Faktor-faktor yang berhubungan dalam memilih penolong persalinan

Abstract

Abstract Background: Maternal Mortality Rate (MMR) functions as the main indicator of a country's health and is part of the development index and quality of life. WHO defines MMR as the number of maternal deaths resulting from pregnancy, childbirth and the postpartum period. Choosing a birth attendant is a crucial decision that can affect the safety of the mother and baby. The government is trying to reduce MMR and Infant Mortality Rate (IMR) by ensuring pregnant women's access to quality health services, including births assisted by health workers such as midwives, nurses or doctors. Purpose: To identify factors related to the selection of midwives. Method: Using quantitative survey methods with a cross-sectional approach. The population was mothers giving birth who were in the working area of the Padarincang Community Health Center for the time period from January to August 2024. Using a total sampling technique, 25 women giving birth in the area were used as respondents. Independent variables include age, education, income, knowledge, accessibility of health services, family/husband support, and delivery costs. The dependent variable is the selection of birth attendants. Data processing and analysis uses univariate and bivariate analysis with the Chi Square Test statistical test, 95% degree of confidence. Results: Statistical analysis with Chi Square test shows that age variable obtained p value of 0.039 (<0.05), education level obtained p value of 0.029 (<0.05), income obtained p value of 0.007 (<0.05), knowledge level obtained p value of 0.017 (<0.05), distance to health facility obtained p value of 0.010 (<0.05), family support obtained p value of 0.023 (<0.05), and delivery cost variable obtained p value of 0.023 (<0.05) on the selection of birth attendant. The results of data analysis show that all variables have a significant effect on the selection of birth attendant. Conclusion: The variables of age, education, income, knowledge, distance to health facilities, family support, and delivery costs have a significant relationship to the choice of birth attendant. Keywords: Childbirth; Determinant Factors; Helping Childbirth