Factors associated with the intention to practise family planning among antenatal women with risk of gestational diabetes mellitus in Klang Health District: A cross-sectional study

Siti Athirah B 1 , Mohd Hafiz S 2 , Dong LN 3 , Lim PS 4 , Nasrinsa SH 5 , Nor Aliah MN 6 Show all authors , Nur Akmal A 7 , Shanmuga Kritika K 8 , Fadzilah M 9 , Cheong AT 10

Affiliations 

  • 1 MBBS, icFRACGP, Klinik Kesihatan Kapar, Ministry of Health Malaysia, Selangor, Malaysia. Email: athirah137@yahoo.com
  • 2 MD, icFRAGCP, Klinik Kesihatan Pandamaran, Jalan Raja Muda Musa, Kawasan 10, Pelabuhan Klang, Selangor, Malaysia
  • 3 MBBS, icFRAGCP, Klinik Kesihatan Pandamaran, Jalan Raja Muda Musa, Kawasan 10, Pelabuhan Klang, Selangor, Malaysia
  • 4 MD, icFRAGCP, Klinik Kesihatan Anika Klang, 112 Jalan Pegawai Off Jalan Tengku, Kelana, Klang, Selangor, Malaysia
  • 5 MD, icFRAGCP, Klinik Kesihatan Pulau Indah, JKR 1353 Jalan Rahmat Off Persiaran, Masjid Sultan, Pulau Indah, Selangor, Malaysia
  • 6 MD, icFRAGCP, Klinik Kesihatan Pandamaran, Ministry of Health Malaysia, Jalan Raja Muda Musa, Kawasan 10, Pelabuhan Klang, Selangor, Malaysia
  • 7 MD, icFRAGCP, Klinik Kesihatan Anika Klang, 112 Jalan Pegawai, Off, Jalan, Tengku Kelana, Klang, Selangor, Malaysia
  • 8 MBBS, icFRAGCP, Klinik Kesihatan Bukit Kuda, Jalan Batu Tiga Lama, Kawasan 15, Klang, Selangor, Malaysia
  • 9 MBBCh BAO, MMed, Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malalysia
  • 10 MBBS, MMed, PhD, Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malalysia. Email: cheaitheng@upm.edu.my
Malays Fam Physician, 2024;19:38.
PMID: 39022789 DOI: 10.51866/oa.487

Abstract

INTRODUCTION: Family planning (FP) is important in reducing maternal morbidity and mortality as well as foetal and neonatal complications. This study aimed to determine the intention to practise FP among antenatal women at risk of gestational diabetes mellitus (GDM) in the Klang Health District and its associated factors.

METHODS: A cross-sectional study was conducted at four government health clinics in the Klang Health District. A total of 431 antenatal women at risk of GDM were recruited using systematic random sampling. A validated self-administered questionnaire was used to assess knowledge, attitude, previous practice and intention to use FP after delivery. Multiple logistic regression (MLR) was used to determine the factors associated with the intention to practise FP.

RESULTS: Approximately 64.7% (n=279) of the respondents intended to practise FP MLR showed that the factors associated with the intention to practise FP were Malay ethnicity (odds ratio [OR]=3.319, 95% confidence interval [CI]=1.431-7.697), low income (OR=2.174, 95% CI=1.317-3.588), good knowledge (OR=2.591, 95% CI=L008-6.174) and good previous practice (OR=3.956, 95% CI=1.428-9.052).

CONCLUSION: The prevalence of the intention to practise FP among antenatal women at risk of GDM was 64.7%. Malay antenatal women from low-income households with good knowledge and previous practice were more likely to have the intention to practise FP after delivery. Thus, interventions targeted at non-Malay women and measures to improve their knowledge might help improve the intention and uptake of FP among these women.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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