 Okay. So I'm about to introduce our speaker. For the purpose of this presentation, we're going to keep our videos off, so we'll just be on audio, but I'll just quickly present Thadema to you. So we're excited to have Thadema as our presenter. Thadema is a highly experienced midwife with a passion for teaching and research. She currently serves a midwifery academic in the Faculty of Nursing and Health at the University of... Sorry, I'm going to apologise for my speech. ...in Indonesia. Alongside her teaching responsibilities, Thadema is pursuing her master's degree in midwifery at the University of Saiyajar Jakarta, where she is conducting research on the critical top picks of sexual reproductive health and maternal neonatal health in Indonesia. With a wealth of knowledge and expertise, we're eager to hear what insights Thadema has to share with us today. I am now going to set a hand over to Thadema to give me two seconds. Thank you, Bella, for your kindness. I'm sorry for the trouble. And thank you, Bella, for being my facilitator for this session. I absolutely honour, will join and participate in this VIP and event this year. And thank you for everyone for coming for my presentation. Hi, I will share with you a part of my previous master's about decision-making during pregnancy and childbirth in adolescence scoping review. Before I start my presentation, let me introduce myself. My name is Thadema. I'm originally from South Kalimantan, but now I'm a student of master's midwifery program in Unissa, Jakarta, Indonesia. I would like to thank you to Unissa for supporting me in these opportunities. And I also would like to thank you to my supervisor, Ibu Andari Wuryasuti, for her guidance and advice and for being my supervisor in my master's research. I have been working under her supervisor for some research and national project in Indonesia, especially about sexual reproductive health. Adolescent is an important period in cognitive, psychological and psychosocial health development. And teenage pregnancy is one of the phenomena that exist in the world that has negative impact on the health, social and economic. Teenage pregnancy is one of the conditions in adolescence that impact the developmental class of adolescence, including the ability to make decisions related to marriage and reproductive health. Women, including adolescents, actually have the right to make decisions about their health, but they have limitation in their role. The existence of gender issues and the position of women in the family and also limitation in the access of health provider is also meet the role of women in making decisions and use of health devices. Every year, an estimated 21 million girls aged 15 to 19 years old in little regions become pregnant and approximately 12 million of people of the birth. Please, girls at increased rates of pregnancy because girls who are married very early typically have limited autonomy to influence decision making about laying, child viewing and contraceptive use. So, the aim of this scoping review is to make the evidence and to explore the experience of adolescent who married early. Regarding decision making, how to process decision making in the family, form of support, obstacle and also expectation in decision making. For the method that used in this scoping review, this scoping review in our research is refers to framework access and OMELE and for identifying research question, we are using the population exposure and outcome framework to assess in article search. Determine inclusion and exclusion criteria and identify appropriate research article. In termining the article in accordance with the objective and research question, we are identify several strategies in article search including inclusion and exclusion criteria using article search databases and using medical subject heading from Cation, Bolean Operator and giving attention to the use of vocabulary. In British English and American English. For the documentation of the article research, we are using a phasom flow chart. For the synthesis of the research article, we are carrying out using data charting was adopted from Joanna Bridge Institute including that about the author. Title, year, country, objectives, type of research, methods, sample size and result of the research. For the assessment of the quality of article was carried out using the critical appraisal scale program tool for qualitative research and the Joanna Bridge Institute critical appraisal tool for qualitative article. And this is the phasom flow chart. Article search on several article databases and sites that are producing keywords. Determine obtained 2130 articles and 56 articles were excluded at stage of duplication checker and screening a total of 2077 research article were screening, extraction and assessment of the quality of the article was carried out on my original article. Based on the analysis of the time of the article conduct after that analysis, the extraction and assessment of the quality article, the time of the selected article is identified being for mining time. The first is problem solving and this is making process influence yield factor in this is making support in this is making during pregnancy and childbirth. And the last is expectation about this is making during pregnancy and childbirth. For the first time about the problem solving and this is making process, actually current become the main factor that affect autonomy in this is making related to pregnancy in adolescent and often make the decision to have an abortion in teenage pregnancy as well out of the problem. But some adolescents have the ability to make decision related to pregnancy or to have an abortion on their own. And the second time is influence yield factor in this is making is strongly influenced by individual factors such as age, financial autonomy, the right to continue school, family and partner support, stigma, concern for the couple, family characteristics, the quality of child relationship with the parents, cultural picture like abortion, shame, religion and culture and the quality of healthcare and healthcare system also influence decision making during pregnancy and childbirth. For support in this is making mother and mother-in-law play an important role providing support during pregnancy such as providing mining place of selection health services, place of delivery, resident and fulfillment of nutrition. Actually this is in line with the other research with which states that older women have a big influence and role during pregnancy, especially issues related to the fulfillment of nutrition and determined decision in the selection of health services. The last time is expectation about the education and health services. Quality education help prepare adolescent to prevent with reproductive health behavior and help determine healthcare when need. The existence of comprehensive sexual and adolescent health education in the school is expected to affect the knowledge of adolescent, both the prevention and treatment of the pregnancy and also the existence of healthcare family health services for adolescents so they have the confidence to discuss sensitive issue with the health provider. The conclusion in this review is decision making during pregnancy and childbirth is strongly influenced by various factors such as individual, family, spouse and adolescent couple who marry early often lose autonomy in decision making during pregnancy and childbirth. The existence of the education of adolescent and comprehensive gender and age-based health program provide to adolescent, family, communities through a cultural approach is expected to increase knowledge, abilities through participation and assist adolescent in determining the necessary health services. This is the picture when I take data on my primary research about decision making in the couple who married early under 19 years old. This is data collecting hold-on superbant in Banjo-Masin, South Kalimantan in Indonesia. This is the couple is 18 years old and based on data actually South Kalimantan is the highest prevalence in child marriage in Indonesia at 2019. Hopefully next year I would participate in this event again and would present this result of primary research. Thank you everyone for coming in this session. It's over to you Gela. Thank you Fatima for that beautiful presentation. We are about to have some questions so if people want to put some questions into the public chat. I do have one first Fatima. Could you sort of explain or identify what are the potential factors or reasons for loss of autonomy in decision making amongst adolescents during pregnancy and childbirth? Thank you Gela. For based on several study that I had already, it's gender issue in the family and position of the women, age and also social culture is strongly influence the ability the adolescent for making the decision making for their life. It's especially about the child bearing and contraceptive use. For example, in my participant in this photo, they lost autonomy to make decision about choose the place of the delivery and lost autonomy to make breastfeeding. The mother is unsuccessful breastfeeding. That's the causes of the adolescent couple lost their autonomy during decision making during pregnancy and childbirth. Over to you Gela. Beautiful. Thank you. Anyone any questions at all? I'm curious why we wait to see if anyone does have any questions Fatima about where you potentially say you're self taking this research further. Hello Gela. Are you there? Yeah. Sorry my connection is... That's okay. Where do you see this research going in the future? Where do you want to take it? Yeah, this is couple is the women is 18 years old and the men is 18 years old. They have a limitation making decision about their life and living in the mother-in-law house. So they also less of knowledge about the baby care, about the breastfeeding, about the contraceptive use for the health. And this is actually a mother-in-law has a big role in their family and the couple is lost autonomy for making decision. That sounds like a hard situation for people to be in. I apologize I don't know too much about Indonesia and the sort of maternity pregnancy education. But I feel like your research could be important to informing education like how you can improve like ways that we can sort of help people sort of get in there and learn a bit more. Is there any sort of channels where you could take your research to help people learn a bit more and improve their education around childbirth and pregnancy? Actually in Indonesia there is a program during pregnancy like maternity class. But for women and they have knowledge about the pregnancy and childbirth. But this couple didn't come to this maternity class because they don't have the ability to come because they have a difficult position in the household. Gender issues and the mother will strongly influence them and also the duties in the household limit the women to access to health services. It sounds like really important information that you've uncovered that will help in the future. Is there any specific maternity classes for adolescents? No it's joined with the other age with the most specific class for adolescents. So maybe you will come to being a student during maternity class and in a maternity class there are women with pregnant in the age reproductive. And also the pregnant women under 18 years old. I know I've been involved in some young mum sessions before where it combines maternity classes with maternity free chats. So basically I was a sort of pregnant less than 24 years old which is like a really rewarding area to work in. So I do look forward to see where you take your research and see where it goes. Is there anything else you'd like to add about your research? Sorry Bella? Is there anything else you'd like to say about your research? Do you want to add anything else that's important? Ah yeah the couple is head and stick from the other couple during antenatal care, antenatal visit in the health provider and also they have a plan about the place of delivery but when the sign of delivery is come they actually choose the other place to delivery because the mother or mother in law suggest them to deliver for other place like that. Right. I very much enjoyed your presentation Fatima. That doesn't seem to be any questions but I did enjoy your session and learning a bit more about your work. I'm just going to steal my presenter back from you. So if no one has any questions or anything like that I can end this session but there's a little bit to go. I'm just going to...