FAMILY CENTERED MATERNITY CARE (FCMC) SEBAGAI UPAYA SKRINING/DETEKSI DINI KEHAMILAN RISIKO TINGGI BERBASIS KELUARGA DI PUSKESMAS ABELI
DOI:
https://doi.org/10.29303/abdiinsani.v13i3.3484Keywords:
Family Centered Maternity Care, Pregnant Women, Screening, High-Risk PregnancyAbstract
The maternal mortality rate (MMR) remains an important health indicator that requires serious attention, particularly at the primary healthcare level. One of the contributing factors to the high MMR is the delay in recognizing danger signs and high-risk conditions during pregnancy. The Family Centered Maternity Care (FCMC) approach is a healthcare strategy that emphasizes the active involvement of families in the early detection of pregnancy risks, maternal care, and decision-making related to maternal health. This community service activity aimed to improve the knowledge and skills of families in conducting high-risk pregnancy screening through the FCMC approach in the working area of Abeli Primary Health Center. The activity was conducted through a one-day education and training program involving families of pregnant women in the Abeli Primary Health Center area. The methods included health education sessions, group discussions, simulations on identifying pregnancy danger signs, and the distribution of educational media, followed by pre- and post-intervention knowledge evaluations. The results showed that among 21 participants, before the health education was provided, 7 participants (33.33%) had good knowledge and 14 participants (66.67%) had poor knowledge. After the educational intervention, 16 participants (76.19%) had good knowledge and 5 participants (23.81%) had poor knowledge. These findings indicate an improvement in family knowledge regarding pregnancy danger signs and high-risk factors after receiving education and training. In addition, there was increased understanding of the family’s role in supporting early detection and maternal health decision-making. A WhatsApp group was also established to facilitate communication and coordination with healthcare workers. The FCMC approach improves family knowledge and involvement in screening for high-risk pregnancies and helps prevent complications as part of a promotive and preventive strategy in primary healthcare services.
Downloads
References
Abraha, T. A., Gebremariam, G. K., Asfaha, B. T., Weldegebreal, T. K., & Aregawi, D. H. (2025). Adverse Birth Outcome and Associated Factors Among Mothers with Antepartum Hemorrhage in Public Hospitals Tigray, Northern Ethiopia, 2020. BMC Pregnancy and Childbirth, 25(1). https://doi.org/10.1186/s12884-025-07216-9
Afulani, P. A., Phillips, B., Aborigo, R. A., & Moyer, C. A. (2019). Person-Centred Maternity Care in Low-Income and Middle-Income Countries: Analysis of Data from Kenya, Ghana, and India. The Lancet Global Health, 7(1), e96–e109. https://doi.org/10.1016/S2214-109X(18)30403-0
Azhar, K., Dharmayanti, I., Tjandrarini, D. H., & Hidayangsih, P. S. (2020). The Influence of Pregnancy Classes on The Use of Maternal Health Services in Indonesia. BMC Public Health, 20(1), 1–9. https://doi.org/10.1186/s12889-020-08492-0
Desiyanti, I. W., & Ardiningtyas, L. (2024). Family Center Maternity Care Education for Pregnant Women Through The Approachin Efforts to Prevent Stunting: A Quasi-Experimental. Medisains, 22(3), 127. https://doi.org/10.30595/medisains.v22i3.24035
Gusti Winarti, Siti Zahara Nasution, F. L. S. S. (2024). Efektifitas Edukasi Berbasis Family Centered Maternity Care terhadap Dukungan Keluarga dan Self Efficacy pada Ibu Postpartum dalam Pemberian ASI. Journal of Telenursing (JOTING), 6(1), 1415–1423.
Handayani, N., Munjidah, A., Abidah, S. N., Rahma, H. A., Kencana, J. P., Kebidanan, D., Keperawatan, F., & Kebidanan, D. (2023). Meningkatkan Peran Family Centered Maternity Care (Fcmc) dalam Upaya Meningkatkan Kunjungan Ibu Hamil. Community Development Journal : Jurnal Pengabdian Masyarakat, 4(3), 5887–5891. https://journal.universitaspahlawan.ac.id/index.php/cdj/article/view/17645
Hodnett, E. D., Gates, S., Hofmeyr, G. J., & Sakala, C. (2017). Continuous Support for Women During Childbirth. Cochrane Database of Systematic Reviews, 2017(7). https://doi.org/10.1002/14651858.CD003766.pub5
Istikhomah, H. (2018). Family Centered Maternity Care (Fcmc) Sebagai Salah Satu Upaya Skrining / Deteksi Dini Resiko Tinggi Ibu Hamil Berbasis Keluarga Di Desa Danguran. GEMASSIKA : Jurnal Pengabdian Kepada Masyarakat, 2(1), 20. https://doi.org/10.30787/gemassika.v2i1.250
Kamsatun, K., Susanti, S., Fattah, V. F., & Februati, S. (2023). Family Center Maternity Care (FCMC) is Effective in Reducing Anxiety in Pregnant Women. Jurnal Ilmu Dan Teknologi Kesehatan, 10(2), 186–193. https://doi.org/10.32668/jitek.v10i2.1057
Kemenkes RI. (2024). Buku KIA Kesehatan Ibu dan Anak.
Mihretie, G. N., & Habitamu, A. (2022). Pregnancy Outcomes Among Women Who Gave Birth at Health Institutions: A Cross-Sectional Study. Health Science Reports, 5(5), 1–13. https://doi.org/10.1002/hsr2.843
Mirzakhani, K., Ebadi, A., Faridhosseini, F., & Khadivzadeh, T. (2020). Well-Being in High-Risk Pregnancy : An Integrative Review. BMC Pregnancy and Childbirth, 6, 1–14. https://doi.org/10.1186/s12884-020-03190-6
Norfitri, R., Zubaidah, Z., & Hayani, R. (2024). Hubungan Pengetahuan Ibu Hamil Tentang Tanda Bahaya Kehamilan Dan Kepatuhan Melakukan Antenatal Care. Jurnal Ilmu Kesehatan Insan Sehat, 12(1), 31–36. https://doi.org/10.54004/jikis.v12i1.176
Nurfadillah & Yuni. (2020). Hubungan Pengetahuan Ibu Hamil Tentang Kehamilan Risiko Tinggi Dengan Keteraturan Melakukan Kunjungan ANC Di Wilayah Kerja Puskesmas lendang Nangka Tahun 2022. Occupational Medicine, 53(4), 130.
Puspitadewi, T. R., Nugraheni, W. T., & Ariyanti, I. (2023). Family Empowerment in Efforts to Prevent High-Risk Pregnancy Based on Family-Centered Empowerment. Open Access Macedonian Journal of Medical Sciences, 11(E), 41–46.
Sokou, R., Lianou, A., Lampridou, M., Panagiotounakou, P., Kafalidis, G., Paliatsiou, S., Volaki, P., Tsantes, A. G., Boutsikou, T., Iliodromiti, Z., & Iacovidou, N. (2025). Neonates at Risk: Understanding the Impact of High-Risk Pregnancies on Neonatal Health. Medicina (Lithuania), 61(6), 1–33. https://doi.org/10.3390/medicina61061077
Winarti, G., Nasution, S. Z., & Siregar, F. L. S. (2023). Edukasi Family Centered Maternity Care terhadap Self Efficacy dalam Pemberian Asi: Literatur Review. Jurnal Kesehatan Masyarakat, 7(3), 16827–16837.
