Prevalence and factors associated with complications in antenatal care and childbirth at hospitals in the Myanmar–Thailand border areas, Tak Province
Keywords:
Antenatal care, Prevalence, Border, Risk factors, Pregnancy complicationsAbstract
The high-risk pregnancy affects pregnancy complications and infant death, especially at hospitals
in border areas. This retrospective study aimed to investigate the prevalence and factors associated with
complications in antenatal care and childbirth at hospitals in the Myanmar–Thailand border areas.
The studied sample consisted of pregnant women who had antenatal care and delivered at hospitals in
the Myanmar–Thailand border areas between October 2016 to September 2019. The required data were
collected from the medical record and analyzed using descriptive statistics and the Chi-square test.
The results showed that the proportion of 2,806 pregnant women were highlands Thai people (40.5%),
Foreigners of Burmese descent (22.4%), Foreigners of Karen descent (18.7%), and Thai people (18.4%),
respectively. The study subjects aged 12-47 years old, with an average of 24.9 years old. The incidence
of primigravida and attended quality antenatal care were 32.6% and 41.7%. The highest prevalence of
complications in pregnancy was iron deficiency anemia (15.1%), followed by fetal growth restriction (6.3%),
breech/transverse births (6.2%), and preterm infant (5.0%). Factors such as race, age, the proportion of
primigravida, and attended quality antenatal care were statistically associated with pregnancy complications
at a p-value less than 0.05. The results suggested that factors related to the prevalence of complications
in pregnancy were different for each race. Therefore, health agencies at the border areas should provide
proactive antenatal care services as well as agencies should screen for early prenatal risk conditions in
the community and in-service places, including a better patient transfer system to higher-level services.
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