FACTORS DESCRIPTION OF PREGNANT WOMEN IN BPM pregnancy exercise Nanik Sulistyowati, Amd.Keb DS. WARUNGERING
KEC. KEDUNGPRINGLAMONGAN

                                                                    CHAPTER 1
                                                              INTRODUCTION

1.1 Background Problem    
     All contain some risk of pregnancy for the mother or baby and it is important to prevent, detect and manage complications become life-threatening emergencies (WHO, 2003). During pregnancy maintenance efforts and increase maternal health requires extra attention. Matters that require attention, among others, nutrition, preparation of lactation, regular prenatal care, improved personal and environmental hygiene, sexual life, rest and sleep, stop harmful habits affect health and the fetus (such as smoking) carry out the movement and pregnancy exercise (MOH, 1992).       Pregnancy exercise is exercise performed during pregnancy in order to prepare for the physical and mental health of pregnant women, with the hope of the birth process will run smoothly and safely. Pregnancy exercise workout is done on a regular basis either at home or place of exercise in leisure time pregnant women can lead to the physiological delivery as long as no pathological conditions that accompany pregnancy. Pregnant women who perform regular pregnancy exercise during pregnancy has been reported to provide benefits at the time of delivery is in the active stage (stage II) becomes shorter, prevent and reduce the incidence of breech position insinden sectio Caesaria. (Daily Independent Voice, 2008)

      Based on research in 2003 showed that Supriadmaja long confinement in cases that do not perform pregnancy exercise was 15.1% and in cases that do gymnastics pregnancy was 1.9%. Confinement time in the pregnancy exercise group were statistically smaller than the group that was not pregnancy exercise. Long second stage of labor in women who have pregnancy exercise was statistically shorter when compared with women who are pregnant do not do gymnastics. (Andrew, 2008)       Based on the initial survey the number of pregnant women in BPM Nanik S. Amd.Keb in 2012 as many as 10 people. Of the number of pregnant women are 60% who do not perform pregnancy exercise. So there are many women who have not been doing gymnastics pregnant because of ignorance.Some factors that can affect pregnant women in making pregnancy exercise include: Age, Education, Employment, Environmental, Social and Cultural Experience and Knowledge. (Nursalam, 2003)Age is counted from the time of birth (Nursalam, 2003). Age is just the start or enter a period of marriage and pregnancy whether a person in maturity in dealing with the issue or problem, in this case deal with pregnancy and the changes during pregnancy. And vice versa with less than 16 years of age then the chances of maturity of mind and behavior are less well in advance to deal with changes and adaptations during pregnancy.

        All planned educational efforts to influence other people, both individuals, families or communities, so they do what is expected by the perpetrator (Soekidjo Notoatmodjo, 2003). The higher the education the more knowledge and more aware of the conditions they experienced pregnancy. And a pregnant woman who knows will kebutuahannya it will automatically do the exercises pregnant with her self-awareness.The work may also affect pregnant women for pregnancy exercise melakuakan. The work is an act done for a living (Dessy Anwar, 2001). Pregnant women who work as a career woman then chances are they are busy with work, so the more tired and reluctant to do gymnastics pregnant. Instead pregnant women only as housewives, day-to-day activities only take care of the household, then chances are they have more spare time to melekukan including pregnancy exercise.       Environment is all that is around the human condition and its effects can affect the behavior of individuals or groups (Nursalam, 2003). Environment in the village are still many women who have not received information about pregnancy exercise. And consider pregnancy exercise is not necessary.Experience is a good teacher, this experience is a source of knowledge or experience that is a way to obtain truth pengatahuan (Soekidjo Notoatmodjo, 2003). Primigravida or multigravida pregnant women have never had experience doing pregnancy exercise. So have never know about pregnancy exercise, and inexperienced.       The social or socio-cultural community groups and cultural life in the form of the result of human cultivation. People living in the community producing arts, customs, and traditions for behavioral attitudes. (Anwar S, 2000). Can affect the social and cultural lifestyle of the people and can give an idea to implement the action. Socio-cultural influences can be both positive and negative, culture positive effect is likely to assist women to adapt to pregnancy exercise.         Negative impact if they do not perform pregnancy exercise that affects the state of the mother and fetus. These impacts include, pervagina bleeding, slow down the delivery process, prone to premature birth, signs of abnormality in the fetus, eclampsia / pre-eclampsia, and so on. Meanwhile, when do pregnancy exercise pregnant women can lead to the physiological delivery as long as no pathological conditions that accompany pregnancy. Pregnant women who perform regular pregnancy exercise during pregnancy has been reported to provide benefits at the time of delivery is in the active stage (stage II) becomes shorter, the location of the breech prevent and reduce the incidence of sectio Caesaria.       Efforts to resolve the issue, midwives can provide maximum service to provide information and knowledge about pregnancy exercise, which is given through counseling to motivate pregnant women to follow pregnancy exercise. It is therefore beneficial role of midwives as educators to solve this problem, by providing counseling exercise pregnant while ANC.         Given the above data, knowledge about pregnancy exercise is lacking, so researchers wanted to know how the image of knowledge about pregnancy exercise pregnant women in the BPM Nanik S. Amd.Keb warungering village, district kedungpring, Lamongan district.

  1.2 Formulation of Research Problems        
        Based on the background described, then the problem can be described as follows: "What a picture of knowledge about pregnancy exercise pregnant women in the BPM Nanik S. Amd.Keb warungering village, district kedungpring, Lamongan district in 2012 ".1.3 Research Objectives      
       To know the description of the knowledge of pregnant women about pregnancy exercise in BPM Nanik S. Amd.Keb warungering village, district kedungpring, Lamongan district in 2012.

1.4 Benefits 
1.4.1 Academic     
     Education institutions are expected to be used as additional insight into the science that can be developed 
1.4.2 Practitioners 
1). For the RespondentsResearch benefits for pregnant women, which is to provide information about pregnancy exercise goals, the benefits of pregnancy exercise, pregnancy exercise procedures and requirements that must be considered for pregnant women in making pregnancy exercise. 
2). For the ProfessionThe results of this study midwifery personnel are expected to provide health services as much as possible, especially in pregnant women. 
3). For InstitutionsThe results of this study is expected to provide input information about pregnancy exercise diwilayahnya so it can be used as a basis for improving the quality of maternal care. 
4). For ResearchersFor further information material for researchers who will conduct a more in-depth enelitian about pregnancy exercise.