Determinant Factors for High-Risk Pregnancy among Minangkabau Ethnicity in Indonesia

Abstract

BACKGROUND: High-risk pregnancy cause multifactorial. The lack of investment in better and more accessible hospital care for women and newborns in Indonesia may be partly to blame for the country's disproportionately high rates of high-risk pregnancy, maternal, and perinatal death. AIM: The aim of this study was to determine determinant factors for high-risk pregnancy among minangkabau ethnicity in Indonesia. Method: The authors conducted a case control study. Data were gathered  in Healthcare Facilities Padang, Indonesia from December 2019-December 2020. The number of subjects in this research were 64 cases group (women with high-risk pregnancy) and 128 control group (normal pregnancy) matching by sex and region. The sampling technique in this research was proportional random sampling. Data were gathered from medical records and primary data collection with survey data. Bivariate and multivariate analysis were investigated using Chi-square and Logistic binary regression test. The data were analyzed using STATA version 14.2. Result: There were associations between mother's educational level, women's empowerment, head of the family educational level, chronic diseases, history of childbirth, maternal age and parity with high-risk pregnancy. Multivariate analysis found that the highest Odds ratio (OR) for the occurrence of high-risk pregnancy were history of childbirth (OR = 8.26, 95% CI 3.32-20.52), and mother's level of education (OR = 5.67, 95% CI 2.64-12.15). Conclusion: This analysis confirmed the history of childbirth and the mother’s level of education for high-risk pregnancy among Minangkabau ethnicity in Indonesia. The findings of risk factors for a high-risk pregnancy can be determined through early detection and useful predictors so that women can detect high-risk pregnancy themselves.