Library, and ResearchGate databases. A total of 2.078 articles were screened using inclusion and exclusion criteria, resulting in 16 articles to be reviewed. These were then further selected by assessing the quality of the articles using the Critical Appraisal JBI (Joanna Briggs Institute) Checklist based on the type of research from the reviewed articles. Result: Five main themes emerged from the reviewed studies: the role of prenatal classes in reducing anxiety, their impact on birth outcomes and maternal-infant health, the use of technology-based and online learning platforms, maternal mental health during pregnancy and postpartum, and various models and approaches in delivering prenatal education. Both in-person and online formats were found to be beneficial, especially when tailored to the individual needs and circumstances of pregnant women. Prenatal education classes are an effective strategy to lower anxiety levels during pregnancy and to improve maternal readiness for childbirth. Additionally, such education supports better health outcomes for both mother and baby. The delivery method whether face-to-face or digital should be selected based on the specific needs of the participants to maximize the benefits of the program

Prospective Brides’ Experiences of Reproductive Health and Premarital Care: A Scoping Review

Tue, 01 Jul 2025 00:00:00 GMT

Title: Prospective Brides’ Experiences of Reproductive Health and Premarital Care: A Scoping Review Authors: Fitri, Fitri; Hakimi, Mohammad; Sulistyaningsih, Sulistyaningsih Abstract: Background: Reproductive health and premarital services are important aspects of marriage preparation to prevent health hazards for the bride and groom. There are still many prospective brides who have limited knowledge about reproductive health and the benefits of premarital screening and counseling. Low utilization of premarital services can increase the risk of pregnancy complications, sexually transmitted infections, as well as early marriage, which poses a high risk to maternal and child health. This study aims to explore the experiences of prospective brides related to reproductive health and premarital services through a systematic review using the scoping review method. Method: This study employed a scoping review using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Flowchart approach. The literature search was performed in the main databases such as PubMed, ScienceDirect, and Wiley, using keywords determined based on the PEOS (Population, Exposure, Outcome, and Study Design) framework. The literature review was conducted on scientific publications in English, primary research articles or reviews relevant to the same theme, as well as studies published within the last 10 years. In addition, it was analyzed thematically to identify patterns of key findings. Result: The level of knowledge of future husbands and wives’ reproductive health and premarital services still varies, with most individuals having limited understanding before undergoing educational interventions. Interventions such as premarital courses, counseling, and brochure-based counseling are effective in improving the knowledge and attitudes of future husbands and wives. However, there are barriers to the implementation of premarital services, such as limited access, social stigma, and a lack of rules regulating obligatory premarital examinations. Therefore, stronger policies are needed from the government, as well as ongoing education in schools and universities to increase public awareness of the importance of reproductive health before marriage.

Maternal Factors Influencing Low Birth Weight in Newborns: A Retrospective Study

Tue, 01 Jul 2025 00:00:00 GMT

Title: Maternal Factors Influencing Low Birth Weight in Newborns: A Retrospective Study Authors: Nurmawati, Ida; Arum, Puspito; Muna, Niyalatul; Sutantio, R Alamsyah; Nurjihan, Ikha; Anelia, Zaifatul; Nadia Hanin, Tasya Abstract: Background: Birth weight is a critical indicator of an infant's health. Research conducted in Indonesia has identified low birth weight (LBW) as a leading cause of neonatal mortality, accounting for approximately 35% of all cases. This study aims to determine the factors influencing the incidence of LBW. Method: The study used a retrospective design and included 83 respondents selected through quota sampling. Data were collected from the Maternal and Child Health (MCH) handbooks at Manggis Integrated Service Post (posyandu). Univariate analysis was performed to calculate frequency and percentage values. Bivariate analysis was carried out using the chi-squared test to examine relationships between variables. Multivariate analysis was conducted using the logistic regression test to assess the influence of multiple variables. Result: Maternal age at pregnancy (p=0.037) and maternal mid-upper arm circumference (MUAC) (p=0.034) were significantly associated with the occurrence of LBW in newborns. The odds ratio (OR) analysis revealed MUAC as the primary factor influencing LBW (OR=4.278), followed by maternal age during pregnancy (OR = 3.750). In comparison, haemoglobin levels (p = 0.500), maternal height (p = 0.408), and gestational age (p=0.118) were not significantly associated with the occurrence of LBW. MUAC was found to influence the occurrence of LBW in Kemuning Lor Village (p = 0.027). The MUAC variable accounted for 16.9% of the variance in LBW cases (R2 = 0.169). Improving the nutritional status of adolescent girls is imperative to ensure optimal health outcomes in future pregnancies.

Clients’ Knowledge and Attitudes Toward Pre-Exposure Prophylaxis at Puskesmas Andalas, Makassar

Tue, 01 Jul 2025 00:00:00 GMT

Title: Clients’ Knowledge and Attitudes Toward Pre-Exposure Prophylaxis at Puskesmas Andalas, Makassar Authors: Arsyad Rahman, Muhammad; Rachmat, Muhammad Abstract: Background: Pre-exposure prophylaxis (PrEP) is a highly effective strategy for preventing HIV, especially among high-risk groups such as injecting drug users, transgender individuals, sex workers, and men who have sex with men (MSM). In Indonesia, where HIV continues to pose a significant public health challenge, PrEP has the potential to decrease new infections. However, knowledge about PrEP among its users is limited. This study aims to investigate the relationship between users’ knowledge, attitudes, and adherence to PrEP, as well as their satisfaction with services, to design targeted interventions that address misconceptions, reduce stigma, and encourage long-term PrEP use. By offering insights into the experiences of PrEP users, the research seeks to improve PrEP accessibility, acceptability, and effectiveness, contributing to global efforts to end the HIV epidemic. Method: 200 registered PrEP clients in Puskesmas Andalas participated in this cross-sectional study. Structured questionnaires covering demographics, PrEP utilization, attitudes toward PrEP, and knowledge about PrEP were employed to gather data. The data were analyzed using descriptive statistics and chi-squared testing, considering p<0.05 as statistically significant. Result: The study results show that 56.5% of participants knew enough about PrEP, while 58.5% held favorable opinions about using it. However, attitudes (p=0.135) and knowledge (p=0.062) showed no discernible effects on PrEP use. The findings suggest that PrEP uptake may be more significantly influenced by factors such as accessibility, pricing, and social stigma, even though education and positive attitudes remain crucial. The study concludes that increasing PrEP utilization among high-risk populations requires comprehensive strategies that tackle these barriers.