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 |
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IJWHR 2021; 9: 042-048 DOI: 10.15296/ijwhr.2021.08 Viewed : 2367 times Downloaded : 1886 times. Keywords : Pre-pregnancy, Knowledge, High-risk pregnancy, Practice |
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Abstract | |
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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