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Issues on Detection of Preeclampsia from Antenatal Care Data: A Documentary Study in Temanggung District, Central Java Province

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Background: Preeclampsia in pregnancy contributes to maternal mortality in Central Java Province. Risk factors of preeclampsia could be early-detected by village-midwives through antenatal care (ANC) data reported in Maternal Cohort Register (MCR), which is a national standard form. Quality of data recording and reporting is crucial to ensure the accuracy in the detection of preeclampsia risk factors, and will eventually decrease maternal mortality. Methods: This research was an observational study. Data were collected from all documents of ANC during 2014, which were recorded in MCR by 278 village-midwives in 23 public health centers of Temanggung District. Data were analyzed descriptively. Results: There were more than 60 fields of data to be recorded in MCR. Our results showed that 66% of the fields were filled completely. However, the record was mostly not recorded in its proper field. We also found different way of writing a field, which may confound the interpretation of data. In preeclampsia detection, only less than 20% documents were complete and consistent. Conclusion: Not all of the data for preeclampsia detection was recorded accurately, thus complicate the detection of preeclampsia risk factors. Village midwives need guidelines for reporting and training on electronic recording to detect maternal risk factors accurately and timely.
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Keywords: Antenatal Care; Data Quality; Indonesia; Maternal Cohort Register; Preeclampsia; Village Midwife

Document Type: Research Article

Affiliations: 1: Department of Biostatistics and Population Study, Faculty of Public Health, Diponegoro University, Indonesia 2: Department of Epidemiology, Faculty of Public Health, Diponegoro Universiy, Indonesia 3: Department of Health Policy and Administration, Faculty of Public Health, Diponegoro Universiy, Indonesia

Publication date: April 1, 2017

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