Fajarina Mira, Terathongkum Sangthong, Lininger Jiraporn
Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
Belitung Nurs J. 2024 Jun 28;10(3):360-367. doi: 10.33546/bnj.3339. eCollection 2024.
Late antenatal care (ANC) has significant implications for maternal and infant morbidity and mortality among Muslim pregnant women in Indonesia. Existing literature has primarily focused on gestational weeks at the first ANC contact, with limited attention to the total number of ANC visits.
This study aimed to explore the factors predicting late antenatal care contact among Muslim pregnant women, including the gestational weeks of the first ANC contact and the total number of ANC visits in Aceh, Indonesia.
A predictive correlational study design was utilized. Eighty postpartum women who received late ANC were purposively sampled and included in the study. Data were collected in May 2023 using ANC knowledge, beliefs, and social support questionnaires. Statistical analyses included descriptive statistics, Spearman's rank correlation, Chi-Square tests, and binary logistic regression with the enter method.
Pregnant women residing farther from home to ANC services were more likely to have their first ANC contact after 20 weeks than those with a shorter distance (AOR = 1.06; 95% CI: 1.02-1.10; = 0.007). Additionally, women with a history of multiple abortions were more inclined to have four or more ANC visits compared to those with fewer abortions (AOR = 6.78; 95% CI: 1.64-28.09; = 0.008).
Distance from home to healthcare services emerged as a significant barrier to ANC contact, while a history of abortion appeared to motivate pregnant women to seek ANC more frequently. To address these issues effectively, nurses should consider implementing telemedicine services for ANC provision, integrating information on pregnancy complications to better support pregnant women in their care journey.
在印度尼西亚的穆斯林孕妇中，晚期产前护理（ANC）对母婴发病率和死亡率有重大影响。现有文献主要关注首次进行产前护理时的孕周，而对产前护理就诊的总次数关注较少。
本研究旨在探讨预测印度尼西亚亚齐地区穆斯林孕妇晚期产前护理接触的因素，包括首次进行产前护理时的孕周和产前护理就诊的总次数。
采用预测性相关性研究设计。有目的地抽取了80名接受晚期产前护理的产后妇女纳入研究。2023年5月使用产前护理知识、信念和社会支持问卷收集数据。统计分析包括描述性统计、Spearman等级相关性分析、卡方检验以及采用逐步进入法的二元逻辑回归分析。
居住地距离产前护理服务机构较远的孕妇，比距离较短的孕妇更有可能在孕20周后首次进行产前护理（比值比 = 1.06；95%置信区间：1.02 - 1.10；P = 0.007）。此外，有多次流产史的妇女比流产次数较少的妇女更倾向于进行4次或更多次产前护理就诊（比值比 = 6.78；95%置信区间：1.64 - 28.09；P = 0.008）。
居住地与医疗服务机构的距离是产前护理接触的一个重要障碍，而流产史似乎促使孕妇更频繁地寻求产前护理。为有效解决这些问题，护士应考虑实施远程医疗服务以提供产前护理，整合有关妊娠并发症的信息，以便在孕妇的护理过程中更好地为其提供支持。
