Impact of antenatal care on pregnancy outcomes: A cross-sectional study in a rural community in Malaysia

Background: Malaysia has a high standard of health-care system, including antenatal care (ANC) services. Objective: This cross-sectional study was carried out to assess the impact of regular ANC visits on outcome in a rural community in Malaysia from September to November, 2019, in village Kampung M...

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Main Authors: Tahmina Afrose Keya, Kevin Fernandez, Kailash C Kharkwal, Nasrin Habib
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Medical Journal of Dr. D.Y. Patil Vidyapeeth
Subjects:
Online Access:http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2021;volume=14;issue=2;spage=172;epage=179;aulast=Keya
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author Tahmina Afrose Keya
Kevin Fernandez
Kailash C Kharkwal
Nasrin Habib
author_facet Tahmina Afrose Keya
Kevin Fernandez
Kailash C Kharkwal
Nasrin Habib
author_sort Tahmina Afrose Keya
collection DOAJ
description Background: Malaysia has a high standard of health-care system, including antenatal care (ANC) services. Objective: This cross-sectional study was carried out to assess the impact of regular ANC visits on outcome in a rural community in Malaysia from September to November, 2019, in village Kampung Merbok in Kedah, Malaysia. Method and Materials: A pretested semi-structured questionnaire was used as a tool for data collection among the women who gave birth in public or private health-care centers. Association between the various components of ANC and pregnancy outcome was examined using multivariate logistic regression analysis, and Chi-square test/Fisher's exact test was used to interpret the association between the ANC visits and the outcome variables. Result: Among the respondents, 39 (78%) had more than four ANC visits. Fourteen (28%) respondents had adverse pregnancy outcome. All nonattendees had adverse outcome. Only 6 (12%) women (95% confidence interval: 3.22, 20.78) had a history of cesarean section. This study found statistically significant association between maternal ANC visits and maternal and neonatal outcome variables (P < 0.05). Pearson's correlation test also revealed the strong relationship between ANC and the outcome variables (P < 0.0001). Conclusion: In this study, mothers having regular ANC visits experienced better pregnancy outcome compared to those nonattendees. Nevertheless, it is necessary to adhere to a minimum level of four ANC visits for all pregnant women. More health promotion programs are required focusing on improving women's awareness of the necessity of ANC throughout their pregnancy.
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spelling doaj.art-96cbf8f6ecab4a70ac885a13e83177c82022-12-21T20:29:34ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102021-01-0114217217910.4103/mjdrdypu.mjdrdypu_14_20Impact of antenatal care on pregnancy outcomes: A cross-sectional study in a rural community in MalaysiaTahmina Afrose KeyaKevin FernandezKailash C KharkwalNasrin HabibBackground: Malaysia has a high standard of health-care system, including antenatal care (ANC) services. Objective: This cross-sectional study was carried out to assess the impact of regular ANC visits on outcome in a rural community in Malaysia from September to November, 2019, in village Kampung Merbok in Kedah, Malaysia. Method and Materials: A pretested semi-structured questionnaire was used as a tool for data collection among the women who gave birth in public or private health-care centers. Association between the various components of ANC and pregnancy outcome was examined using multivariate logistic regression analysis, and Chi-square test/Fisher's exact test was used to interpret the association between the ANC visits and the outcome variables. Result: Among the respondents, 39 (78%) had more than four ANC visits. Fourteen (28%) respondents had adverse pregnancy outcome. All nonattendees had adverse outcome. Only 6 (12%) women (95% confidence interval: 3.22, 20.78) had a history of cesarean section. This study found statistically significant association between maternal ANC visits and maternal and neonatal outcome variables (P < 0.05). Pearson's correlation test also revealed the strong relationship between ANC and the outcome variables (P < 0.0001). Conclusion: In this study, mothers having regular ANC visits experienced better pregnancy outcome compared to those nonattendees. Nevertheless, it is necessary to adhere to a minimum level of four ANC visits for all pregnant women. More health promotion programs are required focusing on improving women's awareness of the necessity of ANC throughout their pregnancy.http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2021;volume=14;issue=2;spage=172;epage=179;aulast=Keyaantenatal care visitmaternal complicationspregnancy outcomerisk assessmentrisk reduction
spellingShingle Tahmina Afrose Keya
Kevin Fernandez
Kailash C Kharkwal
Nasrin Habib
Impact of antenatal care on pregnancy outcomes: A cross-sectional study in a rural community in Malaysia
Medical Journal of Dr. D.Y. Patil Vidyapeeth
antenatal care visit
maternal complications
pregnancy outcome
risk assessment
risk reduction
title Impact of antenatal care on pregnancy outcomes: A cross-sectional study in a rural community in Malaysia
title_full Impact of antenatal care on pregnancy outcomes: A cross-sectional study in a rural community in Malaysia
title_fullStr Impact of antenatal care on pregnancy outcomes: A cross-sectional study in a rural community in Malaysia
title_full_unstemmed Impact of antenatal care on pregnancy outcomes: A cross-sectional study in a rural community in Malaysia
title_short Impact of antenatal care on pregnancy outcomes: A cross-sectional study in a rural community in Malaysia
title_sort impact of antenatal care on pregnancy outcomes a cross sectional study in a rural community in malaysia
topic antenatal care visit
maternal complications
pregnancy outcome
risk assessment
risk reduction
url http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2021;volume=14;issue=2;spage=172;epage=179;aulast=Keya
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AT kevinfernandez impactofantenatalcareonpregnancyoutcomesacrosssectionalstudyinaruralcommunityinmalaysia
AT kailashckharkwal impactofantenatalcareonpregnancyoutcomesacrosssectionalstudyinaruralcommunityinmalaysia
AT nasrinhabib impactofantenatalcareonpregnancyoutcomesacrosssectionalstudyinaruralcommunityinmalaysia