Anggraini Dewi, Abdollahian Mali, Marion Kaye, Meilania Gusti Tasya, Annisa Auliya Syifa
Study Program of Statistics, Faculty of Mathematics and Natural Sciences, Lambung Mangkurat University, Banjarbaru, South Kalimantan, Indonesia.
School of Science, College of Science, Engineering, and Health, RMIT University, Melbourne, VIC, Australia.
Int J Womens Health. 2020 May 6;12:369-380. doi: 10.2147/IJWH.S247213. eCollection 2020.
Assessing the risks and preventable causes of maternal and neonatal mortality requires the availability of good-quality antenatal information. In Indonesia, however, access to reliable information on pregnancy-related results remains challenging. This research has proposed a research-based policy recommendation to improve availability and accessibility to vital information on antenatal examinations.
Descriptive statistics were used to characterize midwives' capabilities in routinely gathering and recording antenatal information during pregnancy. The investigation was carried out among 19 midwives in South Kalimantan, Indonesia, from April 2016 to October 2017. Antenatal data on 4946 women (retrospective study) and 381 women (prospective study) have been accessed through a scientific and technical training program.
To date, lack of timely access to antenatal information has hampered the process of reducing neonatal mortality in Indonesia. The post-training statistical analysis showed that the training has significantly improved midwives' scientific knowledge and technical abilities in providing more reliable data on antenatal measurements.
Consistent scientific and technical training among midwives is required to update their knowledge and skills, particularly those relating to documenting the results of antenatal examinations at different stages of pregnancy and using that information to assess potential risks and identify necessary interventions. This should also be followed by routine monitoring on the quality of collected antenatal data. This can be one of the enabling actions to achieve the 2030 Sustainable Development Goals target in reducing neonatal mortality in Indonesia.
评估孕产妇和新生儿死亡的风险及可预防原因需要高质量的产前信息。然而，在印度尼西亚，获取与妊娠相关结果的可靠信息仍然具有挑战性。本研究提出了一项基于研究的政策建议，以提高产前检查重要信息的可得性和可及性。
采用描述性统计来描述助产士在孕期常规收集和记录产前信息的能力。2016年4月至2017年10月期间，对印度尼西亚南加里曼丹的19名助产士进行了调查。通过一项科学技术培训项目获取了4946名妇女的产前数据（回顾性研究）和381名妇女的产前数据（前瞻性研究）。
迄今为止，缺乏及时获取产前信息阻碍了印度尼西亚降低新生儿死亡率的进程。培训后的统计分析表明，该培训显著提高了助产士在提供更可靠的产前测量数据方面的科学知识和技术能力。
需要对助产士进行持续的科学技术培训，以更新他们的知识和技能，特别是那些与记录孕期不同阶段产前检查结果以及利用这些信息评估潜在风险和确定必要干预措施相关的知识和技能。随后还应定期监测所收集产前数据的质量。这可以成为实现印度尼西亚2030年可持续发展目标中降低新生儿死亡率目标的有利行动之一。
