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The Relationship between Unintended Pregnancy and Antenatal Care Visit (Analysis of the 2017 Indonesia Demographic and Health Survey Data)
Authors: Dyimes Presidiana Wardhani, and Sudarto Ronoatmodjo
Source: Indian Journal of Public Health Research & Development, 11(7); DOI: 10.37506/ijphrd.v11i7.10254
Topic(s): Antenatal care
Maternal health
Unintended pregnancy
Country: Asia
Published: JUL 2020
Abstract: Background: Unintended pregnancies may lead to wide range of health risks for the mother and child. The 2017 Indonesia Demographic and Health Survey (IDHS) data show that 16 percent of pregnancies were unintended pregnancy. Women with unintended pregnancies are at high risk for unhealthy behaviors and had lower tendency to do antenatal care. Antenatal care is an important program to observation, education and medical treatment for pregnant women to obtain a safe pregnancy and childbirth. The objective of this study is to assess the relationship between unintended pregnancy and antenatal care visit using the 2017 IDHS data. Method: The study was conducted by analyzing the results of the 2017 IDHS data that was carried out on 24 July until 30 September 2017 in 34 provinces in Indonesia by using cross sectional approach. The population in this study was 14.574 women aged 15-49 years who have been pregnant and given birth since January 2012 up to the survey was conducted. The inclusion criterion was the availability of complete data according to variables to be studied in the last pregnancy. The sample in this study using total population that met the inclusion criteria was 14.546. The analysis of the relationship between unintended pregnancy and antenatal care visit applied multivariate Cox regression analysis with 95% confidence interval (CI). Result: Women with an unintended pregnancy were 1,423 (95% CI 1.308-1.547) more likely to perform nonstandard antenatal care compare to women with intended pregnancy after being controlled by education, parity, pregnancy complications, access to mass media, internet access, husband’s support, and participation in deciding healthcare Conclusion: The unintended pregnancy was significantly related with nonstandard antenatal care visit. It is necessary to increase public knowledge related how to prevent unintended pregnancy by health promotion and awareness to access this information through various media. Case of unintended pregnancy need to be found early, so that health workers can educate pregnant women and families to participate in maintaining the health of mothers and children