Sains Malaysiana 50(5)(2021): 1357-1365

http://doi.org/10.17576/jsm-2021-5005-15

Views on Unassisted Childbirth among Mothers at a Teaching Hospital in Kuala Lumpur, Malaysia

(Pandangan Tentang Kelahiran Tanpa Bantuan dalam kalangan Ibu di Hospitall Pengajar di Kuala Lumpur, Malaysia)

ANIZA ISMAIL¹*, NUR FARAHANI ANAS¹, NEO SHUN QIN¹, NAJWA HAYATI AB GHANI¹, MUHAMMAD AMIR RIDZWAN MAHADI¹, NUR IZATUL-AISYAH ZAINAL AZEMAN¹, LENY SUZANA SUDDIN², NOR AFIAH MOHD ZULKEFLI² & ANISAH BAHAROM³

¹ Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Federal Territory, Malaysia

²Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Jalan Hospital, 47000 Sungai Buloh, Selangor Darul Ehsan, Malaysia

³Department of Community Health, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor Darul Ehsan, Malaysia

Diserahkan: 23 Julai 2019/Diterima: 28 September 2020

ABSTRACT

A cross-sectional study was conducted among mothers visiting antenatal clinic in UKMMC from 1st to 19th August 2016 to acquire opinions on unassisted childbirth and the determinant factors among mothers at a teaching hospital. Structured questionnaires were used in assessing their opinions on unassisted childbirth. A total of 259 respondents were recruited, 229 of them who met the inclusion criteria were included for analysis. Majority (87.3%) was Malay and 98.7% of respondents were more than 25 years old. The prevalence for mothers who agreed with unassisted childbirth was 6.6%. Bivariate analysis showed Malay (p=0.013) and non-working mothers (p=0.000) are the significant factors. There was no significant association between opinions on unassisted childbirth and quality of government healthcare services. Multivariate analysis showed middle income and non-working mothers were the significant factors contributing to opinions on unassisted childbirth. The outcome showed minority of mothers agreed with unassisted childbirth, middle income group and non-working mothers agreed on unassisted childbirth. Dissatisfaction to the quality of care at government healthcare services was not found to be the reason for unassisted childbirth.  However, there could be other factors contributing to opinions on unassisted childbirth delivery which were not studied. Community-based study should be conducted to determine the other factors.

Keywords: Childbirth; government; mothers; teaching hospital

ABSTRAK

Suatu kajian keratan rentas telah dijalankan terhadap ibu yang melawat klinik antenatal di UKMMC dari 1 hingga 19 Ogos 2016 untuk mendapatkan pandangan terhadap kelahiran tanpa bantuan dan faktor yang mempengaruhinya dalam kalangan ibu di hospital pengajar. Borang soal selidik berstruktur telah digunakan untuk menilai pandangan mereka terhadap kelahiran tanpa bantuan. Sejumlah 259 responden telah direkrut dan seramai 229 yang memenuhi kriteria rangkuman telah diambil kira untuk dianalisa. Majoriti (87.3%) adalah Melayu dan 98.7% responden berusia 25 tahun ke atas. Prevalen ibu yang bersetuju dengan kelahiran tanpa bantuan adalah sebanyak 6.6%. Analisis bivariat menunjukkan bahawa berbangsa Melayu (p=0.013) dan ibu yang tidak bekerja (p=0.000) merupakan faktor yang signifikan. Tidak terdapat perkaitan yang signifikan antara pandangan terhadap kelahiran tanpa bantuan dengan kualiti perkhidmatan di pusat kesihatan kerajaan. Analisis multivariat menunjukkan bahawa pendapatan isi rumah sederhana dan ibu yang tidak bekerja adalah faktor signifikan yang menyumbang kepada pandangan terhadap kelahiran tanpa bantuan. Hasil kajian menunjukkan bahawa hanya minoriti ibu, pendapatan isi rumah sederhana dan ibu yang tidak bekerja bersetuju dengan kelahiran tanpa bantuan. Ketidakpuashatian terhadap kualiti perkhidmatan di pusat kesihatan kerajaan didapati bukan faktor penyumbang terhadap kelahiran tanpa bantuan. Walau bagaimanapun, kemungkinan juga terdapat faktor lain yang menyumbang kepada pandangan terhadap kelahiran tanpa bantuan yang tidak dikaji. Kajian berasaskan komuniti perlu dilakukan bagi menentukan faktor-faktor lain tersebut.

Kata kunci: Ibu; hospital pengajar; kelahiran; kerajaan

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*Pengarang untuk surat-menyurat; email: aniza@ppukm.ukm.edu.my