METODE PEMBELAJARAN KELAS IBU HAMIL TERHADAP PENGETAHUAN DAN SIKAP IBU TENTANG PERAWATAN KEHAMILAN, PERSALINAN DAN NIFAS

Abstract

Latar Belakang: Angka Kematian Ibu di dunia diperkirakan sebanyak 216 kematian ibu per 100.000 kelahiran bayi hidup yang terjadi karena komplikasi kehamilan dan persalinan. Hampir semua kematian ini terjadi akibat faktor yang sebenarnya dapat dicegah melalui pengaturan pelayanan yang baik. Sedangkan untuk AKB di dunia diperkirakan sebanyak 19 per 1000 hidup kelahiran pada masa neonatal dengan penyebab utama prBackground: Maternal Mortality Rate in the world is still high due to complications during pregnancy and childbirth. All cases of maternal death can still be prevented through good service arrangements. The problem of infant mortality in the world is also high in the neonatal period, which is caused by prematurity, birth asphyxia and neonatal sepsis. The application of the class for pregnant women is expected to increase the accessibility of pregnant women to quality maternal and child health services so that it can be an effort to reduce maternal and infant mortality.Objective: To determine the effect of multimedia learning methods in pregnant women's classes on knowledge and attitudes of mothers about care during pregnancy, childbirth and postpartum in the working area of the Langsa Baro Health Center.Methods: This study was a quasi-experimental with a pre-test and post-test design with two groups. the control group for the class of pregnant women used the conventional learning method, while the treatment group used the multimedia learning method. Each group was carried out pretest and posttest using a questionnaire to determine the knowledge and attitudes of mothers about genital care, childbirth and postpartum in pregnant women. The research was carried out from 7 to 25 May 2019. The research location was in the working area of the Langsa Baro Health Center, Langsa City. Class meetings for pregnant women are 3 times / week in a row. The research sample amounted to 34 pregnant women. The sampling technique is purposive sampling, which is the determination of the sample with certain considerations based on predetermined inclusion criteria. Inclusion criteria were third trimester pregnant women, primigravida, normal pregnancy, pregnant women who were in the working area of Langsa Baro Health Center and were willing to be respondents. The instrument used is a questionnaire. Data analysis is t-dependent test. This research has received approval from the Health Research Ethics Commission of the USU Faculty of Nursing with the number: 2275/V/SP/2019.Results: The results showed that there was a significant difference in knowledge and attitudes of mothers before and after being given learning in the conventional learning group was 0.000 p < , and the multimedia learning method group was 0.000 which means p < α , dan kelompok metode pembelajaran  multimedia adalah 0,000 yang berarti < dari nilai α (0,000 < 0,05), nilai p value sikap kelompok perlakuan perlakuan adalah 0,000 yang berarti p value< dari nilai α (0,000 < 0,05). Maka artinya ada pengaruh metode pembelajaran kelas ibu hamil (multimedia) dengan pengetahuan dan sikap ibu tentang perawatan kehamilan, persalinan, nifas pada ibu hamil di wilayah kerja Puskesmas Langsa Baro. Kesimpulan: Hasil penelitian menunjukkan adanya pengaruh metode pembelajaran (multimedia) kelas ibu hamil terhadap pengetahuan dan sikap ibu tentang perawatan kehamilan, persalinan dan nifas di wialayah kerja Puskesmas Langsa Baro.