Effect of education through the pregnant women's class program on high-risk pregnancy knowledge and motivation for antenatal care visits
Keywords:
antenatal care, health education, high-risk pregnancy, maternal knowledge, pregnant women's classAbstract
Low knowledge about high-risk pregnancy and inadequate motivation to attend antenatal care (ANC) remain important barriers to early detection of maternal complications. Pregnant Women's Classes are structured health education sessions that may improve maternal understanding, risk recognition, and care-seeking behavior. This study analyzed the effect of education through the Pregnant Women's Class Program on knowledge of high-risk pregnancy and motivation for ANC visits among second-trimester pregnant women at Momalia Community Health Center. A pre-experimental one-group pretest-posttest study was conducted from January to February 2025. Fifty-four second-trimester pregnant women were selected using purposive sampling. Education was delivered through the Pregnant Women's Class Program using lectures, discussion, PowerPoint materials, and leaflets. Knowledge of high-risk pregnancy and motivation for ANC visits were measured before and after the intervention using structured questionnaires. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Before the intervention, most respondents had sufficient knowledge (55.6%) and moderate motivation for ANC visits (66.7%). After the intervention, 90.7% had good knowledge and 92.6% had strong motivation. Wilcoxon analysis showed significant improvements in both knowledge (p < 0.001; positive ranks = 43; ties = 11) and motivation for ANC visits (p < 0.001; positive ranks = 47; ties = 7). Education through the Pregnant Women's Class Program significantly improved knowledge of high-risk pregnancy and motivation for ANC visits. Strengthening antenatal education with clear visual materials and family involvement may support early risk detection and improve continuity of maternal care.
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