THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDES, AND BEHAVIORS OF POSTPARTUM MOTHERS REGARDING POSTNATAL EXAMINATION AND POSTNATAL VISITS

Abstract

The postpartum period is a critical phase lasting 6-8 weeks after 
delivery, during which mothers require continuous health 
monitoring and care. Postnatal visits are standard services provided 
by healthcare workers from 6 hours to 42 days postpartum to detect 
and prevent complications. This study aimed to analyze the 
relationship between knowledge, attitudes, and behaviors of 
postpartum mothers regarding postnatal examination and postnatal 
visits at TPMB Yohana Wididjati, Tulungagung Regency. 
 This study employed an analytical observational design with a 
cross-sectional approach. The research was conducted from April 
to June 2025. The population comprised all postpartum mothers 
who delivered at TPMB Yohana Wididjati during the study period. 
A sample of 44 respondents was selected using simple random 
sampling based on inclusion criteria. Data were collected using 
structured questionnaires to measure knowledge, attitudes, and 
behaviors, and verified through Maternal and Child Health (MCH) 
books. Data analysis utilized univariate and bivariate analysis with 
the Chi-Square test.  
The results showed that 59.1% of respondents had good 
knowledge, and 63.6% had positive attitudes toward postnatal 
examination. There was a significant relationship between 
knowledge and postnatal visits (p=0.001), and between attitudes 
and postnatal visits (p=0.001). Mothers with good knowledge had 
8.25 times greater odds of completing postnatal visits compared to 
those with sufficient knowledge. The combination of good 
knowledge and positive attitudes resulted in the highest proportion 
of complete postnatal visits (88.0%, p=0.000). 
 In conclusion, knowledge and attitudes of postpartum mothers 
are significantly associated with adherence to postnatal visits. 
Healthcare providers are expected to deliver comprehensive health 
education focused on improving knowledge and fostering positive 
attitudes among postpartum mothers to enhance postnatal visit 
coverage.