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Year : 2021  |  Volume : 14  |  Issue : 2  |  Page : 172-179

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

1 Department of Community Medicine, Faculty of mMedicine, AIMST University, Semeling, 08100, Bedong, Kedah, Malaysia
2 Department of Obstetric and Gynaecology, Faculty of Medicine, AIMST University, Semeling, 08100, Bedong, Kedah, Malaysia
3 Department of Physiology, Faculty of Medicine, Quest International University Perak (QIUP) City Campus, No.227, Plaza Teh Teng Seng (Level 2), Jalan Raja Permaisuri Bainun, 30250 Ipoh, Perak Darul Ridzuan, Malaysia

Correspondence Address:
Tahmina Afrose Keya
Department of Community Medicine, Faculty of Medicine, AIMST University, 08100, Semeling, Bedong, Kedah
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.mjdrdypu_14_20

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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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