Analysis of Antenatal Care (ANC) quality on morbidity and mortality of heart disease in pregnancy at Dr. Soetomo General Hospital

Introduction: Heart disease in pregnancy is one of the factors of morbidity and mortality among pregnant women worldwide. In Indonesia, it ranks third in prevalence at 15.7%, following preeclampsia (33.1%) and hemorrhage (27.03%). According to the literature review and past research, heart disease during pregnancy can be preventable through early detection and appropriate intervention with quality antenatal care (ANC). The objective of is to analyze the quality of ANC in heart disease morbidity and mortality in pregnancy at Dr. Soetomo General Hospital. 

Method: This research employs an observational design with a retrospective study approach. 102 pregnant women patients during January–December 2023 were selected using the total sampling method. The independent variable is the quality of ANC, including the first visit (K1), the frequency, the place, and the health services during ANC. The dependent variables are the morbidity and mortality of heart diseases in pregnancy. Medical records are used as the instrument using the Fisher’s Exact test with a significance level (α<0,05) to analyze the data. 

Results: The prevalence of heart disease morbidity at Dr. Soetomo General Hospital is very high. The heart disease morbidity and mortality in pregnancy have a significant correlation with the quality of the health services during ANC (p<0,05). Meanwhile, there is no significant correlation between the heart disease morbidity and mortality in pregnancy and the K1 ANC (p<0,05), the frequency of ANC (p<0,05), and the place of ANC (p<0,05). 

Conclusion: The quality of health service during ANC and morbidity and mortality of heart disease in pregnancy, where good services can identify morbidity and give appropriate intervention to prevent mortality.