ANTENATAL CARE: PROBLEM AND EVALUATION

PUBLIC HEALTH SERVICE OF DISTRICT PASAR MINGGU

By:

Gadista P. Annisa 030.09.100

Katherine Rinova 030.09.128

Lailil Indah Seftiani 030.09.134

Muthi Melatiara 030.09.161

Ratiya Primanita 030.09.193

Tara Wandhita Usman 030.09.250

Winda Setyowulan 030.09.269

Yenni Susanty 030.09.274

Faculty of Medicine Trisakti University

Jakarta

Antenatal/Prenatal is a critical phase in the life of the mother which starts from

conception up to the period before delivery. Initial and periodic health assessments are needed to

prevent complications where possible and ensure that problems during pregnancy will be

detected early and treated properly. The objective of prenatal care is to reach all pregnant

women, to give sufficient care to ensure a healthy pregnancy and the birth of a full term healthy

baby.

Anemia still become a main problem in this public health. Some of nurses-midwives at

this public health admitted that “Fe’s Tablets” has been giving to every mother which was found

anemia in their laboratory result. Even though this program is still on going, the mother with

anemia still having anemia at the next ANC’s visit. Nurse-midwives at this Public Health might

not tell very well about what anemia is, how important to consume Fe’s Tablets daily

complications of anemia in pregnancy besides some mother with anemia that they said

sometimes forgot to consume the “Fe’s Tablet”.

Ideal number of midwives needed is 2 and the number of obstetrician is 1 person. The

fact here there are 2 midwives while obstetrician is 1 only to perform USG on Monday and

Friday, it is not in accordance with the government's expectations are set. They (the midwife)

complained about the amount of available health workers less, due to the amount so they have

trouble doing administration, and the ANC against pregnant women still feels unsatisfactory.

There are numerous reason of patient who didn’t come to do the antenatal care, such as: lack

of knowledge, difficulty of access to transportation to health facilities, economic difficulties,

choose traditional medicine compared to do an ante natal care to District Health Clinic, many

pregnant women do not want to come alone because they want to be accompanied.

The medical equipment here are good enough to support antenatal care. They have a room

with two beds for maternal physical examination, on certain days it also used for the babies to

lying down to have an immunization. There is scale to measure weight and height (for mom and

babies), tape measure, sphygmomanometers, stethoscope, thermometer, immunization kit, pocket

fetal Doppler, and Doppler ultrasonography machine. Things that we need to be considered are

about the quantity and quality of those equipment.