科维德-19 大流行期间孕妇推迟产前检查的相关因素

Malaysian Journal of Public Health Medicine Pub Date : 2023-08-28 DOI:10.37268/mjphm/vol.23/no.2/art.1790

PohYing Lim, Faizah Nasir, Lee Khuan, Norliza Ahmad

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引用次数: 0

摘要

马来西亚的产前保健（ANC）预约延迟率高于卫生部设定的目标（20%）。首次产前检查建议在妊娠 12 周内进行。本研究旨在调查雪兰莪州雪邦市孕妇延迟预约产前护理的发生率和因素。这项横断面研究采用自填问卷的方式，在政府医疗诊所随机抽取了 492 名第一、第二和第三孕期的孕妇。延迟产前检查预约的发生率为 27.6%（136 人）。多元逻辑回归显示，知识贫乏（AOR = 1.604，95% CI:1.022,2.517，P 值 = 0.040）、奇数较多（AOR = 1.225，95% CI:1.003,1.495，P 值 = 0.AOR=2.855，95% CI:1.227,6.645，P-值=0.015）和没有分娩经验（AOR=2.906，95% CI:1.147,7.364，P-值=0.025）与延迟 ANC 预约有关。本研究中推迟产前检查预约的发生率高于卫生部的目标值，因此建议制定适当的计划来提高目标高危人群的知识和意识。

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Factors associated with late booking of antenatal care among pregnant women during covid-19 pandemic

The prevalence of late antenatal care (ANC) booking in Malaysia is higher than the target set by the Ministry of Health (20%). First ANC is suggested to be conducted within 12 gestation weeks. This study aims to investigate the prevalence and factors of late booking of ANC among pregnant women in Sepang, Selangor. A cross-sectional study using a self-administered questionnaire on 492 pregnant women in the first, second, and third trimesters was conducted randomly at government health clinics. The prevalence of late ANC booking was 27.6% (136). Multiple logistic regression showed that poor knowledge (AOR = 1.604, 95% CI:1.022,2.517, P-value = 0.040), higher parity (AOR = 1.225, 95% CI:1.003,1.495, P-value = 0.046), previous experience of spontaneous vaginal delivery (SVD, AOR = 2.855, 95% CI:1.227,6.645, P-value = 0.015) and did not have experience on delivery (AOR = 2.906, 95% CI:1.147,7.364, P-value = 0.025) associated with late ANC booking. The prevalence of late ANC booking in this study was higher than MOH targeted, therefore it is suggested to devise the appropriate program to improve knowledge and awareness of the targeted high-risk population.

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来源期刊

Malaysian Journal of Public Health Medicine Medicine-Public Health, Environmental and Occupational Health

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： Malaysian Journal of Public Health Medicine (MJPHM) is the official Journal of Malaysian Public Health Physicians’ Association. This is an Open-Access and peer-reviewed Journal founded in 2001 with the main objective of providing a platform for publication of scientific articles in the areas of public health medicine. . The Journal is published in two volumes per year. Contributors are welcome to send their articles in all sub-discipline of public health including epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, public health policy and management, health economics, occupational health and environmental health.