The Relationship Between Participation In Pregnant Women’s Classes And Mothers’ Knowledge Of Danger Signs In Pregnancy
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Pregnancy complications that are not recognized early can endanger both the mother and fetus. About 15% of pregnancies worldwide are estimated to involve complications. Limited awareness of danger signs may delay recognition of difficulties and timely seeking care. Pregnant Women’s Classes are structured educational activities designed to improve maternal knowledge of pregnancy and its danger signs. This study examined the association between class participation and mothers’ knowledge of pregnancy danger signs. A quantitative analytic cross-sectional study was conducted at the Bumidaya Palas Outpatient Health Center, South Lampung Regency, in February 2025. The population comprised 134 pregnant women. A minimum sample of 100 participants was calculated applying a 5% margin of error to the Slovin formula, and participants were recruited through consecutive sampling Women were classified as class participants if they had attended at least three sessions during the current pregnancy. Knowledge was assessed using a validated questionnaire with strong internal consistency (Cronbach's α = 0.94). The chi-square test and descriptive statistics were employed in the analysis, with p < 0.05 being the threshold for statistical significance. Among respondents, 64% did not participate in the classes and 36% did. Poor knowledge was found in 76.6% of non-participants, while 77.8% of participants had good knowledge. Knowledge levels differed significantly by class participation (p < 0.001; OR = 11.433; 95 % CI: 4.310-30.331). Participation in Pregnant Women’s Classes was significantly associated with better knowledge of pregnancy danger signs.
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