Prevalence and factors associated with complications in antenatal care and childbirth at hospitals in the Myanmar–Thailand border areas, Tak Province

Authors

  • Unchalee Bunlue Registered Nurse, Professional Level, Primary and Holistic Services Division, Mae Ramat Hospital, Tak Province

Keywords:

Antenatal care, Prevalence, Border, Risk factors, Pregnancy complications

Abstract

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.

Downloads

Download data is not yet available.

References

Biro, M. A., Davey, M. A., Carolan, M., & Kealy, M. (2012). Advanced maternal age and obstetric morbidity for women giving birth in Victoria, Australia: A population-based study. Aust N Z J Obstet Gynaecol, 52(3), 229-34.

Byerley, B. M., & Haas, D. M. (2017). A systematic overview of the literature regarding group prenatal care for high-risk pregnant women. BMC pregnancy and childbirth, 17(1), 329. doi: 10.1186/s12884-017-1522-2.

Ekakkatachit, V. (2016). Adversed pregnancy outcome of elderly pregnancy in Nangrong Hospital. Mahasarakham Hoapital journal, 13(3), 71-77. (in Thai)

Health Center for Marginalized Ethnic Groups and Migrants. (2011). Survey of child and youth health status in remote area by Highland Health Development Center. Retrieved November 1, 2020, from http://doc.anamai.moph.go.th/index.php?r=str-project/view&id=3487. (in Thai)

James, D. K., Steer, P. J., Weiner, C. P., Gonik, B., Crowther, C. A., & Robson, S. C. (2010). High risk pregnancy management options. (4th ed.). St. Louis, MO: Sounders Elsevier Inc.

Lee, S., Ayers, S., & Holden, D. (2012). Risk perception of women during high risk pregnancy: A systematic review. Health, risk & society, 14(6), 511-531.

Maeramad-hospital, Tak Province. (2020, November 1). Information for pregnant women and giving birth in Mae Ramat Hospital in 2017- 2019. Retrieved November 1, 2020, from the Hospital OS Program. (in Thai)

Pattanapomgthorn, J., & Roongsubsin, N. (2015). New antenatal care according to WHO advisory. Journal of Interdisciplinary Research: Graduate Studies, 4(2), 7-19. (in Thai)

Pattanasombutsook, M., Korwiwatanagarn, S., & Siriphan, S. (2021). Factors related to anemia among pregnant women attending antenatal clinic in Yala Province. Princess of Naradhiwas University Journal, 13(1), 56-72. (in Thai)

Pooluea, C. (2016). The prevalence and associated factors of anemia in pregnancy in Phra Nakhon Si Ayutthaya Hospital, Phra Nakhon Si Ayutthaya Province. Journal of Preventive Medicine Association of Thailand, 6(1), 15-26. (in Thai)

Ruangcharoen, P., & Trisrisilp, K. (2020, April 28). Macrosomia. Retrieved November 1, 2020, from https://w1.med.cmu.ac.th/obgyn/index.php?option=com_content&view=article&id=1566:macrosomia&catid=45&Itemid=561. (in Thai)

Sae-tia, P. (2012). Maternal risk factors of low-birthweight newborn. Medical Journal of Srisaket surin Buriram Hospitals, 27(1), 65-76. (in Thai)

Sananpanichkul, P., & Leaungsomnapa, Y. (2015). Adolescent pregnancy: Maternal factors effect on fetal outcome. Journal Prapokklao Hosp Clin Med Educat Center, 32(2), 147-156. (in Thai)

Sunitha, T., Prasoona, K. R., Kumari, T. M., Srinadh, B., Deepika, M. L. N., Aruna, R. et al. (2017). Risk factors for congenital anomalies in high risk pregnant women: A large study from South India. Egyptian Journal of Medical Human Genetics, 18(1), 79-85.

Tak Provincial Health Office. (2019). Annual report of maternal and child health. Tak: Tak Provincial Health Office. (in Thai)

World health Organization. (2021, January 13). WHO guideline development panel meeting on WHO antenatal care guidelines – update on nutrition recommendations for zinc supplementation. Retrieved January 13, 2021, from https://www.who.int/news-room/events/detail/2021/01/13/default-calendar/whoguideline-development-panel-meetingon-who-antenatal-care-guidelines-updateon-nutrition-recommendations-for-zincsupplementation.

Yeoh, P. L., Hornetz, K., & Dahlui, M. (2016). Antenatal care utilisation and content between low-risk and high-risk pregnant women. PLoS One, 11(3), e0152167. doi:10.1371/journal.pon e.0152167.

Published

2021-04-28

How to Cite

Bunlue, U. . (2021). Prevalence and factors associated with complications in antenatal care and childbirth at hospitals in the Myanmar–Thailand border areas, Tak Province. Journal of Public Health Naresuan University, 3(1), 50–61. Retrieved from https://he01.tci-thaijo.org/index.php/JPHNU/article/view/247621