Determinants of Low Birth Preparedness in Primigravida Mothers from the Perspective of Women's Empowerment
Year: 2026
Type: article
Study design: Observational Study
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.
Source: Jurnal Kesehatan Reproduksi
Institution: Horizon University Indonesia
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7225459653