Midwifery Counseling Strategies to Prevent Unintended Pregnancies among Young Mothers
DOI:
https://doi.org/10.55018/janh.v7i2.319Keywords:
Behavior, Midwifery Counselling, Unintended Pregnancy, Young MothersAbstract
Background: Unintended pregnancy (UP) among young mothers is a pressing reproductive health issue that has drawn widespread attention globally. This phenomenon is deeply concerning as it poses serious physical and psychological risks, particularly for young mothers, and also endangers the well-being of their newborns. This study aims to analyze the effectiveness of behavior-based midwifery counselling interventions in preventing unintended pregnancies among young mothers.
Methods: This pre-experimental pre-post-test study involved 102 randomly selected young mothers under 20 years old who were at risk of unintended pregnancy and not using contraception. The sample size was calculated using General Power Analysis. Data were collected using validated questionnaires and observation sheets. The intervention consisted of six weekly counseling sessions covering unintended pregnancy, contraception, reproductive health, attitude change, behavioral decision-making, and reinforcement. The study followed CONSORT guidelines for non-randomized trials and received ethical approval from Universitas Muhammadiyah Palopo (Protocol No. 045/KEP/III.3.AU/F/2024). Data were analyzed using the Wilcoxon test in SPSS v28..
Results: The findings revealed significant improvements in knowledge (from 33 to 83), attitudes (from 40 to 80), and behavior (from 30 to 70) after the intervention. Wilcoxon test results indicated statistically significant differences before and after the intervention across all three variables (ρ < 0.001; < α = 0.05).
Conclusion: Behavior-based midwifery counselling is effective in preventing unintended pregnancy among young mothers. This study recommends implementing structured counselling programs and midwife training for more effective prevention strategies.
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Agung, F. H., Sekartini, R., Sudarsono, N., Hendarto, A., Werdhani, R. A., Dhamayanti, M., Pudjiati, R., Hanum, L., Naufal, A., & Sawyer, S. M. (2023). Development of an internet-based intervention to improve health professionals’ counseling skills around adolescent weight management in Indonesia. PLoS ONE, 18(12 December 2023), 1–13. https://doi.org/10.1371/journal.pone.0294986
Asadzadeh, L., Jafari, E., Kharaghani, R., & Taremian, F. (2020). Effectiveness of midwife-led brief counseling intervention on post-traumatic stress disorder, depression, and anxiety symptoms of women experiencing a traumatic childbirth: A randomized controlled trial. BMC Pregnancy and Childbirth, 20(1), 1–9. https://doi.org/10.1186/s12884-020-2826-1
Badan Pusat Statistik. (2023). Angka Kelahiran Hasil Long Form SP2020 Menurut Kelompok Umur Ibu (Age Spesific Fertility Rate/ASFR) dan Provinsi/Kabupaten/Kota, 2020.
Bowden, J., & Bassett, S. (2024). Health Promotion in Midwifery: Principles and Practice. Taylor & Francis.
Bowden, J., & Manning, V. (2017). Health Promotion in Midwifery : Principles and practice. Taylor & Francis.
Chakole, S., Akre, S., Sharma, K., Wasnik, P., & Wanjari, M. B. (2022). Unwanted Teenage Pregnancy and Its Complications: A Narrative Review. Cureus, 14(12), e32662. https://doi.org/10.7759/cureus.32662
Charmaz, K., & Thornberg, R. (2021). The pursuit of quality in grounded theory. Qualitative Research in Psychology, 18(3), 305–327. https://doi.org/10.1080/14780887.2020.1780357
Cheetham, J. (2022). Unwanted Pregnancy and Counselling. Taylor & Francis.
Claus, L., Laws, M. B., Wilson, I., Han, D., Moore, R., & Saha, S. (2023). O.26.3 - Does the Quality of Behavior Change Counseling in Routine HIV Care Vary According Topic and Demand?: Presenter(s): Mary Catherine Beach, Johns Hopkins University, United States. Patient Education and Counseling, 109, 101. https://doi.org/https://doi.org/10.1016/j.pec.2022.10.235
Dartiwen, D., & Aryanti, M. (2024). Analisis Faktor Penyebab Kehamilan Tidak Diinginkan Pada Remaja. Jurnal Ilmu Keperawatan Dan Kebidanan, 15(1), 21–29. https://doi.org/10.26751/jikk.v15i1.2149
Dogra, S., Copeland, J. L., Altenburg, T. M., Heyland, D. K., Owen, N., & Dunstan, D. W. (2022). Start with reducing sedentary behavior: A stepwise approach to physical activity counseling in clinical practice. Patient Education and Counseling, 105(6), 1353–1361. https://doi.org/https://doi.org/10.1016/j.pec.2021.09.019
Dragomir, A. I., Julien, C. A., Bacon, S. L., Boucher, V. G., & Lavoie, K. L. (2019). Training physicians in behavioural change counseling: A systematic review. Patient Education and Counseling, 102(1), 12–24. https://doi.org/https://doi.org/10.1016/j.pec.2018.08.025
Ekawati, N. W. (2022). Aksesibilitas Dengan Motivasi Ibu Hamil Dalam Melakukan Kunjungan ANC K1 Murni: Accessibility with Pregnant Women’s Motivation to Perform Pure ANC K1 Visit. Jurnal Abdi Kesehatan Dan Kedokteran, 1(1 SE-Articles), 1–5. https://doi.org/10.55018/jakk.v1i1.1
Guindon, M. H., & Lane, J. J. (2019). A Counseling Primer: An Orientation to the Profession. Taylor & Francis.
Han, E., Hoffman, L., & Wood, S. M. (2024). Counselors’ theoretical orientations and competencies in counseling women. Journal of Counseling & Development, 103(1), 97–109. https://doi.org/https://doi.org/10.1002/jcad.12541
Hayden. (2017). Introduction to Health Behavior Theory. Jones & Bartlett Learning.
Houshmandpour, M., Mahmoodi, Z., Lotfi, R., Tehranizadeh, M., & Kabir, K. (2019). The effect of midwife-oriented group counseling, based on orem’s model on self-care and empowerment, in primiparous women: A clinical trial. Shiraz E Medical Journal, 20(3). https://doi.org/10.5812/semj.70685
Jagadesan, G. (2023). Empowering Women: The Essential Role of Counselling Skills in Midwifery Practice. Journal of Nurse Midwifery and Maternal Health, 9(2), 58–63.
Klein, D. A., Paradise, S. L., & Landis, C. A. (2020). Screening and counseling adolescents and young adults: A framework for comprehensive care. American Family Physician, 101(3), 147-158B.
Leach, M. M., & Leong, F. T. L. (2017). Counseling Psychology. Taylor & Francis.
Levers, L. L., & Hyatt-Burkhart, D. (2019). Clinical Mental Health Counseling: Practicing in Integrated Systems of Care. Springer Publishing Company.
Luttges, C., Leal, I., Huepe, G., González, D., González, E., & Molina, T. (2021). Pregnant again? Perspectives of adolescent and young mothers who and do not experience a repeat pregnancy in adolescence. International Journal of Qualitative Studies on Health and Well-Being, 16(1), 1898317.
Malka, S., Musni, & Fatimah, S. (2020). Kehamilan dini, antenatal care, asi eksklusif dan pengetahuan gizi terhadap stunting pada balita. Jurnal Kebidanan, 7(1), 59–64.
Martin, L., Gitsels-van der Wal, J. T., Pereboom, M. T. R., Spelten, E. R., Hutton, E. K., & van Dulmen, S. (2016). Clients’ psychosocial communication and midwives’ verbal and nonverbal communication during prenatal counseling for anomaly screening. Patient Education and Counseling, 99(1), 85–91. https://doi.org/https://doi.org/10.1016/j.pec.2015.07.020
Medendorp, N. M., van den Heuvel, L. M., Han, P. K. J., Hillen, M. A., & Smets, E. M. A. (2021). Communication skills training for healthcare professionals in providing genetic counseling: A scoping literature review. Patient Education and Counseling, 104(1), 20–32. https://doi.org/https://doi.org/10.1016/j.pec.2020.07.018
Muthmainnah, Lutfiya, Indah, Ibad, Mursyidul, Kurniawan, A., Amalia, N., Herowati, D., Salim, Lutfi, A., Sari, Puspita, D., Murniati, & Chairunnisa. (2020). What Factors that Cause the High Numbers of Unwanted Pregnancy in Indonesia? Systematic Reviews in Pharmacy, 11(11), 166.
Niemeyer Hultstrand, J., Omer Abuelgasim, K., Tydén, T., Jonsson, M., Maseko, N., & Målqvist, M. (2021). The perpetuating cycle of unplanned pregnancy: underlying causes and implications in Eswatini. Culture, Health & Sexuality, 23(12), 1656–1671. https://doi.org/10.1080/13691058.2020.1791359
Phillippi, J., & Kantrowitz-Gordon, I. (2023). Varney’s Midwifery. Jones & Bartlett Learning.
Praniska, Multazam, A. M., Kurnaesih, E., Patimah, S., Ahri, R. A., & Rusydi, A. R. (2023). Determinan Kehamilan Usia Muda Dengan Hiperemesis Gravidarum Terhadap Kejadian Stunting Di Puskesmas Somba Opu Kabupatn Gowa. Journal of Muslim Community Health (JMCH) , 4(3), 93–107.
Puspitaningrum, D., Diaz, M. F., Saleh, U. K. S., Sholichah, N., Silfia, N. N., Karim, Muhaimin, Caraka, Alfiansyah, & Hakim. (2023). Buku Ajar Kesehatan Reproduksi Remaja. Mahakarya Citra Utama Group.
Putri, A. S., Wurisastuti, T., Suryaputri, I. Y., & Mubasyiroh, R. (2023). Postpartum Depression in Young Mothers in Urban and Rural Indonesia. Journal of Preventive Medicine and Public Health = Yebang Uihakhoe Chi, 56(3), 272–281. https://doi.org/10.3961/jpmph.22.534
Putri, I. M., & Ismiyatun, N. (2020). Deteksi Dini Kehamilan Beresiko. JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama, 8(1), 40. https://doi.org/10.31596/jkm.v8i1.565
Roy, K. B., & Mathiesen, A. (2024). Foundations of Perinatal Genetic Counseling: A Guide for Counselors. Oxford University Press.
Saadatnia, S., Soltani, F., Saber, A., & Kazemi, F. (2021). The Effect of Group Counseling Based on Health Belief Model on Nutritional Behavior of Pregnant Women with Overweight: a Randomized Controlled Trial. Avicenna Journal of Nursing and Midwifery Care, 29(2), 102–112. https://doi.org/10.30699/ajnmc.29.2.102
Sajedi, S. S., Navvabi-Rigi, S. D., & Navidian, A. (2024). Midwifery-led brief counseling on the severity of posttraumatic stress symptoms of postpartum hemorrhage: quasi-experimental study. BMC Pregnancy and Childbirth, 24(1), 729. https://doi.org/10.1186/s12884-024-06923-z
Sari, L. Y., Umami, D. A., & Darmawansyah, D. (2020). Dampak Pernikahan Dini Pada Kesehatan Reproduksi Dan Mental Perempuan (Studi Kasus Di Kecamatan Ilir Talo Kabupaten Seluma Provinsi Bengkulu). Jurnal Bidang Ilmu Kesehatan, 10(1), 54–65. https://doi.org/https://doi.org/10.52643/jbik.v10i1.735
Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomized Trials. Annals of Internal Medicine, 152(11), 726–732. https://doi.org/https://doi.org/10.7326/0003-4819-152-11-201006010-00232
Shange, L., & Maharaj, P. (2023). Contraceptive use among young mothers with repeat births: Evidence from a qualitative study in KwaZulu-Natal, South Africa. African Journal of Reproductive Health, 27(3), 64–70. https://doi.org/10.29063/ajrh2023/v27i3.8
SM Sefryani, N., & Putri. (2022). Faktor-Faktor Yang Berhubungan Dengan Kehamilan Usia Remaja Di Wilayah Kerja Puskesmas Rantau Pandan Factors Associated with Teenege Pregnancy in The Working Area of The Rantau Pandan Public Health Center. Journal of Healtcare Technology and Medicine, 8(1), 2615–109.
Suriati, I., & Yusnidar. (2020). Komuniksi Dalam Praktik Kebidanan.
Tharpe, N. L., Farley, C. L., & Jordan, R. G. (2021). Clinical Practice Guidelines for Midwifery & Women’s Health. Jones & Bartlett Learning.
Thurmond-Malone, M., & Yetunde, P. A. (2019). Midwifing--A Womanist Approach to Pastoral Counseling: Investigating the Fractured Self, Slavery, Violence, and the Black Woman. Pickwick Publications.
Wilcox, S., Liu, J., Sevoyan, M., Parker-Brown, J., & Turner‑McGrievy, G. M. (2024). Effects of a behavioral intervention on physical activity, diet, and health-related quality of life in postpartum women with elevated weight: results of the HIPP randomized controlled trial. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-07007-8
Wong, S. P. W., Twynstra, J., Gilliland, J. A., Cook, J. L., & Seabrook, J. A. (2020). Risk Factors and Birth Outcomes Associated with Teenage Pregnancy: A Canadian Sample. Journal of Pediatric and Adolescent Gynecology, 33(2), 153–159. https://doi.org/10.1016/j.jpag.2019.10.006
World Health Organization (WHO). (2024a). Adolescent Pregnancy.
World Health Organization (WHO). (2024b). Transitioning to midwifery models of care. WHO.
World Population Review. (2024). Angka Kehamilan Remaja Berdasarkan Negara Tahun 2024.
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