Ensure Competent Midwife Availability

Oct 13, 2025 by wbrum.org 81 views

Analysis of Factors Related to the Decision to Utilize Services for Pregnant Women at Risk in General Hospitals in Deli Serdang Regency

Introduction

Deli Serdang General Hospital is a crucial health facility that provides essential services to the people of Deli Serdang Regency, particularly for pregnant women at risk. Despite its importance, the utilization of referral services for pregnant women at risk in this hospital remains relatively low. To understand the underlying factors contributing to this low utilization, a cross-sectional study was conducted from July to December 2004. This study aimed to identify the factors influencing the decision of pregnant women to utilize referral services and to analyze the relationship between these factors and the decision to utilize referral services.

Methodology

The study employed a cross-sectional design, which involved collecting data from a sample of pregnant women at risk who visited Deli Serdang General Hospital. The data collection process involved administering a questionnaire to the participants, which included questions related to their socioeconomic status, educational status, risky pregnancy, distance, cost, transportation, speed of service, personnel services, availability of services, information, and recommendations. The data analysis used Chi-Square statistical tests for bivariate analysis and logistics regression tests for multivariate analysis.

Results

The results of the study showed that transportation, information, and recommendations have a significant relationship with the decision to utilize referral services for pregnant women at risk. Furthermore, the multivariate analysis with logistics regression revealed that the advice of the midwife is the dominant factor that influences the decision of pregnant women to utilize referral services. This finding highlights the crucial role of midwives in directing pregnant women at risk to utilize referral services at Deli Serdang Hospital.

More in-Depth Analysis

The study's findings emphasize the importance of midwives in encouraging pregnant women to risk to access more optimal health services. Some key considerations related to this finding include:

*** Competent Midwife Availability: ** The study shows that the advice of midwives is a dominant factor. Therefore, it is essential to ensure the availability of competent and trained midwife staff in the area. This can be achieved by providing midwives with ongoing training and education to enhance their skills and knowledge.

*** Improvement of Information Quality: ** Pregnant women need to receive accurate and easy-to-understand information about the importance of referrals, types of services available, and how to access them. Midwives have a vital role in providing this information, and it is essential to ensure that they have the necessary resources and support to do so.

*** Effective Communication: ** Midwives must be able to communicate with pregnant women effectively, understand their concerns, and provide convincing explanations about the need for referrals. This requires midwives to have excellent communication skills and to be able to tailor their approach to meet the individual needs of each pregnant woman.

*** Increased Accessibility: ** Transportation is a significant obstacle to accessing referral services. Programs such as free transportation or transportation assistance for pregnant women at risk can help increase access to referral services. Additionally, hospitals can consider providing transportation services or partnering with local transportation providers to make it easier for pregnant women to access referral services.

Conclusion

This study demonstrates that the advice from midwives is the key to encouraging the use of referral services for pregnant women at risk in Deli Serdang Hospital. Strengthening the role of midwives in providing appropriate information and recommendations, as well as increasing the accessibility of referral services, is an essential step to improve the health of mothers and infants in Deli Serdang Regency. By addressing these factors, healthcare providers can work towards reducing the number of pregnant women at risk who do not utilize referral services and improving overall health outcomes for this vulnerable population.

Recommendations

Based on the study's findings, the following recommendations are made:

Ensure Competent Midwife Availability: Hospitals should ensure that they have a sufficient number of competent and trained midwife staff to provide advice and support to pregnant women at risk.
Improve Information Quality: Hospitals should provide pregnant women with accurate and easy-to-understand information about the importance of referrals, types of services available, and how to access them.
Enhance Effective Communication: Midwives should be trained to communicate effectively with pregnant women, understand their concerns, and provide convincing explanations about the need for referrals.
Increase Accessibility: Hospitals should consider providing transportation services or partnering with local transportation providers to make it easier for pregnant women to access referral services.

By implementing these recommendations, healthcare providers can work towards improving the health outcomes of pregnant women at risk in Deli Serdang Regency and reducing the number of women who do not utilize referral services.
Frequently Asked Questions (FAQs) about the Analysis of Factors Related to the Decision to Utilize Services for Pregnant Women at Risk in General Hospitals in Deli Serdang Regency

Q: What is the main finding of the study?

A: The main finding of the study is that the advice of midwives is the dominant factor that influences the decision of pregnant women to utilize referral services for pregnant women at risk in Deli Serdang Hospital.

Q: What are the key factors that influence the decision of pregnant women to utilize referral services?

A: The key factors that influence the decision of pregnant women to utilize referral services are transportation, information, and recommendations. However, the advice of midwives is the dominant factor that influences this decision.

Q: Why is the advice of midwives so important?

A: The advice of midwives is so important because they are often the first point of contact for pregnant women at risk. Midwives have the opportunity to provide pregnant women with accurate and easy-to-understand information about the importance of referrals, types of services available, and how to access them.

Q: What can hospitals do to improve the utilization of referral services for pregnant women at risk?

A: Hospitals can improve the utilization of referral services for pregnant women at risk by ensuring that they have a sufficient number of competent and trained midwife staff, providing pregnant women with accurate and easy-to-understand information, enhancing effective communication between midwives and pregnant women, and increasing accessibility to referral services.

Q: What is the significance of this study?

A: This study is significant because it highlights the importance of midwives in directing pregnant women at risk to utilize referral services. The study's findings have implications for healthcare providers and policymakers who are working to improve the health outcomes of pregnant women at risk.

Q: What are the limitations of the study?

A: The study's limitations include the use of a cross-sectional design, which may not capture the complexities of the decision-making process of pregnant women at risk. Additionally, the study's sample size may not be representative of the larger population of pregnant women at risk in Deli Serdang Regency.

Q: What are the implications of the study's findings for healthcare providers and policymakers?

A: The study's findings have implications for healthcare providers and policymakers who are working to improve the health outcomes of pregnant women at risk. The study's findings suggest that healthcare providers should prioritize the training and education of midwives, provide pregnant women with accurate and easy-to-understand information, and increase accessibility to referral services.

Q: What are the next steps for this research?

A: The next steps for this research include conducting further studies to validate the study's findings and to explore the complexities of the decision-making process of pregnant women at risk. Additionally, the study's findings should be disseminated to healthcare providers and policymakers to inform policy and practice.

Q: How can readers access the full study?

A: The full study is available upon request from the author. Readers can also access the study's abstract and summary on various online platforms.

Q: What are the potential applications of this research?

A: The potential applications of this research include improving the health outcomes of pregnant women at risk, reducing the number of women who do not utilize referral services, and informing policy and practice in the field of maternal and child health.