Optimizing Antenatal Care by Digitalization Pregnancy Risk Screening

Abstract

In 2012, the Indonesian maternal mortality ratio
(MMR) was 359 per 100,000 live births. Indonesian
MMR is far above the target Millennium Development
Goal of 102 per 100,000 live births in 2015. Indonesian
government have been established the target MMR in
Sustainable Development Goals of lower 70 per 100,000
live births. Some pregnancy complications are the chronic
energy deficiency (CED), anemia, iodine deficiency, HIV
/ AIDS, malaria, Tuberculosis etc. Antenatal care must be
carried out in a comprehensive, integrated and quality
manner in order to detect all risks of pregnancy. Our goals
were to develop a tool for digitizing the pregnancy risk
screening. It is a part of electronic integrated antenatal
care (e-iANC) was developed by used the Systems
Development Life Cycle (SDLC) method in September
2019. For functionality testing of e-iANC specifically in
pregnancy risk screening, nine participants were midwives
of four Independent Practice of Midwives (Bidan Praktik
Mandiri) in West Jakarta. All of them were asked to
make midwifery care documentation in e-iANC during
September 2019. Of 30 midwifery care documentation or
ANC data, one to three were Cephalopelvic disproportion
(CPD), CED, Hypertension, Anemia risk and Poedji
Rochjati score was very high risk.