Abstract

Women have been fulfilling their reproductive responsibility of propagating human race, many have died and many more faced death in the process of delivering babies, but this can be prevented by taking appropriated antenatal care, clean and safe delivery and essential obstetric care. Antenatal care is the first phase to be encountered once a woman has conceived. The objective of the study was to assess the antenatal (AN) care practice and pregnancy outcome of ever-married women aged 18 to 49 years old having at least one pregnancy experience, residing in kampongs of Kudat area, Sabah, East Malaysia, Northern Borneo from December 2015 to October 2016. Cross–sectional analytical study, non-probability convenient sampling method was used and 300 eligible participants were interviewed face to face by trained interviewer using pretested questionnaire. 99.3% of all the women received AN care, and 97% of the women received AN care practice (AN visit of 4 times and above). Mean AN visit was 9 times. The study revealed that overall knowledge amongst the women with good knowledge was 47.2% and low knowledge was 52.8%. Additionally, there was significant association between education and knowledge, income and knowledge, AN care practices and knowledge. But there was no significant association between AN practice and complication. Despite these results, outcomes were good and all complications were properly and successfully addressed. This may reflect the effectiveness of current national maternal health programs.Asian J. Med. Biol. Res. March 2017, 3(1): 31-37

Highlights

  • Women have been fulfilling their reproductive responsibility of propagating human race, many have died and many more faced death in the process of delivering babies, but this can be prevented by taking appropriated antenatal care, clean and safe delivery and essential obstetric care

  • Mothers were aware that high risks of pregnancy as diabetes mellitus (78%) and high blood pressure (92%) respectively

  • Good knowledge score on AN care 47% found in this study was comparable with that of 44% found out in Rosliza and Muhamad (2011) study but could be lower than that stated by Ojong et al (2015) study at Nigeria having nearly 80% and by Matyukira (2014) study revealed 68%

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Summary

Introduction

Women have been fulfilling their reproductive responsibility of propagating human race, many have died and many more faced death in the process of delivering babies, but this can be prevented by taking appropriated antenatal care, clean and safe delivery and essential obstetric care. As recommended by WHO, regular antenatal (AN) care is essential during pregnancy It suggested that a pregnant women should get at least minimum 4 antenatal visits. Regular blood pressure examination should be done and observation of any swelling of feet and face is essential. She should have two tetanus toxoid injections at one month interval and be supplied with daily folic and iron tablets. During pregnancy period, she should consume a variety of food more often (WHO, 1999). According to the Perinatal Care Manual edited by the Ministry of Health Malaysia, primigravida women are advised to go for a

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