Prediction model for composite adverse pregnancy outcomes: Indonesia demographic health survey analysis
Journal Title: Journal of Public Health and Development - Year 2024, Vol 22, Issue 3
Abstract
Adverse Pregnancy Outcome (APO) is the leading cause of infant mortality, particularly in low and middle-income countries. Despite no significant change in neonatal mortality rates in Indonesia over the past fifteen years, identifying the risk factors for APO can help healthcare professionals provide personalized interventions and support. This study aims to determine the determinants of APO risk in Indonesia. The cross-sectional study utilized the 2017 Indonesian Health Demographic Survey (IDHS), which included 9,752 women of reproductive age. APO, including low birth weight, early birth, and stillbirth, was the outcome of the study. The demographic characteristics and other risk factors were evaluated. To identify APO-risk-associated factors, we performed multiple logistic regression analysis. The results showed that low economic status (Adj. OR= 1.407; 1.153-1.716; p= 0.001)), living in rural areas (Adj. OR= 0.804; 0.663-0.976; p= 0.027), having a history of pregnancy or childbirth complications (Adj. OR= 4.563; 3.617-5.756; p= 0.0001), premature rupture of the membrane during pregnancy or after giving birth (Adj. OR= 1.351; 1.069-1.708; p= 0.012), antenatal visits <4 times (Adj. OR= 1.603; 1.123-2.288; p= 0.009), consumption of iron supplement tablets <90 days (Adj. OR= 1.275; 1.063-1.529; p= 0.009), and twin pregnancy (Adj. OR= 33.715; 18.587-61.153; p= 0.0001) significantly influenced the APO prevalence. The study concluded that APO risk is significantly impacted by poor obstetric history features, multiple births, low health service utilization, and sociodemographic factors. Early detection of these risk factors is essential for reducing neonatal death caused by APO.
Authors and Affiliations
Eka Santy Abdurrahman, Eka Budiarto, Indrajani Sutedja, Narila Mutia Nasir, Besral, Alias Masek, Kemal Nazaruddin Siregar
Keywords
Related Articles
- EP ID EP744878
- DOI 10.55131/jphd/2024/220302
- Views 14
- Downloads 0
Investigation effectiveness of the integrated educational approach on obsessive-compulsive disorder
Obsessive-Compulsive Disorder (OCD) is one of the most prevalent and incapacitating psychological disorders. This quasi-experimental study endeavors to examine the impact of three concurrent psychological in...
Prevalence and help-seeking behaviour for non-suicidal self-injury in college students
The prevalence of NSSI has become a widespread health problem in various countries. There is a scarcity of research pertaining to NSSI in Eastern countries, in comparison to studies undertaken in Western countries. This...
Workplace health promotion management of non-communicable disease prevention and implementation among organizational leaders and human resource executives in Thailand: A qualitative study
In Thailand, the Cabinet has outlined a national reform plan (public health), which emphasizes the concept of health promotion in alignment with the United Nations' Sustainable Development Goals. The plan focuses on poli...
Knowledge, attitude, and practice of using food labels among medical students: A cross-sectional study in Haiphong, Vietnam
Food labeling is an essential tool that provides consumers with dietary guidelines. The increased use of food labels can improve people’s health and prevent nutrition-related problems. In Vietnam, more evidenc...
Effect of the oral health care program (FUNDEE) on the oral health care behavior status of elderly ethnic groups living in rural areas: a quasi-experimental study
The oral health of elderly people plays a major role in their overall health and quality of life and is an integral part of personal care. The aim of this study was to evaluate the effect of implementing the oral health...