Pregnant Women Empowerment in Improving Knowledge and Attitude on Delivery Method at Private Clinics in Medan City

Abstract

Introduction : Pregnant women want a smooth labor and give birth to a baby perfectly. Practically, the way of delivery is 80% through vaginal birth and 20% labor caesarean section (CS). However, secular trend towards increased rates of labor CS almost worldwide. Safe delivery is the right of pregnant women, the empowerment of the training and mentoring of pregnant women to the labor elections with an indication of the effort to reduce non-medical CS needs to be done to improve the knowledge, attitudes choose childbirth. Material & Methode : The study used a mixed method research method is quantitative and qualitative. Quantitative : quasi-experimental design with a sample of  25 pregnant women in the intervention group and 25 pregnant women in the control group. Qualitative : Rapid Assessment Procedure (RAP) and the analysis of the theme. Statistic Before the paired t test bivariat and not pairing done, first performed a test average of variable data. If the data still isn't normal (p value < 0.050) Although data transformation has been done by way of a squared, diakar, and Log 10 then test the test become bivariat non parametric. In this research analysis used is the bivariat Wilcoxon. Results : Effect of empowering one for knowledge was 12.28 into 12.88 with p <0.001 and empowerment 2, namely 12.88 into 15.56 with p value <0.0001. Effect of empowerment one of the attitude that was 11.92 into 12.35 with p <0.009, empowerment 2 was 12.35 into 15.28 with p value <0.0001. changes in the value of the average knowledge before (pre-test 1 ^) and after (post-test 1 ^) is 10.08 into 11.56 with p <0.0001, changes in the value of the average knowledge before (pre-test 1 ^) and after (post-test 1 ^) was 10.08 into 11.56 with p <0.0001, the average value change attitudes before (pre-test 1 ^) 9.84 and after (post-test 1 ^) which became 11.72 with p value <0.0001. Effect of empowerment for mothers childbirth obtained significance value (p = 0.001), with Exp (B) 14.636 means that the intervention group had an opportunity to choose a delivery vaginal birth was14 times greater compared with pregnant women in the control group. The quantitative findings are supported by the findings of qualitative expressions of pleasure and empowerment lucky followed by training and mentoring. Recommendation : Pregnant women feel the direct benefits of a normal delivery. Policies to adopt and use methods of empowerment with training and mentoring in the health center and Maternity Clinic.

Keywords: Pregnant women, Empowerment, Knowledge and Attitude, Childbirth