The Impact of the COVID-19 Pandemic on Antenatal Care among Pregnant Women in Indonesia: A Cross-Sectional Study Rahmah Hida Nurrizka1*, Feda Anisah Makkiyah2, Yuri Nurdiantami3
1Department of Public Health, Faculty of Health Sciences, Universitas Islam Negeri Syarif Hidayatullah Jakarta, Indonesia
2School of Medicine, Universitas Pembangunan Nasional Veteran Jakarta, Indonesia
3Department of Public Health, Faculty of Health Sciences, Universitas Pembangunan Nasional Veteran Jakarta, Indonesia
Abstract
Background: This study analyzes the impact of the COVID-19 pandemic on antenatal care among pregnant women in Indonesia.
Methods: This study is a cross-sectional study based on an online survey to pregnant women. After data selection process, 120 samples were analyzed. Analysis in this study used bivariate analysis and multivariate analysis. Multivariate analysis used logistic regression with a significant level at P ≤- 0.05.
Results: The COVID-19 pandemic has a negative impact to ability and condition of pregnant women to get antenatal care. There are about 14.2% of the respondents who did not complete the pregnancy examination. 45.8% of respondents stated that this pandemic had disrupted their fluency in pregnancy examinations. In addition, 53.3% of respondents experienced psychological problems when performing antenatal care. The results of the bivariate analysis show that the area of residence of pregnant women affects the smoothness of antenatal care with P = 0.049. In addition, number of children also affects the smoothness of antenatal care with P = 0.012. Meanwhile, multivariate analysis shows significant effect of anxiety feeling among pregnant women to the fluency of pregnant women in antenatal care with OR = 4.513 (95% CI: 1.986-10.256).
Conclusion: Safe antenatal care is needed with strict health protocols. Improvement of online antenatal care and pregnancy counseling oriented to the mental health of pregnant women are also required.
Keywords: COVID-19 pandemic, antenatal care, pregnant women, cross-sectional study, Indonesia
