Factors Influencing the Quality of Antenatal Care among the Pregnancy Group within the New Normal Period
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Abstract
This study was a cross-sectional descriptive research aiming to analyze relationships and influences of predisposing, enabling, and reinforcing factors on the quality of antenatal care (ANC) among pregnant women who accessed ANC and delivery services in Samut Prakan Province during the new normal period. The PRECEDE-PROCEED Framework was applied as the conceptual framework for the study. The sample group consisted of 153 postpartum women who came for postnatal check-ups, selected through multi-stage random sampling. Data were collected using structured interview questionaires. Data were analyzed using descriptive statistics, chi-square test for relationships, and multiple logistic regression analysis to assess predictive ability.
The results showed that 72.5% of postpartum women received quality ANC according to the criteria. Statistically significant factors associated with quality ANC during the new normal period included age, occupation, health insurance, pre-existing conditions before pregnancy, pregnancy planning, pregnancy history, and delivery history (p < .05). The multiple logistic regression analysis revealed that age, pregnancy history, and delivery history were significant predictors of quality ANC during the new normal period (p < 05). Recommendations from the study suggest that nurses should develop educational programs focusing on self-care for pregnant women and fetal well-being, particularly targeting young pregnant women without prior pregnancy experience. The implementation of family planning counseling clinics, as well as practical training on maternal and fetal care, is also recommended to enhance preparedness and facilitate the transition into parenthood after childbirth.
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