Pregnancy
Conditions
Keywords
Behaviour, Care, Prenatal, Intranatal, Postnatal
Brief summary
The goal of this quasi-experimental interventional study is to learn whether an online-based Health Behavior Mother intervention during the first 1000 days of life can improve maternal care behavior in third-trimester pregnant women in the working area of the Pematang Jaya Community Health Center, Langkat Regency, Indonesia. The main questions it aims to answer are: * Does the online Health Behavior Mother intervention improve maternal knowledge regarding prenatal, intranatal, and postnatal care during the first 1000 days of life? * Does the online Health Behavior Mother intervention improve maternal attitudes regarding prenatal, intranatal, and postnatal care during the first 1000 days of life? * Does the online Health Behavior Mother intervention improve maternal practices regarding prenatal, intranatal, and postnatal care during the first 1000 days of life? Participants will be third-trimester pregnant women who live in the working area of the Pematang Jaya Community Health Center and agree to participate in the study. Participants will: * Complete a pre-test questionnaire measuring maternal knowledge, attitudes, and practices regarding care during the first 1000 days of life. * Receive eight sessions of online health education related to prenatal care, childbirth preparation, and postnatal care. * Participate in online discussions and monitoring through digital communication platforms. * Complete a post-test questionnaire to evaluate changes in knowledge, attitudes, and practices after the intervention. The intervention includes educational materials on: * Prenatal care (ANC visits, high-risk screening, maternal and fetal nutrition, psychological preparation for childbirth) * Intranatal care (pain management, early breastfeeding initiation, emergency management) * Postnatal care (maternal health, lactation counseling, family planning, and newborn care)
Interventions
BEHAVIORALthe Model Health Behaviour Mother 1000 Days of Life Health Online-Based on Prenatal, Intranatal, and Postnatal
The Health Behavior Mother 1000 Days of Life intervention is an online-based health education program targeting mothers in Langkat during prenatal, intranatal, and postnatal periods. It includes eight structured sessions delivered and monitored online, covering prenatal care (ANC, high-risk screening, fetal nutrition, psychological preparation, childbirth), intranatal care (pain management, early breastfeeding, emergency management), and postnatal care (maternal health, lactation counseling, family planning, newborn care). Trained community leaders assist in delivering content on stunting prevention and maternal-child health. Maternal knowledge, attitudes, and skills are assessed through questionnaires and observational tools. The intervention aims to improve maternal health behaviors and reduce stunting risk in children during the first 1000 days of life.
Sponsors
Siti Saidah Nasution
Universitas Sumatera Utara
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women in their third trimester. * Residing in the working area of Pematang Jaya Community Health Center. * Willing to participate and provide informed consent.
Exclusion criteria
* Pregnant women not in their third trimester * Not residing in the working area of Pematang Jaya Community Health Center. * Unwilling to participate or unable to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in Maternal Knowledge, Attitudes, and Practices on Prenatal, Intranatal, and Postnatal Care | From enrollment (third trimester of pregnancy) to 1 month postpartum, during which 8 online counseling sessions were delivered and monitored. | Changes in maternal knowledge, attitudes, and practices regarding prenatal to postnatal periods care before and after the eight-session online Health Behavior Mother 1000 Days of Life intervention. Knowledge is assessed using True/False items (correct =1, incorrect =0) and converted to a percentage score (0-100), where higher scores indicate better knowledge. Knowledge is categorized as good (76-100%), fair (65-75%), and poor (≤56%). Attitudes are measured using a five-point Likert scale (1-5) and converted to percentages (0-100); higher scores indicate more positive attitudes (\>50% positive, ≤50% negative). Practices related to antenatal care, birth preparation, postpartum care, and breastfeeding are assessed by interview and categorized as practice or not practice. The instrument showed good reliability (Cronbach's alpha = 0.855) and content validity through expert review. The primary outcome is the change between baseline (third trimester) and post-intervention. |
Countries
Indonesia
Outcome results
None listed