Factors Related to the Implementation of Complementary Midwifery Services in Indonesia
DOI:
https://doi.org/10.31674/mjn.2023.v15i01.007Abstract
Background: In developing nations like Indonesia, maternal mortality rates (MMR) and infant mortality rates (IMR) continue to be the key issues. Methods: A descriptive analysis with a cross-sectional approach was conducted in West Sumatra Province, Indonesia, from June to November 2021. The participants consisted of 83 midwives who practiced Midwifery independently. The instrument in this study was a questionnaire developed by the researcher. Data were analysed using the Spearman rank statistical method for bivariate analysis. Results: The results of the study showed that most of the participants did not implement complementary midwifery services and there were only 30% of the participants provided complementary services to mother and babies included baby massage, pregnancy exercise, Pilates, yoga and aromatherapy. Based on the relationship analysis, it was found that training factors, sources of information, knowledge, and attitudes had a significant relationship with the implementation of complementary midwifery services (p < 0.05). However, the factors of age, education, occupation, and length of practice did not have a significant relationship with the implementation of complementary midwifery in the independent practice of midwives. Conclusion: It can be concluded that the low implementation of complementary midwifery in the practice of independent midwives can be related to several factors, both internal and external. Particularly, the source of information was more correlated with the implementation of comprehensive midwifery services than other factors in this study. It indicates that information about the importance of complementary midwifery services is likely to be slightly more supportive of the utilization of complementary services in midwifery practice. Recommendation: Further study is necessary to design an appropriate approach model for solving problems in the implementation of complementary midwifery, especially in the practice of independent midwives.
Keywords:
Complementary Midwifery Services, Independent Practice of Midwives, MidwiferyDownloads
References
Achmadi, U. F. (2013). Public health: theory and applications. Rajawali Pers. https://opac.perpusnas.go.id/DetailOpac.aspx?id=853651. Accessed on October 1st, 2022.
Akhiriyanti, E. N., & Nisa, H. (2020). Getting to know complementary therapy in obstetrics in postpartum mothers, breastfeeding mothers, babies and toddlers. Jakarta: TIM.
Bayrami, R., Taghipour, A., & Ebrahimipour, H. (2015). Personal and socio-cultural barriers to cervical cancer screening in iran, patient and provider perceptions: a qualitative study. Asian Pacific Journal of Cancer Prevention, 16(9), 3729-3734. https://doi.org/10.7314/APJCP.2015.16.9.3729
Feijen-de Jong, E. I., Jansen, D. E., Baarveld, F., Spelten, E., Schellevis, F., & Reijneveld, S. A. (2015). Determinants of use of care provided by complementary and alternative health care practitioners to pregnant women in primary midwifery care: a prospective cohort study. BMC Pregnancy and Childbirth, 15(1), 1-11. https://doi.org/10.1186/s12884-015-0555-7
Hall, H. G., Griffiths, D. L., & McKenna, L. G. (2012). Complementary and alternative medicine in midwifery practice: managing the conflicts. Complementary Therapies in Clinical Practice, 18(4), 246-251. https://doi.org/10.1016/j.ctcp.2012.06.010
Jumiatun, J., & Nani, S. A. (2020). Analysis of the readiness of midwives in the implementation of complementary midwifery services. Jurnal SMART Kebidanan, 7(2), 71-75. http://dx.doi.org/10.34310/sjkb.v7i2.400
Kalahroudi, M.A. (2014). Complementary and alternative medicine in midwifery. Journal of Clinical Psychiatry, 3(2), e19449. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4228532/ Accessed on September 26th, 2022.
Kostania, G. (2015). Implementation of complementary midwifery services to midwives practicing independently in Klaten district. Gaster, 12(1), 46-72. https://onesearch.id/Record/IOS1019.article-84/Details, Accessed on October 4th, 2022.
Küçükkaya, B., & Işık, H. K. (2023). Attitudes pregnant women in Türkiye towards holistic complementary and alternative medicine and influencing factors: a web-based cross-sectional study. BMC Complementary Medicine and Therapies, 23(1), 1-13. https://doi.org/10.1186/s12906-023-04065-x
Mardliyana, N. E., Puspita, I. M., & Rozifa, A. W. (2022). Utilization of complementary therapy in midwife services in the city of surabaya. Jurnal Ners dan Kebidanan Indonesia (JNKI), 10(3), 190-197. http://dx.doi.org/10.21927/jnki.2022.10(3).190-197
Mitchell, M., Williams, J., Hobbs, E., & Pollard, K. (2006). The use of complementary therapies in maternity services: a survey. British Journal of Midwifery, 14(10), 576-582. https://doi.org/10.12968/bjom.2006.14.10.21926
National center for complementary and integrative health (NCCIH). (2016). NCCIH facts-at-a-glance and mission. https://www.nih.gov/about-nih/what-we-do/nih-almanac/national-center-complementary-integrative-health-nccih, Accessed on October 3rd, 2022.
Notoatmodjo, S. (2003). Health education and behavior. https://onesearch.id/Record/IOS3955.ai:slims-690/TOC, Accessed on September 23rd, 2022.
Notoatmodjo, S. (2005). Health research methodology. http://library.stik-ptik.ac.id/detail?id=8324&lokasi=lokal, Accessed on September 17th, 2022.
Nurfatimah, N., Ramadhan, K., Entoh, C., Longgupa, L. W., & Hafid, F. (2021). Continuity of midwifery care implementation to reduce stunting. Open Access Macedonian Journal of Medical Sciences, 9(E), 1512-1516. https://doi.org/10.3889/oamjms.2021.7062
Pallivalapila, A. R., Stewart, D., Shetty, A., Pande, B., Singh, R., & McLay, J. S. (2015). Use of complementary and alternative medicines during the third trimester. Obstetrics & Gynecology, 125(1), 204-211. https://doi.org/10.1097/AOG.0000000000000596
Peprah, P., Abalo, E. M., Nyonyo, J., Okwei, R., & Amankwaa, G. (2017). Complementary and alternative medicine in midwifery: a qualitative exploration of perceptions and utilisation of CAM among trained midwives in rural Ghana. Evidence Based Midwifery, 15(4), 135-142.
Polit, D.F. and Beck, C.T. (2017) Nursing research: generating and assessing evidence for nursing practice. 10th Edition, Wolters Kluwer Health, Philadelphia, 784 p. https://doi.org/10.1016/j.iccn.2015.01.005
Riska, R.W.D.H. (2019). Complementary Therapy for Midwifery Services Based on Scientific and Empirical Evidence. Deepublish.
Septiani, R., & Lestari, G. I. (2020). The Relationship between Midwives' characteristics and complementary midwifery practices in independent midwife practices. Jurnal Ilmiah Keperawatan Sai Betik, 15(2), 114-119. https://doi.org/E-ISSN 2655 – 2310
Setyani, R. A. (2021). Implementation of e-Sekoci (the online class of Sekolah Komplementer Cinta ibu) in counselling midwives and pregnant women during COVID-19 pandemic. Journal of Community Empowerment for Health, 4(1), 16-20. https://doi.org/10.22146/jcoemph.v4i1.89
Taber, K.S. (2018) The use of cronbach’s alpha when developing and reporting research instruments in science education. Research in Scicence Education, 48, 1273–1296. https://doi.org/10.1007/s11165-016-9602-2
Tajmiati, A., Nurjasmi, E., & Zaitun, Z. (2019). Development of complementary midwifery practice guidelines in achieving maternal and child health development. Media Informasi, 15(2), 143-153. https://doi.org/10.37160/bmi.v15i2.398
Tiran, D. (2003). Implementing complementary therapies into midwifery practice. Complementary Therapies in Nursing and Midwifery, 9(1), 10-13. https://doi.org/10.1016/S1353-6117(02)00133-6
Wahidin, W. W., Martini, T. M., & Ajeng, A. A. (2022). Analysis of community knowledge and bpm midwives on the development of integrated complementary midwifery services in tangerang district, banten province. Indonesian Midwifery Journal (IMJ), 3(2). http://dx.doi.org/10.31000/imj.v3i2.3060.g1847
Wawan, A., & Dewi, M. (2010). Theory and measurement of knowledge, attitudes and human behavior. Yogyakarta: Nuha Medika, 12. https://onesearch.id/Record/IOS2888.JATEN000000000004312, Accessed on October 6th, 2022.
World Health Organization (2013). WHO traditional medicine strategy: 2014-2023. https://www.who.int/publications/i/item/9789241506096, Accessed on September 24th, 2022.
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
