EARLY DETECTION OF HIGH-RISK PREGNANCY THROUGH COMMUNITY-BASED MATERNAL HEALTH SCREENING: THE ROLE OF MIDWIVES AND FAMILY SUPPORT
DOI:
https://doi.org/10.55681/aohj.v3i2.563Keywords:
High-risk pregnancy, Maternal health screening, Family support, Remove High-risk pregnancyAbstract
High-risk pregnancy remains a major challenge for maternal health because clinical, obstetric, behavioral, and social risk factors may develop before women reach referral facilities. Community-based screening can create earlier opportunities for recognition, counseling, referral, and follow-up when midwives and families participate actively. This study examined a community maternal-health screening model integrating standardized risk assessment, midwife-led interpretation, family education, and referral support. A simulation-based quasi-experimental design used 360 synthetic pregnancy records from six hypothetical community service areas. The intervention pathway combined antenatal risk screening, blood-pressure assessment, obstetric-history review, danger-sign education, family engagement, birth preparedness, and documented referral tracking. Outcomes included completeness of risk screening, early identification of high-risk pregnancy, timely referral, antenatal-care adherence, birth preparedness, and family-support scores. Simulated results showed higher screening completeness, earlier risk identification, improved referral completion, and stronger antenatal adherence after implementation. Women with supportive families demonstrated better modeled follow-up and birth-preparedness indicators than women with limited support. Midwives were central to validating screening findings, communicating risk, coordinating referral, and preventing unnecessary alarm. However, workforce capacity, measurement quality, transportation barriers, health literacy, and referral availability remained important constraints. The findings suggest that community screening is most effective when risk detection is connected to professional midwifery judgment and practical family support. Prospective field studies are required to evaluate effectiveness, safety, equity, cost, and maternal outcomes using real clinical data in Indonesian primary healthcare settings. while strengthening respectful, timely, coordinated maternal care across community and referral services. while strengthening
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