Family decision making for Madurese women with pregnancy complications: a qualitative study

Retnayu Pradanie, Ni Ketut Alit Armini, Aria Aulia Nastiti, Tiyas Kusumaningrum, Mira Triharini, Esti Yunitasari, Kristen Graham

Research output: Contribution to journalArticlepeer-review

Abstract

Background/Aims
A delay in referring women with pregnancy complications to medical care is a significant contributor to maternal mortality worldwide. In Madura, Indonesia, these delays can be exacerbated by the role of a woman's family in decision making. This study aimed to explore family decision making in seeking healthcare for women with pregnancy complications in Madura.

Methods
Using a descriptive qualitative approach, in-depth interviews were conducted to explore the decision-making experiences of 12 pregnant women, 12 of their family members and 10 midwives.

Results
Three themes were identified: women empowerment issues, cultural factors, and important considerations in seeking healthcare for women with pregnancy complications.

Conclusions
Continuous health education is needed to increase knowledge of appropriate maternal care for pregnant women and their families. The involvement of religious leaders in programmes to enhance referral decision making would be beneficial.
Original languageEnglish
Pages (from-to)172-179
Number of pages8
JournalBritish Journal of Midwifery
Volume32
Issue number4
Early online date27 Mar 2024
DOIs
Publication statusPublished - 2 Apr 2024

Keywords

  • Family decision making
  • Health-seeking behaviour
  • Maternal health
  • Pregnancy complications

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