The Relationship between Unintended Pregnancy and Antenatal Care Visit (Analysis of the 2017 Indonesia Demographic and Health Survey Data)

Abstract

Background: Unintended pregnancies may lead to wide range of health risks for the mother and child. The

2017 Indonesia Demographic and Health Survey (IDHS) data show that 16 percent of pregnancies were

unintended pregnancy. Women with unintended pregnancies are at high risk for unhealthy behaviors and

had lower tendency to do antenatal care. Antenatal care is an important program to observation, education

and medical treatment for pregnant women to obtain a safe pregnancy and childbirth. The objective of this

study is to assess the relationship between unintended pregnancy and antenatal care visit using the 2017

IDHS data.

Method: The study was conducted by analyzing the results of the 2017 IDHS data that was carried out on 24

July until 30 September 2017 in 34 provinces in Indonesia by using cross sectional approach. The population

in this study was 14.574 women aged 15-49 years who have been pregnant and given birth since January

2012 up to the survey was conducted. The inclusion criterion was the availability of complete data according

to variables to be studied in the last pregnancy. The sample in this study using total population that met the

inclusion criteria was 14.546. The analysis of the relationship between unintended pregnancy and antenatal

care visit applied multivariate Cox regression analysis with 95% confidence interval (CI).

Result: Women with an unintended pregnancy were 1,423 (95% CI 1.308-1.547) more likely to perform

nonstandard antenatal care compare to women with intended pregnancy after being controlled by education,

parity, pregnancy complications, access to mass media, internet access, husband’s support, and participation

in deciding healthcare

Conclusion: The unintended pregnancy was significantly related with nonstandard antenatal care visit. It is

necessary to increase public knowledge related how to prevent unintended pregnancy by health promotion

and awareness to access this information through various media. Case of unintended pregnancy need to be

found early, so that health workers can educate pregnant women and families to participate in maintaining

the health of mothers and children