Management in Health, Vol 19, No 1 (2015)

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Does Prenatal Care Package in Indonesia Reduce Miscarriage/ Stillbirth?



BACKGROUND: Maternal mortality rate (MMRate) in Indonesia increases recently. In 2012, MMRate was 359 per 100,000 live births, higher than MMRate in 2007 (228 per 100,000 live births). However, several years previously (1994, 1997, 2003, 2007), MMRate in Indonesia has shown gradually declining trend (390, 334, 307, 228). Some studies found prenatal care contributed to mother’s pregnancy. This study aims to analyze the package of prenatal care in Indonesia and its implications on pregnancy outcome: miscarriage/stillbirth.


METHODS: This study used Indonesia Family Life Survey (IFLS) round 4 data in 2007-2008. It was a cross-sectional study, involved 14,641 households. This study population was women aged 15-49 years, which was found 10.882 women. Data was analyzed by logistic regression.


RESULTS: The results showed 12.36% among pregnant women experienced miscarriage/ stillbirth. Prenatal care package in Indonesia: health care visit during pregnancy, skilled birth attendants, Fe tablet supplementation was revealed significantly influenced pregnancy outcome. Pregnant women who did complete health care visit during pregnancy (2; 1; 1) had 7 times lower risk of miscarriage/ stillbirth, women who did not take Fe pill were 2 times more risky of experiencing miscarriage/ stillbirth. Additionally, characteristic of mother was also found to be related to pregnancy outcome. Housewife had a half times lower risk of miscarriage/ stillbirth compared to working women, while ill/ disabled women are 40 times more risky.



Keywords: Prenatal care package, miscarriage, stillbirth

CONCLUSION: Prenatal care package influenced miscarriage and stillbirth occurrence. Working and disabled women had greater risk. This study recommends to highly promoting the prenatal care package and improving it for working and disabled women.

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