OTONOMI WANITA DAN PEMANFAATAN ANTENATAL CARE (ANC) PADA PRIMIGRAVIDA REMAJA DI DAERAH PEDESAAN, JAWA TENGAH

Windha Widyastuti

Abstract


 

Remaja hamil dengan status pernikahan dan  primigravida, menjadikan remaja rentan selain dari kehamilan resiko tingginya, juga dengan kecenderungan rendahnya kemampuan pengambilan keputusan di keluarganya. Rendahnya otonomi ini cenderung mempengaruhi pemanfaatan ANC mereka. Studi deskripsi korelasi ini bertujuan menguji hubungan antara otonomi wanita dan pemanfaatan ANC, yang dilakukan dari  bulan September sampai Oktober, 2015, pada 85 primigravida remaja yang menikah dengan usia kehamilan > 28 minggu, di seluruh Puskesmas Kabupaten Pekalongan, melalui analisis Chi Square. Hasil studi menunjukkan 31,8% remaja tidak adekuat dalam memanfaatkan ANC. Hal ini dihubungkan dengan indeks otonomi wanita keseluruhan (p-value = 0.013, X2= 6.168), terutama untuk dimensi familial health care decision making power (p-value = 0.000, X2= 31.264). Hasil ini menunjukkan pentingnya remaja memiliki kekuatan pengambilan keputusan dalam keluarga terutama selama kehamilannya, ini dipengaruhi pula oleh suami dan keluarga yang tinggal satu rumah. Direkomendasikan deskripsi Otonomi wanita ini menjadi bahan dalam konsultasi pernikahan kepada remaja dan keluarga.

 

Abstract

 

Pregnant adolescents with marital status and primigravida, making adolescent vulnerable apart from high risk pregnancies, as well as the low propensity of decision-making power in their family. This low autonomy tends to affect their ANC utilization. This correlation study aims to examine the relationship between women autonomy and ANC utilization, conducted from September to October, 2015, among 85 married teenage primigravida, gestational age> 28 weeks, across Pekalongan District, through Chi Square analysis. The results showed that 31.8% of adolescents had inadequate ANC utilization. It related to the overall women autonomy index (p-value = 0.013, X2 = 6.168), especially for familial dimension of health care decision making power (p-value = 0.000, X2 = 31.264). Results indicate the importance of women autonomy among married adolescents especially during pregnancy, that is influenced by husband and family who live with them. Thus, this woman's autonomy should include in wedding consultations to teenagers and families


Keywords


ANC, Kehamilan, Otonomi, Primigravida, dan Remaja.

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References


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