Analysis of Childbirth Preparation Among Pregnant Women Using the Maternal and Child Health Handbook
Abstract
One important indicator for assessing the level of public health and the quality of maternal health services is the Maternal Mortality Ratio (MMR). The latest data on the maternal mortality rate in Indonesia for 2025 shows a drastic decline to 144 per 100,000 live births. In other words, that figure has reached the 2025 strategic plan target for the maternal mortality ratio (MMR) of 183 per 100,000 live births. However, Indonesia continues its efforts to reduce the maternal mortality rate in order to achieve the 2030 Sustainable Development Goals (SDGs) target of 70 per 100,000 live births. The Maternal and Child Health Handbook has been updated to the 2024 version as an effort to reduce the maternal mortality rate. The Maternal and Child Health Handbook serves as a tool for monitoring pregnancy status and the health of infants and children under five, and includes information on birth preparedness. This study aims to examine birth preparedness among pregnant women through the use of the Maternal and Child Health Handbook. Qualitative research method with a phenomenological approach. Conducted in the Candimulyo Village area, Madiun Regency, in March 2026. The study informants consisted of 12 pregnant women in their second and third trimesters who were attending prenatal check-ups. Data collection was conducted through in-depth interviews, followed by analysis involving data categorization, data presentation, and drawing conclusions. The study results indicate that the majority of pregnant women make effective use of the Maternal and Child Health Handbook when reviewing birth preparations. In conclusion, the better a mother utilizes the Maternal and Child Health handbook, the more effective her efforts to prepare for childbirth will be. It is recommended to seek support from healthcare professionals (midwives) and family members when preparing for childbirth by utilizing the Maternal and Child Health Handbook.
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