Evidence map›Paper›PMID 40660232›Full record

ArticleBMC nursing2025

Trends and determinants of antenatal, intranatal, and postnatal care utilization among Indonesian women (2012-2017): associated factors in midwifery service utilization between midwives and other health professionals.

Qorinah Estiningtyas Sakilah Adnani, Rufidah Maulina, Kadar Ramadhan, Niken Bayu Argaheni, Holly Powell Kennedy, Michelle Telfer

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Qorinah Estiningtyas Sakilah AdnaniDepartment of Public Health, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia. qorinah.adnani@unpad.ac.id.ORCID https://orcid.org/0000-0002-4625-4861
Rufidah MaulinaMidwifery Study Program, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.ORCID https://orcid.org/0000-0002-7630-0048
Kadar RamadhanDepartment of Midwifery, Poltekkes Kemenkes Palu, Palu, Indonesia.ORCID https://orcid.org/0000-0002-0193-5698
Niken Bayu ArgaheniMidwifery Study Program, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.ORCID https://orcid.org/0000-0002-8053-8278
Holly Powell KennedySchool of Nursing, Yale University, New Haven, Connecticut, 06477, USA.ORCID https://orcid.org/0000-0001-7866-1552
Michelle TelferSchool of Nursing, Yale University, New Haven, Connecticut, 06477, USA.ORCID https://orcid.org/0000-0002-8176-3936

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal healthcare services during pregnancy and childbirth are essential to reducing adverse maternal and child health outcomes, including maternal and child mortality. Midwives in Indonesia play an important role in providing maternal healthcare services. PURPOSE: The purpose of this study is to analyze trends in midwifery care utilization for antenatal care (ANC), intranatal care (INC), and postnatal care (PNC) among Indonesian women between in 2012 and 2017, and to examine the sociodemographic, economic, and regional factors associated with access and utilization to inform strategies for improving maternal and neonatal health outcomes.

methodThis study uses data from the Indonesia Demographic and Health Survey (IDHS) from 2012 to 2017. A total of 15,269 women aged 15-49 from the Indonesia Demographic and Health Survey (IDHS) participated in this study, consisting of 7,712 women from the 2012 survey and 7,557 from the 2017 survey. Only respondents who completed the Women's Questionnaire were included in the analysis. A multiple logistic regression model was used to analyze factors associated with midwives' engagement in maternal healthcare service provision. This study used multivariate analyses for 2012 and 2017 to examine the relationships between various socio-demographic characteristics and the utilization of specific maternal health services in Indonesia.

resultSeveral factors consistently influenced service utilization of midwifery services, including younger maternal age, secondary education, being married, without health insurance, rural residence, and higher ANC visit frequency. Women with normal births and without complications were significantly utilizing the service from midwives. Conversely, disparities remained for women in the eastern part of Indonesia and among those with higher parity.

conclusionMidwives play a critical role as accessible and trusted providers and remain central to strengthening service delivery and extending community-level reach across Indonesia. These insights offer valuable guidance for policymakers and health planners in enhancing midwife-led service coverage and improving maternal health outcomes. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Antenatal careIndonesiaIntranatal careMaternal healthMaternal mortalityMidwivesPostnatal care

Identifiers

PMID40660232
PMCPMC12257849

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.