Determinants of Low Birth Preparedness in Primigravida Mothers from the Perspective of Women's Empowerment

Marliana  Rahma; Yayuk Sri  Rahayu; Ari Kurniasih; Ade Krisna  Ginting; Firdaus Abdul  Aziz

doi:10.58185/jkr.v17i1.418

Authors

Marliana Rahma Departmen of Health Science, Universitas Sehati Indonesia, Indonesia
Yayuk Sri Rahayu Departmen of Health Science, Universitas Sehati Indonesia, Indonesia
Ari Kurniasih Departmen of Health, Universitas Horizon, Indonesia
Ade Krisna Ginting Departmen of Health Science, Universitas Sehati Indonesia, Indonesia
Firdaus Abdul Aziz Departmen of Health Science, Universitas Sehati Indonesia, Indonesia

DOI:

https://doi.org/10.58185/jkr.v17i1.418

Keywords:

Childbirth Preparedness, Digital Health Literacy, Self-Efficacy, Mother’s Knowledge, Determinant of Reproductive Health

Abstract

Background: Birth preparedness and complication readiness are essential strategies for reducing pregnancy-related complications and maternal mortality. Social factors, maternal knowledge, and digital access may substantially influence a mother's preparedness for childbirth. Objective: This study aimed to identify the determinants of low birth preparedness among primigravida mothers. Method: An analytical cross-sectional study was conducted among 187 primigravida pregnant women in Purwasari Sub-district, Indonesia, in February 2025. Data were collected using a structured questionnaire and analyzed using the chi-square test to determine associations between study variables and birth preparedness. Results: Digital health literacy and digital access were significantly associated with birth preparedness (p < 0.001). Childbirth self-efficacy (p = 0.016) and maternal knowledge (p < 0.001) were also significantly associated with birth preparedness. In contrast, reproductive decision-making autonomy (p = 0.731), financial control over childbirth (p = 0.985), and perceptions of local gender norms (p = 0.778) showed no significant associations. Conclusion: Digital health literacy, childbirth self-efficacy, and maternal knowledge are key determinants of low birth preparedness among primigravida mothers. Interventions aimed at improving digital health competencies and strengthening comprehensive maternal health education are needed to enhance women's preparedness for safe and planned childbirth.

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