Preferences among Pregnant Women in Choosing a Private Midwife Practice as Service Provider for Antenatal Care (ANC)

Rully Fatriani, Risneni Risneni


Antenatal Care (ANC) is essential in achieving a healthy pregnancy. During the pandemic, pregnant women tended to carry out ANC in private midwife practice. The reasons for pregnant women choosing private midwife practice might differ for each individual. This study aims to describe the preference of pregnant women in choosing private midwife practice as a service provider for ANC. This research is a quantitative observational descriptive. The population was pregnant women who performed ANC at a private midwifery practice in Bandar Lampung City from June to July 2023. Eighty-eight samples obtained by accidental sampling met the inclusion criteria and expressed consent to participate. The instrument used was a questionnaire, and data was analyzed using univariate. It was found that preferences of pregnant women in choosing private midwife practice as ANC provider were more experienced midwives (27.3%), previous pregnancy history (22.7%), friendly midwives (18.2%), distance (13.6%), recommended by husband or relatives (9.1%), more affordable costs (4.5%), comfort and complete facilities (4.5%). To increase the number of ANC visits, midwives must pay attention to increasing competency in midwifery care, improving their personality, and providing the facilities pregnant women need.


Health facilities; Midwifery care; Midwifery service.

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Aggarwal, R., & Ranganathan, P. (2019). Study designs: Part 2-Descriptive studies. Perspectives in Clinical Research, 10(1), 34.

American College of Nurse-Midwives. (2016). Creating a Culture of Safety in Midwifery Care. The American College of Nurse-Midwives (ACNM).

Amungulu, M. E., Nghitanwa, E. M., & Mbapaha, C. (2023). An investigation of factors affecting the utilization of antenatal care services among women in post-natal wards in two Namibian hospitals in the Khomas region. Journal of Public Health in Africa, 14(3).

Birhanu, S., Demena, M., Baye, Y., Desalew, A., Dawud, B., & Egata, G. (2020). Pregnant women’s satisfaction with antenatal care services and its associated factors at public health facilities in the Harari region, Eastern Ethiopia. SAGE Open Medicine, 8, 205031212097348.

Camacho, E. M., Smyth, R., Danna, V. A., Kimaro, D., Kuzenza, F., Laisser, R., Mdoe, P., Nsemwa, L., Shayo, H., & Lavender, T. (2022). Women’s preferences for antenatal care in Tanzania: a discrete choice experiment. BMC Pregnancy and Childbirth, 22(1), 296.

Denny, H. M., Laksono, A. D., Matahari, R., & Kurniawan, B. (2022). The Determinants of Four or More Antenatal Care Visits Among Working Women in Indonesia. Asia Pacific Journal of Public Health, 34(1), 51–56.


Fatriani, R. (2021). Gambaran Pengetahuan Ibu Hamil tentang Anemia Defisiensi Besi dan Manfaat Suplemen Fe Selama Kehamilan di Wilayah Kerja Puskesmas Kemiling Kota Bandar Lampung Tahun 2020. Jurnal Ilmu Gizi Indonesia (JIGZI), 2(1).


Fatriani, R. (2023). Hubungan Karakteristik Ibu Hamil dengan Kunjungan Antenatal Care (ANC) di Era Adaptasi Kebiasaan Baru Pandemi COVID-19. Jurnal Medika Malahayati, 7(2), 643-653.

Fawsitt, C. G., Bourke, J., Lutomski, J. E., Meaney, S., McElroy, B., Murphy, R., & Greene, R. A. (2017). What women want: Exploring pregnant women’s preferences for alternative models of maternity care. Health Policy, 121(1), 66–74.

Fujiana, F., Setyowati, S., & Rachmawati, I. N. (2020). Pregnant Women’s Experience during Antenatal Care in Private Clinic Maternity Nursing. Jurnal Keperawatan Indonesia, 23(3), 202–209.

Gildner, T. E., & Thayer, Z. M. (2021). Maternity Care Preferences for Future Pregnancies Among United States Childbearers: The Impacts of COVID-19. Frontiers in Sociology, 6.

Heri, R., Mselle, L. T., & Malqvist, M. (2023). Qualitative Exploration Study of Perceptions of Women and Nurse-Midwives on Antenatal Care Information and Communication in Tanzania. International Journal of Women’s Health, Volume 15, 927–941.

Jones, T., Baxter, M., & Khanduja, V. (2013). A quick guide to survey research. The Annals of The Royal College of Surgeons of England, 95(1), 5–7.

Kozhimannil, K. B., Attanasio, L. B., Yang, Y. T., Avery, M. D., & Declercq, E. (2015). Midwifery Care and Patient–Provider Communication in Maternity Decisions in the United States. Maternal and Child Health Journal, 19(7), 1608–1615.

Leahy-Warren, P., Mulcahy, H., Corcoran, P., Bradley, R., O’Connor, M., & O’Connell, R. (2021). Factors influencing women’s perceptions of choice and control during pregnancy and birth: a cross-sectional study. BMC Pregnancy and Childbirth, 21(1), 667.

Liu, Y., Li, T., Guo, N., Jiang, H., Li, Y., Xu, C., & Yao, X. (2021). Women’s experience and satisfaction with midwife-led maternity care: a cross-sectional survey in China. BMC Pregnancy and Childbirth, 21(1), 151.

Mattern, E., Lohmann, S., & Ayerle, G. M. (2017). Experiences and wishes of women regarding systemic aspects of midwifery care in Germany: a qualitative study with focus groups. BMC Pregnancy and Childbirth, 17(1), 389.

Ministry of Health RI. (2018a). Laporan Nasional Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta.

Ministry of Health RI. (2018b). Pentingnya Pemeriksaan Kehamilan (ANC) di Fasilitas Kesehatan. Kementerian Kesehatan Republik Indonesia.

Ministry of Health RI. (2020). Pedoman Pelayanan Antenatal, Persalinan, Nifas, dan Bayi Baru Lahir di Era Adaptasi Kebiasaan Baru. Kementerian Kesehatan Republik Indonesia.

Mose, A., Fikadu, Y., Zewdie, A., Haile, K., Shitu, S., Wasie Kasahun, A., & Nuriye, K. (2023). Pregnant women’s perception of midwifery-led continuity care model in Ethiopia: a qualitative study. BMC Women’s Health, 23(1), 304.

Nurchairina, N., & Risneni, R. (2019). Peran Bidan Dalam Upaya Keberhasilan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Biha Kecamatan Pesisir Selatan Kabupaten Lampung Barat Tahun 2011. Jurnal Kesehatan Metro Sai Wawai, 5(1), 72–77.

Paramita, A. (2022). Pregnant Women’s Preference for Antenatal Care (ANC) Provider: Lessons Learned to Support Maternal Mortality Rate Reduction Strategies. The Southeast Asian Journal of Tropical Medicine and Public Health.

Peprah, P., Mawuli Abalo, E., Nyonyo, J., Okwei, R., Agyemang-Duah, W., & Amankwaa, G. (2018). Pregnant women's perception and attitudes toward modern and traditional midwives and the perceptional impact on health-seeking behavior and status in rural Ghana. International Journal of Africa Nursing Sciences, 8, 66–74.

Phommachanh, S., Essink, D. R., Jansen, M., Broerse, J. E. W., Wright, P., & Mayxay, M. (2019). Improvement of Quality of Antenatal Care (ANC) Service Provision at the Public Health Facilities in Lao PDR: Perspective and Experiences of Supply and Demand Sides. BMC Pregnancy and Childbirth, 19(1), 255.

Rachmawati, A. I., Puspitasari, R. D., & Cania, E. (2017). Faktor-faktor yang Memengaruhi Kelengkapan Kunjungan Antenatal Care (ANC) Ibu Hamil. Jurnal Majority, 7(1).

Risneni, R., & Yenie, H. (2018). Faktor-Faktor Yang Berhubungan dengan Kehadiran Ibu Hamil Pada Kelas Ibu di Satu Kecamatan Kabupaten Lampung Selatan. Jurnal Ilmiah Keperawatan Sai Betik, 13(1), 19–30.

Santi, D. R., Suminar, D., Devy, S. R., Mahmudah, M., Soedirham, O., & Prasetyorini, A. (2022). Pregnant Women’s Perception of Pregnancy, Childbirth and Postpartum Care: Literature Review in Developing Countries. Open Access Macedonian Journal of Medical Sciences, 10(F), 600–606.

Sekretariat Negara Republik Indonesia. (2016). Peraturan Pemerintah Republik Indonesia Nomor 47 Tahun 2016 tentang Fasilitas Pelayanan Kesehatan. Jakarta.

Stoll, K. H., Hauck, Y. L., & Hall, W. A. (2016). Home or hospital? Midwife or physician? Preferences for maternity care provider and place of birth among Western Australian students. Women and Birth, 29(1), e33–e38.

Suleman Hassen, S., Mulatu Teshale, B., & Abate Adulo, L. (2021). Identifying Factors Associated with Barriers in the Number of Antenatal Care Service Visits among Pregnant Women in Rural Parts of Ethiopia. The Scientific World Journal, 2021, 1–11.

Tasneem, S., & Ozdal, M. A. (2023). Pregnant Women’s Perceptions of the Quality of Antenatal Care in a Public Hospital in Punjab, Pakistan during COVID-19: A Cross-Sectional Study. Healthcare, 11(7), 996.

United Nations Population Fund Indonesia. (2020). Private midwifery practice provides a sense of safety and comfort to expecting mothers during COVID-19. UNFPA - The United Nations Population Fund, Indonesia.

Wau, H., & Razella, N. (2020). Utilization of Antenatal Care (ANC) Services by Pregnant Women in Binjai City and Factors Affecting. Jurnal Kesehatan Masyarakat, 15(3), 390–398.

World Health Organization. (2018). WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience: Summary. World Health Organization.

Yazdani, N. S., Haider, K. A., Khan, A., Jaffar Zaidi, S. A., Rajani, A., Nisar, I., Jehan, F., & Hoodbhoy, Z. (2023). Pregnant Women’s Experiences with Midwifery-Led Antenatal Care Services in Peri-Urban Communities in Karachi, Pakistan. Patient-Related Outcome Measures, Volume 14, 127–136.

Yuill, C., McCourt, C., Cheyne, H., & Leister, N. (2020). Women’s experiences of decision-making and informed choice about pregnancy and birth care: a systematic review and meta-synthesis of qualitative research. BMC Pregnancy and Childbirth, 20(1), 343.



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