The Relationship between Routine ANC Follow-Up Program in the Final Trimester (≥36 Weeks) and Delivery Realization at Hospital X,West Java, Indonesia
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Abstrak
Latar Belakang: Program follow-up rutin ANC oleh tenaga kesehatan selama trimester akhir kehamilan diyakini dapat memengaruhi keputusan tempat persalinan, namun bukti empirisnya masih terbatas. Tujuan: Menganalisis hubungan antara frekuensi follow-up ANC trimester akhir (≥36 minggu) dengan realisasi persalinan di Rumah Sakit X, Jawa Barat. Metode: Penelitian ini menggunakan desain pre-eksperimental dengan tipe one group posttest-only. Sampel terdiri dari 79 ibu hamil usia ≥36 minggu yang menjalani ANC di poli rawat jalan selama April–Juni 2025. Data dianalisis menggunakan uji Chi-Square dan Fisher’s Exact Test. Hasil: Sebanyak 81% responden melahirkan di RS X. Hasil uji menunjukkan tidak ada hubungan signifikan antara frekuensi kunjungan ANC (p = 0,365), frekuensi follow-up oleh perawat (p = 0,365), maupun intensitas follow-up ANC (p = 0,394) dengan tempat persalinan. Namun, terdapat kecenderungan bahwa ibu dengan frekuensi kunjungan dan follow-up lebih tinggi, lebih banyak bersalin di RS X. Simpulan: Walaupun tidak signifikan secara statistik, program follow-up trimester akhir menunjukkan potensi dalam meningkatkan keterikatan ibu hamil terhadap institusi pelayanan. Intervensi ini dapat mendukung kesinambungan perawatan maternal dan layak dipertimbangkan dalam perencanaan layanan ANC.
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