Volume 16, Issue 2 (11-2019)
J Res Dev Nurs Midw 2019, 16(2): 30-40 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Ebadi T, Narjes Sadat B, Bayrami R, Mehrbakhsh Z. Preconception Care Patterns and Some Related Factors in Pregnant Women in Gorgan in 2017. J Res Dev Nurs Midw 2019; 16 (2) :30-40
URL: http://nmj.goums.ac.ir/article-1-1168-en.html
URL: http://nmj.goums.ac.ir/article-1-1168-en.html
1- Department of Midwifery, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran .
2- Department of Midwifery, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
3- Department of Midwifery, School of Nursing and Midwifery, Urumia University of Medical Sciences, Urumia, Iran.
4- Department of Statistics, School of Public Health, Golestan University of Medical Sciences, Gorgan, Iran.
2- Department of Midwifery, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
3- Department of Midwifery, School of Nursing and Midwifery, Urumia University of Medical Sciences, Urumia, Iran.
4- Department of Statistics, School of Public Health, Golestan University of Medical Sciences, Gorgan, Iran.
Abstract: (12972 Views)
Background: Preconception care is an opportunity to change unhealthy behaviors which in turn reduces unplanned pregnancy and plays an important role in reducing maternal and infant mortality. The aim of this study was to determine the level of preconception care and its related factors in pregnant women.
Methods: This cross-sectional study was conducted on 394 pregnant women referred to Gorgan health centers in 2017. Samples were selected by multi-stage stratified sampling method from Gorgan health centers in Golestan province. Data was gathered using self-report questionnaire. Data analysis was performed using chi-square test, Fisher's exact, and Kruskal-Wallis tests in SPSS-16. The P-value less than 0.05 were considered significant.
Results: 32.7% of women were received complete preconception care and 17.8% had no pre-pregnancy care. Only 44.2% of women used folic acid daily since the first trimester of pregnancy. Most of pregnant women (63.7%) performed triple screening laboratory test (FBS, CBC, TSH). Preconception care was more successful in mothers with higher level of education (p<0.001), having health insurance (p<0.001), history of disease (p=0.027), higher family income (p=0.044), and nulliparity (p= 0.049).
Conclusions: Preconception care coverage and acid folic consumption is not optimal. It seems necessary to plan more precisely on how such services need to be provided. The identification of factors associated with this care showed that far less attention was paid among low-income, without assurance coverage and low-educated people. Since these people do not have enough money to take care of mother and infant during pregnancy, health policymakers should provide the related services for free.
Methods: This cross-sectional study was conducted on 394 pregnant women referred to Gorgan health centers in 2017. Samples were selected by multi-stage stratified sampling method from Gorgan health centers in Golestan province. Data was gathered using self-report questionnaire. Data analysis was performed using chi-square test, Fisher's exact, and Kruskal-Wallis tests in SPSS-16. The P-value less than 0.05 were considered significant.
Results: 32.7% of women were received complete preconception care and 17.8% had no pre-pregnancy care. Only 44.2% of women used folic acid daily since the first trimester of pregnancy. Most of pregnant women (63.7%) performed triple screening laboratory test (FBS, CBC, TSH). Preconception care was more successful in mothers with higher level of education (p<0.001), having health insurance (p<0.001), history of disease (p=0.027), higher family income (p=0.044), and nulliparity (p= 0.049).
Conclusions: Preconception care coverage and acid folic consumption is not optimal. It seems necessary to plan more precisely on how such services need to be provided. The identification of factors associated with this care showed that far less attention was paid among low-income, without assurance coverage and low-educated people. Since these people do not have enough money to take care of mother and infant during pregnancy, health policymakers should provide the related services for free.
perspective: Original Article |
Subject:
Psychology and Psychiatry
References
1. Freda MC, Moos M-K, Curtis M. The history of preconception care: evolving guidelines and standards. Matern Child Health J. 2006;10(1):43-52. [DOI:10.1007/s10995-006-0087-x] [Google Scholar]
2. Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, Parker CS, et al. Recommendations to improve preconception health and health care-United States. MMWR. 2006;55(4):1-23. [Google Scholar]
3. Jourabchi Z, Ranjkesh F, Asefzadeh S, Sann L. Impact of integrated maternal health care on reducing pregnancy and delivery complication in Qazvin province (2009-2011). JQUMS. 2013;16(4):47-53. [Persian]. [Google Scholar]
4. Dean SV, Lassi ZS, Imam AM, Bhutta ZA. Preconception Care: closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health. Reprod health. 2014;11(Suppl 3):S1. [DOI:10.1186/1742-4755-11-S3-S1] [Google Scholar]
5. Mason E, Chandra-Mouli V, Baltag V, Christiansen C, Lassi ZS, Bhutta ZA. Preconception care: advancing from 'important to do and can be done' to 'is being done and is making a difference'. Reprod Health. 2014;11(Suppl 3):S8-S. [DOI:10.1186/1742-4755-11-S3-S8] [Google Scholar]
6. Reynolds HD. Preconception care: an integral part of primary care for women. Journal of nurse-midwifery. 1998;43(6):445-58. [DOI:10.1016/S0091-2182(98)00062-7] [Google Scholar]
7. Oza‐Frank R, Gilson E, Keim SA, Lynch CD, Klebanoff MA. Trends and factors associated with self‐reported receipt of preconception care: PRAMS, 2004-2010. Birth. 2014;41(4):367-73. [DOI:10.1111/birt.12122] [Google Scholar]
8. Pandolfi E, Gonfiantini MV, Gesualdo F, Romano M, Carloni E, Mastroiacovo P, et al. Women participating in a web-based preconception study have a high prevalence of risk factors for adverse pregnancy outcomes. BMC pregnancy childbirth. 2014;14(1):169. [DOI:10.1186/1471-2393-14-169] [Google Scholar]
9. Bayrami R, Taghipour A, Ebrahimipoor H, Moradi S. Investigating women's lifestyle during the preconception period in kalat county, iran. Journal of Midwifery and Reproductive Health. 2014;2(2):128-35. [Google Scholar]
10. Shadab P, Nekuei N, Yadegarfar G. The prevalence of preconception care, its relation with recipients' individuality, fertility, and the causes of lack of checkup in women who gave birth in Isfahan hospitals in 2016. J Educ Health Promot.2017;6:88. [DOI:10.4103/jehp.jehp_99_16] [Google Scholar]
11. Descriptive Report of Maternal Maternity Care Information. Ministry of Health and Medical Education.302/8717.23/5/95. [Persian]. [Google Scholar]
12. Klerman LV, Jack BW, Coonrod DV, Lu MC, Fry-Johnson YW, Johnson K. The clinical content of preconception care: care of psychosocial stressors. Am J Obstet Gynecol. 2008;199(6):S362-S6. [DOI:10.1016/j.ajog.2008.08.042] [Google Scholar]
13. Mazza D, Chapman A, Michie S. Barriers to the implementation of preconception care guidelines as perceived by general practitioners: a qualitative study. BMC health Serv Res. 2013;13(36):1. [DOI:10.1186/1472-6963-13-36] [Google Scholar]
14. D'Angelo DV, Le B, O'Neil ME, Williams L, Ahluwalia IB, Harrison LL, et al. Patterns of health insurance coverage around the time of pregnancy among women with live-born infants--pregnancy risk assessment monitoring system, 29 states, 2009. MMWR Surveill Summ. 2015; 64(4):1-19. [DOI:10.2105/AJPH.2016.303133] [Google Scholar]
15. Bayrami R. Roudsari RL, Javadnoori M, Allahverdipour H, Esmaily H. Experiences of women regarding gaps in preconception care services in the Iranian reproductive health care system: A qualitative study.Electron Physician. 2016;8(11):3279-3288. [DOI:10.19082/3279] [Google Scholar]
16. Roudsari RL, Bayrami R, Javadnoori M, Allahverdipour H, Esmaily H. Patterns and determinants of preconception health behaviors in iranian women. Iranian Red Crescent Med J. 2016;18(12). [DOI:10.5812/ircmj.28565] [Google Scholar]
17. Zhao X, Jiang X, Zhu J, Li G, He X, Ma F, et al. Factors influencing the quality of preconception healthcare in China: applying a preconceptional instrument to assess healthcare needs. BMC pregnancy childbirth. 2014;14:360. [DOI:10.1186/1471-2393-14-360] [Google Scholar]
18. Ding Y, Li XT, Xie F, Yang YL. Survey on the implementation of preconception care in Shanghai, China. Paediatric and perinatal epidemiology. 2015;29(6):492-500. [DOI:10.1111/ppe.12218] [Google Scholar]
19. Hawks RM, McGinn AP, Bernstein PS, Tobin JN. Exploring preconception care: insurance status, race/ethnicity, and health in the pre-pregnancy period. Matern child health J.2018; 22(8):1103-1110. [DOI:10.1007/s10995-018-2494-1] [Google Scholar]
20. Temel S, Birnie E, Sonneveld HM, Voorham AJ, Bonsel GJ, Steegers EA, et al. Determinants of the intention of preconception care use: lessons from a multi-ethnic urban population in the Netherlands. International journal of public health. Int J Public Health. 2013; 58(2):295-304. [DOI:10.1007/s00038-012-0396-3] [Google Scholar]
21. Connor KA, Cheng D, Strobino D, Minkovitz CS. Preconception health promotion among Maryland women. Matern child health J. 2014;18(10):2437-2445. [DOI:10.1007/s10995-014-1482-3] [Google Scholar]
22. 23 .E. Prue C, Daniel KL. Social marketing: planning before conceiving preconception care. Matern Child Health J.2006;10:79-84. PubMed PMID: PMC1592143. [DOI:10.1007/s10995-006-0105-z] [Google Scholar]
23. Sommers BD, Gawande AA, Baicker K. Health insurance coverage and health-what the recent evidence tells us.N Engl J Med.2017; 377(6):586-593. [DOI:10.1056/NEJMsb1706645] [Google Scholar]
24. Voorst SF, Kate CA, Jong‐Potjer LC, Steegers EAP, Denktaş S. Developing social marketed individual preconception care consultations: Which consumer preferences should it meet?. Health Expect. 2017;20(5):1106-1113. [DOI:10.1111/hex.12555] [Google Scholar]
25. Poels M, van Stel HF, Franx A, Koster MPH. Actively preparing for pregnancy is associated with healthier lifestyle of women during the preconception period. Midwifery. 2017;50:228-234. [DOI:10.1016/j.midw.2017.04.015] [Google Scholar]
26. Mashayekhi SO, Dilmaghanizadeh M, Sattari MR. A survey on the consumption, knowledge and attitude of pregnant women toward the efects of folic acid on pregnancy outcome in Tabriz. Iran J Child Neurology. 2011;5(1):35-42. [Google Scholar]
27. Riazi H, Bashirian S, Amini L. Awareness of pregnant women about folic acid supplementation in Iran. J Fam Reprod Health. 2012;6(4):159-63 [Google Scholar]
28. 29 .Goossens J, Beeckman D, Van Hecke A, Delbaere I, Verhaeghe S. Preconception lifestyle changes in women with planned pregnancies.Midwifery.2018;56:112-20. [DOI:10.1016/j.midw.2017.10.004] [Google Scholar]
29. Robbins CL, Zapata LB, Farr SL, Kroelinger CD, Morrow B, Ahluwalia I, et al. Core state preconception health indicators - pregnancy risk assessment monitoring system and behavioral risk factor surveillance system, 2009. MMWR Surveill Summ. 2014.25; 63(3):1-62.
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
