Introduction Antenatal care is widely acknowledged as an effective tool to prevent adverse
outcomes in pregnant women and their children. In Malaysia, early entry to
antenatal care refers to a first visit within the 12th week of gestation. Delayed
access to antenatal care has not been extensively studied in Malaysia,
whereas several studies have reported a high prevalence of late antenatal
booking in developing countries. The objective of this study was to determine
the factors and barriers associated with late antenatal booking and the level of
knowledge about the timing of antenatal booking among women of
childbearing age in the Lundu District of Sarawak.
Methods This was a cross-sectional study among 284 pregnant women in all five
Maternal and Child Health (MCH) Clinics of Lundu.
Results The prevalence of late antenatal booking in Lundu was 28.2%. Unmarried
women were more likely to book their pregnancy late compared to married
women. The prevalence of late antenatal booking was also higher among
unemployed women than those who were employed. Respondents without
their own income also tended to book their pregnancy later than those who
had their own income. Significantly, a high percentage of late antenatal
booking was also reported among those who never utilize any contraceptive
method, did not plan their pregnancy, those without a history of past medical
illness or complications in a previous pregnancy and among those who have a
problem with their marriage certificate. Those who booked their pregnancy
beyond the 12th week of gestation were also reported to have a lower level of
knowledge about the need for an antenatal booking, as compared to those
who started their antenatal care early.
Conclusions Unplanned pregnancy, marriage certificate issues, an absence of past medical
illness and past obstetric complications were significant predictors of late
antenatal booking. Correct and appropriate information relating to antenatal
care should be delivered to the public. Health education and advocacy are
vital to promote the importance of early antenatal booking to achieve the goal
of safe motherhood.