Predictors of Pregnant Women's Delayed Initiation of Antenatal Care in Central Thailand.

IF 1.4 Q3 NURSING

Iranian Journal of Nursing and Midwifery Research Pub Date : 2026-05-07 eCollection Date: 2026-03-01 DOI:10.4103/ijnmr.ijnmr_191_25

Suphangphim Rattasumpun, Nithinan Sirabarameesith

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Abstract

Background: Delayed initiation of antenatal care leads to adverse effects on maternal and fetal health outcomes. This study aimed to identify the predictors of delayed initiation of antenatal care among pregnant women.

Materials and methods: This descriptive cross-sectional study used a purposive sample of 330 women attending a hospital's antenatal clinic in Central Thailand, divided into two groups: those attending the first antenatal visit before 12 weeks of gestation and those attending the first antenatal visit 12 weeks or more after. From May to October 2024, data were collected on sociodemographic information, knowledge, beliefs about pregnancy and antenatal care, antenatal care service setting, and social support. Data were analyzed using descriptive and multivariate logistic regression.

Results: The predictors of delayed initiation of antenatal care were attitude (95% CI: 3.65-17.59; P < 0.001; OR = 8.02), social support (95% CI: 3.29-14.91; P < 0.001; OR = 7.00), perceived benefit (95% CI: 2.65-17.59; P < 0.001; OR = 5.91), unplanned pregnancy (95% CI: 1.72-8.46; P = 0.001; OR = 3.81), and perceived risk (95% CI: 1.58-7.08; P = 0.002; OR = 3.34).

Conclusions: Healthcare providers should address these predictors to encourage timely antenatal care before 12 weeks of gestation.

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泰国中部孕妇延迟开始产前护理的预测因素。

背景：延迟产前保健的开始导致对孕产妇和胎儿健康结果的不利影响。本研究旨在确定怀孕妇女延迟开始产前护理的预测因素。材料和方法：这项描述性横断面研究使用了泰国中部一家医院产前门诊的330名妇女的有目的样本，分为两组：在妊娠12周之前参加第一次产前检查的组和在妊娠12周或更长时间之后参加第一次产前检查的组。从2024年5月至10月，收集了社会人口学信息、妊娠和产前保健知识、信念、产前保健服务环境和社会支持等方面的数据。数据分析采用描述性和多元逻辑回归。结果：延迟开始产前护理的预测因子为态度（95% CI: 3.65 ~ 17.59; P < 0.001; OR = 8.02）、社会支持（95% CI: 3.29 ~ 14.91; P < 0.001; OR = 7.00）、感知获益（95% CI: 2.65 ~ 17.59; P < 0.001; OR = 5.91）、意外妊娠（95% CI: 1.72 ~ 8.46; P = 0.001; OR = 3.81）、感知风险（95% CI: 1.58 ~ 7.08; P = 0.002; OR = 3.34）。结论：医疗保健提供者应解决这些预测因素，鼓励在妊娠12周之前及时进行产前保健。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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