The Role of Midwives in the Early Detection of Infertility Risk Factors Among Women of Reproductive Age
Abstract Views: 255
PDF Downloads: 216
DOI:
https://doi.org/10.56211/pubhealth.v4i1.1064Keywords:
Infertility; Reproductive health; Midwifery; Early Diagnosis
Abstract
Primary infertility is an increasingly prevalent reproductive health issue, yet it often remains undetected at the primary care level. Midwives, as frontline health professionals, hold strategic potential in the early identification of infertility risk through maternal and child health (MCH) services. This study aimed to analyze the relationship between patients’ perceptions of midwives’ roles and the identification of infertility risk factors among couples of reproductive ages. This study employed a cross-sectional design with a quantitative approach. The sample consisted of 32 reproductive-age couples attending MCH services in Yogyakarta, Indonesia. Data were collected using a structured questionnaire assessing perceptions of midwives’ roles across five dimensions: education, early detection, counseling, referral, and communication. Data analysis included chi-square tests and multivariate logistic regression. A significant association was found between positive perceptions of midwives’ roles in education (p=0.041), early detection (p=0.018), and communication (p=0.029) with successful identification of infertility risk factors. Early detection emerged as the most dominant factor (OR=3.47; 95% CI=1.29–9.31). Midwives' roles in early detection, education, and communication significantly contribute to identifying infertility risk factors. Strengthening midwives’ authority and capacity in fertility-related issues is essential to promote a sustainable preventive approach in primary health care.
Downloads
References
Aker, S., Kartal, Y. A., & Bulut, A. (2024). Investigation of Fertility Awareness and Fertility Anxeity Levels of Midwifery Students. International Journal of Caring Sciences, 17(3), 1374.
Alirezaei, S., Taghipour, A., & Roudsari, R. L. (2022). The effect of infertility counseling interventions on marital and sexual satisfaction of infertile couples: A systematic review and meta-analysis. International Journal of Reproductive Biomedicine, 20(10), 795. https://doi.org/10.18502/IJRM.V20I10.12264 DOI: https://doi.org/10.18502/ijrm.v20i10.12264
Boudreau, G., Brassard, A., Beaulieu, N., Audet, A., & Péloquin, K. (2024). Attachment and Sexual Functioning in Couples Seeking Fertility Treatment: The Role of Infertility-Specific Coping Strategies. Journal of Sex & Marital Therapy, 50(3), 395–412. https://doi.org/10.1080/0092623X.2024.2302019 DOI: https://doi.org/10.1080/0092623X.2024.2302019
Brigance, C. A., Brown, E. C., & Cottone, R. R. (2021). Therapeutic Intervention for Couples Experiencing Infertility: An Emotionally Focused Couples Therapy Approach. Family Journal, 29(1), 72–79. https://doi.org/10.1177/1066480720973420 DOI: https://doi.org/10.1177/1066480720973420
Carson, S. A., & Kallen, A. N. (2021a). Diagnosis and Management of Infertility: A Review. JAMA, 326(1), 65–76. https://doi.org/10.1001/JAMA.2021.4788
Carson, S. A., & Kallen, A. N. (2021b). Diagnosis and Management of Infertility: A Review. JAMA, 326(1), 65–76. https://doi.org/10.1001/JAMA.2021.4788 DOI: https://doi.org/10.1001/jama.2021.4788
Chamorro, P. P., Herruzo, J., Pino, M. J., & Casas-Rosal, J. C. (2024). Coping, social support and medical factors on psychosocial impact in couples experiencing infertility. Journal of Sex & Marital Therapy, 50(2), 197–215. https://doi.org/10.1080/0092623X.2023.2269983 DOI: https://doi.org/10.1080/0092623X.2023.2269983
de Santiago, I., & Polanski, L. (2022). Data-Driven Medicine in the Diagnosis and Treatment of Infertility. Journal of Clinical Medicine 2022, Vol. 11, Page 6426, 11(21), 6426. https://doi.org/10.3390/JCM11216426 DOI: https://doi.org/10.3390/jcm11216426
Garolla, A., Pizzol, D., Carosso, A. R., Borini, A., Ubaldi, F. M., Calogero, A. E., Ferlin, A., Lanzone, A., Tomei, F., Engl, B., Rienzi, L., De Santis, L., Coticchio, G., Smith, L., Cannarella, R., Anastasi, A., Menegazzo, M., Stuppia, L., Corsini, C., & Foresta, C. (2021). Practical Clinical and Diagnostic Pathway for the Investigation of the Infertile Couple. Frontiers in Endocrinology, 11, 591837. https://doi.org/10.3389/FENDO.2020.591837/XML DOI: https://doi.org/10.3389/fendo.2020.591837
Gasemi, A., Shahbazzadegan, S., Mohammadi, M. A., & Akbari, P. A. (2025). The Effect of Midwife’s Premarital Counseling on Women’s Attitude towards Fertility and Childbearing: A Quasi-experimental Study. Journal of Midwifery and Reproductive Health, 13(2), 4757. https://doi.org/10.22038/JMRH.2023.74931.2202
Yulianik Mulyowati, C. W., & Winarsih, R. (2024). Perlindungan Hukum Bagi Bidan Di Klinik Berdasarkan Undang-Undang Nomor 17 Tahun 2023 Tentang Kebidanan. Justicia Journal, 13(1), 28–38. https://doi.org/10.32492/JJ.V13I1.13104 DOI: https://doi.org/10.32492/jj.v13i1.13104
Mokhtari Sorkhani, T., Ahmadi, A., Mirzaee, M., Habibzadeh, V., & Alidousti, K. (2021). Effectiveness of Counseling for Infertile Couples on Women’s Emotional Disturbance: A Randomized Clinical Trial. Revista Brasileira de Ginecologia e Obstetricia, 43(11), 826–833. https://doi.org/10.1055/S-0041-1736305/ID/BR200364-38/BIB DOI: https://doi.org/10.1055/s-0041-1736305
Mosconi, L., Crescioli, G., Vannacci, A., & Ravaldi, C. (2021). Communication of Diagnosis of Infertility: A Systematic Review. Frontiers in Psychology, 12, 615699. https://doi.org/10.3389/FPSYG.2021.615699/BIBTEX DOI: https://doi.org/10.3389/fpsyg.2021.615699
Nik Hazlina, N. H., Norhayati, M. N., Shaiful Bahari, I., & Nik Muhammad Arif, N. A. (2022). Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis. BMJ Open, 12(3), e057132. https://doi.org/10.1136/BMJOPEN-2021-057132 DOI: https://doi.org/10.1136/bmjopen-2021-057132
Pallotti, F., Barbonetti, A., Rastrelli, G., Santi, D., Corona, G., & Lombardo, F. (2022). The impact of male factors and their correct and early diagnosis in the infertile couple’s pathway: 2021 perspectives. Journal of Endocrinological Investigation 2022 45:10, 45(10), 1807–1822. https://doi.org/10.1007/S40618-022-01778-7 DOI: https://doi.org/10.1007/s40618-022-01778-7
Perez Capotosto, M. (2021). An Integrative Review of Fertility Knowledge and Fertility-Awareness Practices Among Women Trying to Conceive. Nursing for Women’s Health, 25(3), 198–206. https://doi.org/10.1016/J.NWH.2021.04.001 DOI: https://doi.org/10.1016/j.nwh.2021.04.001
Shirazi, M. S. R., Salarkarimi, F., Moghadasi, F., Mahmoudikohani, F., Tajik, F., & Nejad, Z. B. (2024). Infertility Prevention and Health Promotion: The Role of Nurses in Public Health Initiatives. Galen Medical Journal, 13, e3534. https://doi.org/10.31661/GMJ.V13I.3534 DOI: https://doi.org/10.31661/gmj.v13i.3534
Soleimani, R., Ansari, F., Hamzehgardeshi, Z., Elyasi, F., Moosazadeh, M., Yazdani, F., Shahidi, M., Shiraghaei, N., Karimi, M., Hemati, T., & Pejmanmanesh, M. (2023). Perceived stress reduction through an infertility coaching program: a randomized controlled clinical trial. Scientific Reports 2023 13:1, 13(1), 1–9. https://doi.org/10.1038/s41598-023-41845-4 DOI: https://doi.org/10.1038/s41598-023-41845-4
Teklemicheal, A. G., Kassa, E. M., & Weldetensaye, E. K. (2022). Prevalence and correlates of infertility related psychological stress in women with infertility: a cross-sectional hospital-based survey. BMC Psychology, 10(1), 1–8. https://doi.org/10.1186/S40359-022-00804-W/TABLES/4 DOI: https://doi.org/10.1186/s40359-022-00804-w
Vander Borght, M., & Wyns, C. (2018). Fertility and infertility: Definition and epidemiology. Clinical Biochemistry, 62, 2–10. https://doi.org/10.1016/J.CLINBIOCHEM.2018.03.012 DOI: https://doi.org/10.1016/j.clinbiochem.2018.03.012
Woroniecka, W., Neneman, M., & Sztyber, B. (2023). Consultations between midwives and couples affected by infertility using the Creighton Model as a diagnostic tool for health monitoring: A case report. Medical Science Pulse, 17(1). https://doi.org/10.5604/01.3001.0053.4019
Downloads
Article History
Pages: 95-101
How to Cite
Issue
Section
License
Copyright (c) 2025 Erna Yovi Kurniawati, Elfrida Iriyani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Penulis yang mempublikasikan naskahnya pada PubHealth Jurnal Kesehatan Masyarakat menyetujui ketentuan berikut:
Hak cipta atas artikel apapun dalam PubHealth Jurnal Kesehatan Masyarakat dipegang penuh oleh penulisnya di bawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License. dengan beberapa ketentuan sebagai berikut:
"Penulis mengakui bahwa PubHealth Jurnal Kesehatan Masyarakat berhak sebagai yang mempublikasikan pertama kali dengan lisensi Creative Commons Attribution-ShareAlike 4.0 International License / CC BY SA 4.0"
"Penulis dapat memasukan tulisan secara terpisah, mengatur distribusi non-ekskulif dari naskah yang telah terbit di jurnal ini ke dalam versi yang lain (misal: dikirim ke respository institusi penulis, publikasi ke dalam buku, dll), dengan mengakui bahwa naskah telah terbit pertama kali pada PubHealth Jurnal Kesehatan Masyarakat."
"Pembaca diperbolehkan mengunduh, menggunakan, dan mengadopsi isi artikel selama mengutip artikel dengan menyebutkan judul, penulis, dan nama jurnal ini. Pengutipan tersebut dilakukan demi kemajuan ilmu pengetahuan dan kemanusiaan serta tidak boleh melanggar hukum yang berlaku."
