The Antenatal Care at the Community Health Center With Basic Emergency Obstetric Neonatal Services, Karawang District, Indonesia

Abstract

Karawang district had maternal death cases increasing from 2010 to 2011with total of 47 maternal deaths and 51 maternal deaths respectively. Bleeding, pre-eclampsia, infection, abortion and others are the maternal causes of death. Maternal mortality remains a strategic health care issue in Karawang district because inaccurate data and information related with maternal health and also lack of antenatal care pattern in community health centers. This study aimed to identify the antenatal care pattern in five community health centers (CHC) with basic emergency obstetric neonatal services in Karawang district. This study used cross sectional design by using quantitative and qualitative approach. Fifty mother informants and six midwives in CHC and Karawang District Hospital were involved from April to October 2011. This study finds that the pattern of antenatal care visits increased for fourth trimester but first trimester was low, while geographical conditions as well as technical competence of midwives were lacking behind. Technical training and counselling for the family became a priority recommendation from this study. The antenatal care pattern in five community health centers with basic emergency obstetric neonatal services increased for fourth trimester with majority of delivery assisted by midwives