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Jan 2021, Vol 9, Issue 1
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Original Article
Utilization of Pre-pregnancy Care Services Among Women With High-Risk Pregnancy in the Northern Part of Peninsular Malaysia
Nazirah Jusoh1,2, Tengku Alina Tengku Ismail1, Noor Aman A. Hamid1
1Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
2Kuantan State Health Office, Kuantan, Malaysia

IJWHR 2021; 9: 042-048
DOI: 10.15296/ijwhr.2021.08
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Keywords : Pre-pregnancy, Knowledge, High-risk pregnancy, Practice
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Objectives: This study aimed to determine the utilization of pre-pregnancy care services and their associated factors among women with high-risk pregnancy in the northern part of Peninsular Malaysia.

Materials and Methods: This cross-sectional study commenced in 2017 among women diagnosed as high-risk pregnancy in governmental health clinics in the state of Perak, Malaysia. Stratified random sampling was applied and interviewer-guided questionnaires were administered in this regard. A proforma and the validated Pre-pregnancy Care Knowledge and Practice Questionnaire were used, consisting 21 items on knowledge and 16 items on practice. The utilization of pre-pregnancy care services was defined if someone had attended the service at least once prior to the current pregnancy. Finally, logistic regression analysis was conducted using SPSS software.

Results: Of 490 women with high-risk pregnancies, 23.9% (n=117) utilized pre-pregnancy care services. Only one-third of them were aware of the offered services (33.1%), received advice to seek these services (30.4%), and were referred to the services (27.3%). There were four significant associated factors for the utilization of pre-pregnancy care services, including maternal age (P = 0.016), planned pregnancy (P < 0.001), family planning practice (P < 0.001), and pre-pregnancy care knowledge (P = 0.030).

Conclusions: The utilization of pre-pregnancy care services among women with high-risk pregnancy in this study was low. An increase in maternal age, a planned pregnancy, history of practicing family planning, and women with good pre-pregnancy care knowledge were more likely to utilize pre-pregnancy care services.

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