|Utilization of Pre-pregnancy Care Services Among Women with High Risk Pregnancy in 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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Keywords : Pre-pregnancy, knowledge, high risk, Practice
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Objectives: To determine the utilization of pre-pregnancy care services and its associated factors among women with high risk pregnancy in northern part of Peninsular Malaysia.
Materials and Methods: Thiscross-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. A proforma and the validated Pre-pregnancy Care Knowledge and Practice Questionnaire were used, consisting of 21 items on knowledge and 16 items on practice. The utilization of pre-pregnancy care services was defined as those who had attended the service at least once prior to the current pregnancy. Logistic regression analysis was conducted using SPSS software.
Results: Of the 490 women with high risk pregnancy, 23.9% (n=117) had utilized the pre-pregnancy care services. Only one-third of them were aware of the services offered (33.1%), received advice to seek the services (30.4%), and were referred to the services (27.3%). There were four significant associated factors of utilization of pre-pregnancy care services; which were 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, having a planned pregnancy, history of practicing family planning, and women with good pre-pregnancy care knowledge were more likely to utilize the pre-pregnancy care services.
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