Unintended pregnancy and antenatal care behavior in Indonesia

Background: One in four mothers experience unwanted pregnancy. It causes great risks for mothers and children, such as malnutrition, neglected, violence and even death. During pregnancy, a woman is expected to take the initiative and change her behavior by taking adequate care. Antenatal care is a part of maternal and child health services that are vital in early detection and monitoring of fetal


INTRODUCTION
. Family planning promotes human rights by ensuring the right of fertile age couples to freely decide when and how many children they want. Family planning supports the right of young women to have a higher education until they are physically, psychologically and economically ready to giving birth and child bearing. It also supports the right to get appropriate information of contraceptive methods that can help people achieve their reproductive preferences (2).
Unintended pregnancy is a pregnancy that is either unwanted, such as the pregnancy occurred when no children or no more children were desired. If the pregnancy is still desired at another time, then the pregnancy is referred mistimed. If it's not wanted at all, then the pregnancy is called WHO study in 36 countries found that twothirds of sexually active women who wanted to limit the number of children are not using contraception due to side effects, health problems and underestimating the possibility of conception.
There was one unintended pregnancy in 4  A total of 38.9% of respondents had birth interval of less than 2 years. According to education level, the percentage of respondents is almost the same in both higher and lower education. Meanwhile, the percentage of respondents is almost the same both in urban and rural areas.    test results on Table 5 shows that there are variables that interact with each other. It is found that unintended pregnancy has an interaction between maternal age, parity and residency. In other words, the effect of unintended pregnancy on antenatal care behavior relies or differs by maternal age, parity and residency.

DISCUSSION
There are 16% of respondents in this study stated that their pregnancy was unintended. The Indonesian government has actually fulfilled the reproductive rights of every woman through pregnancy. This happens not only in developing countries, but also in developed countries (15).
Healthy behavior changes of a pregnant woman can be explained psychologically.
The maternal-fetal bond lead the changes in maternal behavior (6). Adapting to motherhood is the initial step to accept the pregnancy.
Many women are surprised to find themselves pregnant. As the woman accepts their condition, they will also begin to take on the real growth of the fetus. A woman may not like being pregnant, but may love the child to be born (16 Mothers whose age more than 20 years old with unintended pregnancy are more at risk for having an unhealthy behavior during pregnancy by smoking, caffeine and not consuming folic acid and iron (19). Other studies also mention that the interaction of unintended pregnancy and maternal age may be explained because unintended pregnancy are more commonly found in teenager pregnancies or in mothers older than 35 years (14).
Mothers who are less than 20 years old This can be done by ensuring access to family planning and antenatal care.

CONCLUSION AND RECOMMENDATION
There is a relationship between unintended pregnancy and antenatal care behavior. Mothers with unintended pregnancies is 2.338 times more likely to have unhealthy antenatal behavior care.
We also found that this effect differs according to the maternal age, parity and residency.
The assessment of pregnancy intention in a survey studies was asked retrospectively by asking the mother how she felt about her pregnancy, whereas the mother's emotions may change over time. Therefore, a more specific tools can be used, such as the PRAMS (Pregnancy Risk Assessment Monitoring System) so that they can describe the mother's pregnancy intentions more clearly. This study used limited variables from secondary data. Future research is expected to use other variables and research methods in order to obtain more in-depth results.