Utilization of Antenatal Healthcare Services, Associated Factors, and Pregnancy Outcomes Among Postnatal Women Who Delivered in Selected Rural Healthcare Centers in Odisha, Southeastern India

The utilization of WHO-recommended ANC service in the present study area was found to be poor. The quality of ANC and maternal awareness among the population were found to be the factors that influence women's good utilization of ANC. Underutilization of ANC health services had a significant impact on adverse pregnancy outcomes, such as complications that arise during the antenatal and immediate postnatal period, cesarean sections, and operative vaginal delivery rates, as well as post-term pregnancy. These results can be utilized to develop a health intervention program to enhance maternal health utilization practices and, ultimately, improve maternal and child health quality in low-resource settings in India.