Maternal Age, Parity, and Education in Early Antenatal Care Attendance

Usia Ibu, Paritas, dan Pendidikan dalam Kehadiran Perawatan Antenatal Dini

Authors
  • Iffah elfrida

    Program Studi Profesi Bidan, Universitas Muhammadiyah Sidoarjo
  • Hesty Widowati

    Program Studi Profesi Bidan, Universitas Muhammadiyah Sidoarjo
  • Nurul Azizah

    Program Studi Profesi Bidan, Universitas Muhammadiyah Sidoarjo
  • SM. Faridah Hanum

    Program Studi Profesi Bidan, Universitas Muhammadiyah Sidoarjo
Keywords:
Pregnant Women, K1 Visits, Maternal Age, Parity, Education Level
Abstract

General Background: Early antenatal care attendance (K1) is a key indicator of maternal health service utilization and program outreach. Specific Background: Despite national targets, K1 coverage at Balongsari Health Center remains below the expected standard, indicating persistent challenges in early pregnancy monitoring. Knowledge Gap: Limited local evidence explains how maternal characteristics shape the type and timing of first antenatal visits. Aim: This study examined the relationships between maternal age, parity, and education level with K1 visit patterns among pregnant women. Results: Using a cross-sectional design involving 164 pregnant women, chi-square analysis revealed significant associations between age, parity, and education level with K1 visit categories (pure K1 vs. access K1). Women aged 20–35 years and those with higher education were more likely to attend pure K1 visits, while multiparous and lower-educated women predominantly accessed K1 beyond the first trimester. Novelty: This study highlights distinct maternal profile patterns linked to delayed or timely first antenatal contact at the primary healthcare level. Implications: The findings underscore the need for targeted maternal health education and outreach strategies focusing on high-risk age groups, multiparous women, and those with lower educational backgrounds to optimize early antenatal care coverage.

Highlights:
  • Maternal age and education align with timely first antenatal visits.

  • Multiparity is linked to delayed initial ANC contact.

  • K1 coverage gaps persist at the community health center level.

Keywords:

Pregnant Women; K1 Visits; Maternal Age; Parity; Education Level

References

[1] H. Humune, “Factors Affecting First Antenatal Visit (K1) Based on Age, Education, and Socio-Cultural Aspects,” Midwifery Journal of Akbid Griya Husada Surabaya, vol. 4, no. 2, pp. 1–7, 2017.

[2] M. S. Daryanti, “Parity Associated with Antenatal Care Examination among Pregnant Women at Independent Midwifery Practices in Yogyakarta,” Jurnal Kebidanan, vol. 8, no. 1, pp. 56–60, 2019, doi: 10.26714/jk.8.1.2019.56-60.

[3] Ministry of Health of the Republic of Indonesia, Indonesia Health Profile 2017, Jakarta: MoH RI, 2017.

[4] R. P. Y. Siwi and H. Saputro, “Analysis of Factors Related to Low Integrated Antenatal Care Visits among Pregnant Women in Sukodono Health Center, Lumajang,” Journal for Quality in Women’s Health, vol. 3, no. 1, pp. 22–30, 2020, doi: 10.30994/jqwh.v3i1.45.

[5] A. Pangastuti, “Correlation between Antenatal Care Coverage and Iron Tablet Distribution with Anemia Prevalence in Pregnancy in East Java,” RECODE, vol. 3, no. 2, pp. 70–78, 2020.

[6] R. Damayanti, W. T. Mutika, D. P. Astuti, and N. Novriyanti, “Factors Affecting First Antenatal Visit (K1) among Pregnant Women,” Jurnal Kesmas Untika Luwuk: Public Health Journal, vol. 13, no. 2, pp. 73–80, 2022, doi: 10.51888/phj.v13i2.138.

[7] K. Budiarti, “Factors Associated with Antenatal Visits among Pregnant Women during the COVID-19 Pandemic at Kampung Bali Health Center,” 2021.

[8] M. N. Humairoh, P. A. Kusumawardani, and R. Rosyidah, “Factors Associated with Antenatal Care Regularity,” Jurnal Kebidanan Midwiferia, vol. 7, no. 2, pp. 77–84, 2021, doi: 10.21070/midwiferia.v7i2.1632.

[9] R. A. E. Putri, “Maternal Nutrition and Pregnancy Outcomes,” Medic Nutricia, vol. 4, no. 1, pp. 1–6, 2024, doi: 10.5455/mnj.v1i2.644xa.

[10] W. M. P. Hutomo, “Parity and Antenatal Care Visits at Dum Health Center, Sorong Islands District,” Jurnal Ilmiah Kesehatan Diagnosis, vol. 16, pp. 2302–2531, 2021.

[11] Fitriani, Handayani, and E. Lubis, “Relationship between Education Level and Maternal Age with Antenatal Care Compliance,” Binawan Student Journal, vol. 1, no. 3, pp. 113–117, 2019, doi: 10.54771/bsj.v1i3.580.

[12] S. Notoatmodjo, Health Education and Behavior, Jakarta: Rineka Cipta, 2003.

[13] I. Citrawati and N. Laksmi, “Relationship between Pregnant Women’s Knowledge of Antenatal Care and ANC Visits at Tampaksiring II Health Center,” Jurnal Keperawatan Sriwijaya, vol. 8, no. 2, pp. 19–26, 2021, doi: 10.32539/JKS.V8i2.15299.

[14] M. Jurnal Kebidanan et al., “Analysis of Pregnant Women’s Compliance with COVID-19 Health Protocols during Antenatal Care Visits,” Jurnal Kebidanan, vol. 8, no. 1, 2022, doi: 10.21070/midwiferia.v7i2.1637.

[15] M. H. L. Said and U. Sumanti, “Why Upper-Class Communities Do Not Choose Community Health Centers: A Case Study in Sleman,” Buletin Kesehatan Masyarakat, 2017, doi: 10.22146/bkm.25339.

How to Cite

Maternal Age, Parity, and Education in Early Antenatal Care Attendance: Usia Ibu, Paritas, dan Pendidikan dalam Kehadiran Perawatan Antenatal Dini. (2025). Indonesian Journal on Health Science and Medicine, 2(2), 10.21070/ijhsm.v2i2.332. https://doi.org/10.21070/ijhsm.v2i2.332

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