RESEARCH ARTICLE


Comparing Continuity of Midwifery Care Model with the Mother-child Health Book: Enhancing Knowledge for Adolescent Pregnancy in Indonesia



Dewi Susanti1, Hardisman2, *, Yusrawati3, Mudjiran4, Rizanda Machmud2, Dien Gusta Anggraini Nursal5, Yantri Maputra6, Evi Hasnita7
1 Public Health Programme, Faculty of Medicine, Andalas University, Padang, West Sumatra, 25127, Indonesia
2 Community Medicine and Public Health Department, Faculty of Medicine, Andalas University, Padang, West Sumatra, 25127, Indonesia
3 Department of Obstetric and Gynecology, Faculty of Medicine, Andalas University, Padang, West Sumatra, 25127, Indonesia
4 Instructional and Educational Psychology, Faculty of Science Education, State of Padang University, Padang, West Sumatra, 25131, Indonesia
5 Department of Public Health, Faculty of Public Health, Andalas University, Padang, West Sumatra, 25128, Indonesia
6 Department of Psychology, Faculty of Medicine, Andalas University, Padang, West Sumatra, 25127, Indonesia
7 Faculty of Health Sciences, Ford De Kock University, Bukittinggi, West Sumatra, 36133, Indonesia


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Creative Commons License
© 2023 Susanti et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Community Medicine and Public Health Department, Faculty of Medicine, Andalas University, Padang, West Sumatra, 25127, Indonesia; E-mail: hardisman@med.unand.ac.id


Abstract

Introduction:

Adolescent pregnancy poses a significant concern in Indonesia, particularly in some regions, namely West Sumatra and Padang City. This issue has been addressed with two prominent approaches, the Continuity of Midwifery Care (CMC) model and the Mother-Child Health (MCH) Book.

Objective:

This study aims to compare the effectiveness of these approaches in enhancing knowledge about adolescent Pregnancy, including several aspects, such as domestic violence, substance risks, reproductive health, pregnancy, childbirth, and parenting roles.

Material and Methods:

A quantitative research approach was applied by utilizing a quasi-experimental design, conducting pre- and post-tests with the validated questionnaires during the third trimester of pregnancy, postpartum days 31 and 43. Conducted in Padang City, the research involved 70 young primiparous mothers, categorized into groups using the CMC model and MCH Book. The collected data analyzed the generalized linear models repeated measures.

Results:

Both groups exhibited a significant knowledge enhancement, with the CMC model yielding more substantial enhancement. The focused and continuous care approach in the CMC model effectively enhanced the knowledge across various aspects, compared to the MCH Book.

Conclusion:

The CMC model stands out as an effective means to enhance knowledge among young pregnant mothers, addressing their distinct challenges during their transition to parenthood. We suggest that the health authorities and policymakers consider the implementation of the CMC model alongside the existing MCH book as a more effective approach to enhance the knowledge of Adolescent mothers.

Keywords: Adolescent pregnancy, Continuity of midwifery care, Knowledge, Parenthood, MCH book, Adolescent mothers.