THE DETERMINANTS OF ASSESSING ANTENATAL CARE SERVICE ON MIDWIVES DURING THE COVID-19 PANDEMIC

Abstract

The implementation of the Large-Scale Community Social Restriction (PSBB) policy during the COVID-19 pandemic
aimed to limit the spread of the virus in the community, which resulted in the limited activities of the community,
including pregnant women. The lack of information related to health care or antenatal care (ANC) faced by pregnant
women results in decreased coverage of K1 and K4 visits. Deli Serdang Regency is one of the districts that experienced
a declined antenatal care visit. Data from the Health Department in 2020 indicated a 1.53 per cent decrease in the K1
visit, while K4 was increased by 2.99 per cent. The purpose of the study was to analyze the factors related to antenatal
care examinations during the COVID-19 pandemic in the Deli Serdang district. This research implemented a crosssectional
quantitative
design
using
primary
data.
Data
were
collected
through
interviews
using
a
questionnaire.
Data

collection
was
performed
in
November
2020
in
Sunggal
District
and
Hamparan
Perak
District,
Deli
Serdang
Regency,

North
Sumatra
Province.
The
number
of
respondents
was
154
pregnant
women,
which
were
selected
using
a
simple

random
sampling.
The
dependent
variable
is
the
ANC
examination
by
the
midwife.
The
independent
variables
include

the
age
of
pregnant
women,
age
at
first
marriage,
employment
status,
education,
income,
health
insurance
ownership,

husband's
age,
and
childbirth
plans.
Data
were
analyzed
using
simple
logistic
regression
analysis,
with
α
=
0.05.
The

result

showed that the sociodemographic characteristics of pregnant women who carry out ANC examinations by
midwives are pregnant at an ideal age (age  less than 35 years), married for the first time at the age of less than 24 years,
not working, having a low level of education with income 3 million/month, not having health insurance and planning to
have birth at the midwife. The analysis also showed that there is a smaller percentage of conducting ANC examinations
in midwives among women with higher education. Based on the study's results, it was found that the variables that
significantly related to conducting ANC examination in midwives were age, age at first marriage, have a spouse withing
ideal age, and planning childbirth at the midwife.

Keywords: Antenatal care, COVID-19, Midwife, Pregnancy