PENGEMBANGAN MODUL DETEKSI RISIKO PENDARAHAN PADA KEHAMILAN TERHADAP PENGETAHUAN DAN SIKAP IBU HAMIL DI PUSKESMAS WAJO, KOTA BAUBAU = Research Results Development of A Pregnancy Bleeding Risk Detection Module on The Knowledge and Attitude of Pregnant Women at The Wajo Health Center, Baubau city

ABSTRAK RATRI AGUSTINA ANDINI. Pengembangan Modul Deteksi Risiko Perdarahan Pada Kehamilan Terhadap Pengetahuan Dan Sikap Ibu Hamil di Puskesmas Wajo, Kota Baubau. (Dibimbing oleh Mardiana Ahmad dan M. Aryadi Arsyad). Perdarahan dalam kehamilan merupakan salah satu penyebab utama kematian ibu. Rendahnya tingkat pengetahuan dan sikap ibu hamil terhadap risiko perdarahan menjadi salah satu faktor yang memengaruhi kepatuhan dalam pemeriksaan antenatal care. Oleh karena itu, diperlukan media edukasi yang efektif, seperti modul deteksi risiko perdarahan, untuk meningkatkan pengetahuan ibu hamil. Tujuan: mengembangkan modul deteksi risiko perdarahan pada kehamilan serta menganalisis pengaruh penggunaan modul terhadap peningkatan pengetahuan dan sikap ibu hamil. Metode: Research and Development (R&D) dengan model Borg & Gall yang disederhanakan. Desain uji efektivitas menggunakan quasi eksperimen two group pre-test,post-test design. Sampel terdiri dari 64 ibu hamil, dibagi menjadi dua kelompok: kelompok intervensi (32 ibu hamil) mendapatkan modul dan kelompok kontrol (32 ibu hamil) diedukasi dengan buku KIA. Pengumpulan data menggunakan kuesioner yang telah divalidasi. Analisis data menggunakan uji statistic welcoxon signed ranks. Hasil: Kelompok intervensi pre =81,3% berpengetahuan rendah. Kelompok kontrol pre=93,7% berpengetahuan rendah. Setelah dilakukan intervensi, terjadi peningkatan signifikan pada kelompok intervensi, post=93,8% berpengetahuan tinggi. Sebaliknya, pada kelompok kontrol post=84,4% berpengetahuan rendah. Dari sisi sikap, kelompok intervensi pre= 90,6% bersikap negative, kelompok kontrol pre=100% bersikap negatif. setelah diberikan perlakuan, terjadi perbaikan pada kelompok intervensi, sebagian besar menunjukkan sikap positif sebanyak 93,8%. kelompok kontrol masih didominasi oleh responden dengan sikap negatif sebanyak 93,7%. Berdasarkan hasil uji statistik, pada variabel pengetahuan dan sikap diperoleh nilai p = 0,000 (< 0,05), sehingga H0 ditolak. Hal ini menunjukkan bahwa pemberian Modul berpengaruh signifikan terhadap peningkatan pengetahuan dan sikap ibu hamil mengenai deteksi risiko perdarahan dalam kehamilan. Kesimpulan: Modul Deteksi Risiko Perdarahan Pada Kehamilan layak digunakan sebagai media edukasi untuk meningkatkan Pengetahuan Dan Sikap Ibu Hamil. Kata Kunci: Modul, Deteksi Risiko, Perdarahan, Kehamilan, Pengetahuan, Sikap ABSTRACT RATRI AGUSTINA ANDINI. Development of a Bleeding Risk Detection Module in Pregnancy on Pregnant Women’s Knowledge and Attitude at Wajo Public Health Center, Baubau City. (Supervised by Mardiana Ahmad and M. Aryadi Arsyad). Bleeding during pregnancy is one of the leading causes of maternal mortality. The low level of knowledge and attitude of pregnant women regarding the risks of bleeding is a contributing factor to poor adherence to antenatal care visits. Therefore, an effective educational medium, such as a bleeding risk detection module, is needed to enhance pregnant women's knowledge. Objective: To develop a bleeding risk detection module for pregnancy and analyze the effect of its use on improving pregnant women's knowledge and attitudes. Method: This study employed a Research and Development (R&D) design using a simplified Borg & Gall model. The effectiveness test used a quasi-experimental two-group pre-test and post- test design. The sample consisted of 64 pregnant women, divided into two groups: an intervention group (32 pregnant women) who received the module and a control group (32 pregnant women) who were educated using the Maternal and Child Health (MCH) book. Data collection was conducted using a validated questionnaire. Data were analyzed using the Wilcoxon signed-rank test. Results: In the intervention group, prior to the intervention, 81.3% of participants had low knowledge. In the control group, 93.7% had low knowledge. After the intervention, there was a significant improvement in the intervention group, with 93.8% having high knowledge. Conversely, in the control group, 84.4% still had low knowledge. In terms of attitude, 90.6% of the intervention group initially had a negative attitude, while 100% of the control group showed negative attitudes. After the intervention, the majority of the intervention group (93.8%) demonstrated a positive attitude, whereas the control group remained largely negative at 93.7%. Based on the statistical test, the p-value for both knowledge and attitude variables was 0.000 (< 0.05), indicating that the null hypothesis (H0) was rejected. This shows that the use of the module had a significant effect on improving pregnant women's knowledge and attitudes regarding bleeding risk detection during pregnancy. Conclusion: The Bleeding Risk Detection Module for Pregnancy is feasible to be used as an educational tool to enhance the knowledge and attitudes of pregnant women.