Skripsi
HUBUNGAN PERAWATAN ANTENATAL DENGAN PERENCANAAN KONTRASEPSI DI PUSKESMAS 7 ULU DAN PUSKESMAS KAMPUS PALEMBANG
Background: Pascapersalinan contraceptive planning (PPFP) is a critical intervention to prevent unintended pregnancies and reduce maternal and neonatal risks. Quality Antenatal Care (ANC) serves as a strategic window for providing contraception counseling. However, a gap in the adoption of effective contraceptive methods persists. Objective: To analyze the correlation between the quality of antenatal care (ANC), measured by the Adequacy of Prenatal Care Utilization (APNCU) Index, and pascapersalinan contraceptive planning among women in their Third Trimester of pregnancy. Methods: A descriptive study using a serial case design was conducted at Puskesmas 7 Ulu and Puskesmas Kampus Palembang from March to September 2024. The sample consisted of 30 eligible Third Trimester pregnant women selected via simple random sampling. ANC quality was assessed using the APNCU Index, and contraceptive planning data was collected via interviews. The correlation between variables was analyzed using the Kendall’s Tau test (α=0.05). The independent variable was antenatal care, and the dependent variable was contraceptive planning. Results: The majority of respondents (83.3%) were in the optimal reproductive age (20−35 years) and were multiparous (70.0%). Most had good knowledge of contraception (90.0%) and planned to use pascapersalinan contraception (80.0%), with effective (46.7%) and highly effective (26.7%) methods being the most chosen. ANC quality was found to be suboptimal, with the majority in the intermediate category (63.3%) and a mean APNCU Index of 61.72%. Bivariate analysis showed a significant negative correlation between antenatal care quality (APNCU Index) and the type of contraception chosen (r=−0.347;p=0.018). This negative correlation suggests that better ANC quality leads to a higher tendency to select more effective contraceptive methods. However, no significant correlation was found between ANC quality and the timing (p=0.170) or the overall plan (p=0.168) for pascapersalinan contraception use. Conclusion: The quality of antenatal care is an important decision modifier influencing the selection of more effective contraceptive types, but it is not directly related to the basic intent or timing of pascapersalinan contraceptive initiation. Improving the quality of integrated contraceptive counseling within ANC services is necessary.
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