Association between Antenatal Education and Maternal Knowledge of Preeclampsia Danger Signs: A Cross-sectional Study

Introduction: Preeclampsia is a major cause of maternal and infant morbidity and mortality in Indonesia, highlighting the need to improve maternal knowledge of its warning signs. Antenatal education through classes and ANC visits aims to increase awareness and prevent pregnancy complications. Aim: To examine the relationship between antenatal education history (class participation and ANC education) and maternal knowledge of preeclampsia danger signs at Buleleng District Hospital. Study Design: Cross-sectional analytic study. Setting and Duration: Obstetric Outpatient Clinic, Buleleng District Hospital, March 6–April 25, 2025. Methodology: Thirty-eight pregnant women with preeclampsia were selected using total sampling. Data were collected via a validated questionnaire and analyzed with Fisher’s Exact test. Results: Most respondents were aged 20–35 years (86.8%) and had secondary or higher education. Overall, 60.5% of participants demonstrated a moderate level of knowledge about preeclampsia warning signs. Statistical analysis revealed significant associations between participation in antenatal classes (p=0.000) and receipt of standard education during ANC visits (p=0.001) with higher maternal knowledge levels. Conclusion: Antenatal education history is significantly associated with maternal knowledge of preeclampsia danger signs. Strengthening interactive education methods, especially by midwives, is essential to improve maternal awareness and reduce pregnancy-related complications.