The Effect of Antenatal Care During Covid -19 on Complications of Pregnant

Quality Antenatal Care (ANC) services can prevent complications during pregnancy, but during the Covid-19 pandemic, there is a policy for mothers to postpone ANC visits. The purpose of the study was to find out how the influence of ANC services during the Covid-19 pandemic on the incidence of complications in pregnant women. The research method used is an analytical survey with a Cross-Sectional approach. The number of samples is 110 pregnant women respondents. The statistical test used is the Chi-Square test. The results showed that the age of pregnant women was 92.1% of healthy reproductive age, high school education level was 90.4%, some pregnancies experienced by mothers 2 were 66.7%, work as housewives were 67%. The biggest complication that occurs in pregnant women is anemia (40%). The provision of quality ANC services with 10T has a positive influence on the incidence of complications in pregnancy during the pandemic (p-value <0.05), as well as understanding of the Maternal and Child Health (MCH) book (p-value <0.05) and the anxiety felt by the mother (p-value <0.05) influences the occurrence of complications. The conclusions obtained were the effect of providing quality ANC services with 10 T, understanding of the MCH handbook on the incidence of complications during the covid-19 pandemic.


INTRODUCTION
Maternal mortality is still a concern of the Indonesian government.

Planning and Complication Prevention
Program and Integrated maternal and child health services (Nurhidajat and Kusumawati, 2018 respondents. In this study, there was a change in data retrieval, which initially would be carried out by interview, but at the end of this study using a google form application in data retrieval. From the results of editing the 120 data entered, it was found that only 114 data could be used because some data were declared incomplete, and there were duplicate data.

RESULTS AND DISCUSSION
Since the end of February 2020 has been the  (Ariestanti, Widayati and Sulistyowati, 2020). Healthy reproductive age is the age that is almost ready to face pregnancy, both physically and mentally. The reproductive function at this age is the best where the female reproductive organs are completely ripe and ready to receive the fruit of her pregnancy to minimize complications in pregnancy (Nurhidajat and Kusumawati, 2018).
This high enough education can make it easier for mothers to receive the knowledge conveyed by midwives to carry out pregnancy care independently and make decisions when complications occur (Ariestanti, Widayati and Sulistyowati, 2020). The level of a mother's knowledge of pregnancy danger signs is one of the nonmedical factors, which can accelerate the reduction of maternal morbidity and mortality. However, in this study, there was no effect of the level of education of pregnant women on the incidence of complications. There is no effect of the education level of pregnant women on the incidence of complications in this study.
Most (88.8%) pregnant women have a high school education level and above so that mothers can find information on their health through the internet and get information from midwives through telecommunications. Previous experience of pregnant women will also affect the level of knowledge of mothers in care during pregnancy. In addition, pregnancy complications occur because the mother has risk factors such as being too young or too old to give birth, her medical history, especially obstetric medical history.
Indonesian culture generally believes that mothers have the main task of caring for children, families and taking care of the house. Although not all of these opinions can be accepted, they are still widely applied in Indonesia (Putri and Lestari, 2015).
In this study, the mother's occupation affects the incidence of pregnancy  (Jewaro et al., 2020). One of the factors in maternal mortality is four too, namely too old, too young, too frequent childbirth, too short birth spacing (Nurhidajat and Kusumawati, 2018). In this study, the parity factor is also a characteristic of the mothers studied.
However, the maternal parity analysis results on the occurrence of complications did not affect with p value >0.05. Several studies have shown that more parity is a factor in maternal mortality (Sulastri et al., 2019).
The parity factor of the mother having the number of children mainly was less or equal to 2 (low risk of pregnancy) in this study. The parity analysis of the mother on the occurrence of complications did not affect the p value >0.05. Several studies have shown that more parity is a factor in maternal mortality. The number of parity in Grande multiparity or maternal pregnancies of more than 4 has a higher risk than mothers who only have a history of parity   (Marniyati, Saleh and Soebyakto, 2016). In other studies, it was found that most pregnant women continued to make ANC visits. Which were still carried out routinely using health protocols, namely wearing masks, making appointments when they wanted to visit, washing hands, and social distancing (Ariestanti, Widayati and Sulistyowati, 2020). Pregnant women who make visits ANC more than four times during their pregnancy will get 2.3 times the quality of service that is better than those who only do ANC once so that pregnant women will have their health monitored and immediately get treatment in case of complications in their pregnancy (Kassaw, Debie and Geberu, 2020).