Vol 9 No 1 (March 2027): OPEN

Title: Developing PrenaTalks: A Mixed-Methods Study of Web-Based Education for Maternal Knowledge and Attitudes Toward Birth Preparedness
Author(s): Yuninda Loviana Ersianti, Nadia Taqiyya, Dewi Kartika Sari
Abstract: Maternal mortality remains a major global health concern. Approximately 260,000 maternal deaths occurred in 2023, with 92% occurring in low- and lower-middle-income countries. In Gresik Regency, Indonesia, high-risk pregnancies are most concentrated in Manyar, Menganti, and Kebomas sub-districts. Antenatal care (ANC) coverage remains below regional targets, limiting early detection of pregnancy complications and birth preparedness. High maternal mobility also reduces participation in pregnancy classes and continuity of care. This study aimed to develop PrenaTalks, a web-based educational platform, and assess its feasibility and potential to improve pregnant women’s knowledge and attitudes toward Birth Planning and Complication Prevention (BP/CP). An exploratory sequential mixed-methods design was conducted in three phases. First, qualitative interviews with five informants explored educational needs. Second, the platform was developed based on the findings and validated by three validators. Third, a one-group pretest–posttest study involved 60 second- and third-trimester pregnant women recruited from three community health centers. Qualitative analysis identified four themes: knowledge and experience regarding BP/CP, educational needs and barriers, preferences for digital educational media, and expectations for PrenaTalks. These findings informed the platform’s educational content and features. Content validation yielded a feasibility score of 92%. Following the intervention, mean knowledge scores increased from 15.6 ± 2.3 to 22.0 ± 2.1, while mean attitude scores increased from 28.8 ± 3.4 to 33.6 ± 3.8; both changes were statistically significant (p < 0.001). PrenaTalks demonstrated high feasibility and was associated with improved knowledge and attitudes toward BP/CP as a potential complement to routine antenatal care.
DOI: 10.36079/lamintang.ijcims-0901.1107