PRECONCEPTION CARE: AWARENESS, KNOWLEDGE, ATTITUDE AND PRACTICE OF PREGNANT WOMEN, TAMALE WEST HOSPITAL

Purpose: The aim was to assess the awareness, attitude, knowledge level and practice of pregnant women on preconception care at the Tamale West Hospital Antenatal clinic in the Northern region of Ghana.Methodology: This study used a descriptive cross-sectional design with a quantitative approach. A quota sampling procedure was used to arrive at 200 participants. The starting point was randomly selected and a systematic random sampling method was used to select the study participants. Simple random sampling using the lottery approach was used to select the participants for the study. The target population was women (literate and illiterate) within the age range of 16 and 40 years attending the Tamale West Hospital for antenatal care. The list of all the women who fell within the target population was obtained from the register of the unit. The inclusion criteria were pregnant women who visited the Tamale West Hospital within a month’s duration for antenatal care services. A semi-structured questionnaire which had both open-ended and close-ended questions was used to generate the data. Descriptive statistics which involves frequencies and percentages was used to represent both independent and dependent variables of the study. Close-ended responses were inputted using the Microsoft Office Excel 2016. Open-ended responses were compiled in relation to the objectives of the study. Other relevant outcomes were cross-tabulated using SPSS version 21.Results: Though 20.0% of the pregnant women had positive attitude towards preconception care, only 34.5% were aware of preconception care and 42.5% and 23.5% had poor and high knowledge levels on preconception care respectively. When the age group was cross-tabulated with awareness, the results showed no statistical significance between the two variables (χ2=9.1; p=0.58). However, there was an association between the educational status (Tertiary level) (χ2=49.6; p=0.01) and religious affiliation (Muslim) (χ2=43.3; p=0.01) of the respondents on awareness. Educational status (Tertiary level) (χ2=45.4; p=0.01) and religion (χ2=21.3; p=0.01) were found to influence knowledge statistically. In terms of overall attitude, only Muslim (χ2=4.12; p=0.04) statistically impacted on the study.Conclusion: Pregnant women who attend Antenatal clinic at Tamale West Hospital tended to have low level of awareness and poor knowledge, they have negative attitude towards preconception care services and seldom practice preconception care. There is the need for health care authorities to intensify awareness and implement preconception care policies.Recommendation: The present study demonstrated that there was a need to create awareness which can also increase the knowledge and practices of reproductive age women or couples. Hence, there is the need for health authorities to put together comprehensive preconception care policies for health institutions to abide by.

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Prevalence and factors associated with late antenatal care visit among pregnant women in Lushoto, Tanzania

Tanzania Journal of Health Research ◽

10.4314/thrb.v19i3.4 ◽

2017 ◽

Vol 19 (3) ◽

Author(s):

Flora Njiku ◽

Herman Wella ◽

Adellah Sariah ◽

Joyce Protas

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Health Care Services ◽

First Trimester ◽

Antenatal Clinic ◽

World Health ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Care Services

Background: Adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The World Health Organization recommends pregnant women to attend antenatal care services as early as in the first trimester. However, many women due to various reasons fail to meet the recommendations. The objective of this study was to determine the prevalence and factors associated with late antenatal booking among pregnant women in Lushoto district of north-eastern Tanzania.Methods: This hospital based cross sectional study involved pregnant women and was conducted in August-September 2015. A standardized questionnaire was used to obtain participants demographic characteristics and obstetrics history. Data analysis was done using (SPSS) and relationship between outcome variables and exposure variable was done using Chi-square test. Multivariate logistic regression was used to measure the association.Results: A total of 240 participants were involved in the study. Out of these, 169 (70.4%) participants booked late for antenatal care (ANC) services. Delayed booking was mainly associated with not being married (AOR=3.08; 95%CI 1.149-8.275; P value=0.025) and unemployment (AOR=4.28; 95% CI 2.11-8.679; p-value=0.000)Conclusion: Late first antenatal clinic visit was high in Lushoto, and was highly associated with unmarried and unemployment status. Therefore, provision of continuous health education and community sensitization on the importance of timely seeking ANC services should be strengthened.

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Prevalence of Anaemia among Pregnant Women in the First Antenatal Care (ANC) Clinic Visit in St. Mary's Hospital Okpoga, Okpokwu Local Government Area, Benue State, Nigeria

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2021/v42i1330509 ◽

2021 ◽

pp. 30-37

Author(s):

P. N. Atser ◽

E. B. Iorliam ◽

M. Ochogwu ◽

J. Ondoma ◽

S. Wuam

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Formal Education ◽

Medical Condition ◽

Intermittent Preventive Treatment ◽

Preventive Treatment ◽

Educational Status ◽

Antenatal Clinic ◽

Clinic Visit ◽

Pregnant Mothers

Aims: The study was carried out to determine the prevalence of anaemia among pregnant women attending St. Mary's Hospital Okpoga, Benue State, Nigeria, with respect to demographic factors, socio-economic and underlying medical determinants among pregnant women. Methodology: A retrospective study design was used for the study. The study of 858 pregnant women who booked for antenatal care (ANC) between March 2019 to March 2020 was done. Their records were retrieved from the Records Department and the ANC unit using a standard proforma. Results: The findings revealed that prevalence of anaemia among pregnant women at booking was (55.2%). The highest prevalence of anaemia by age range 15-20 years was (62.2%), by educational status, highest prevalence was among those with no formal education (84.3%), by occupation highest prevalence was among house wives (59.9%). By underlying medical condition – severe form of parasitaemia (78.5%), by degree of severity, mild form of anaemia 74.1%, was most prevalent. By parity, it was highest among multiparous women (66.9%), by habitants it was highest among rural habitants (73.9%) while prevalence by gestational age it was highest among pregnant mothers who were in their 3rd trimester (60%) in the first antenatal care (ANC) visit. Conclusion: Pregnant mothers need to book early for antenatal clinic to access services such as intermittent preventive treatment, uptake of iron supplements and anthelmintics. They should also be empowered economically to access ANC in order to reduce the problem of anaemia in pregnancy.

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Factors associated with the delay in seeking first antenatal care service among pregnant women at Katutura state hospital, Khomas region

International Journal of Medicine ◽

10.14419/ijm.v5i1.7152 ◽

2017 ◽

Vol 5 (1) ◽

pp. 37 ◽

Cited By ~ 1

Author(s):

Nghitanwa Emma Maano ◽

Shanyengange Tuwilika. N.

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

State Hospital ◽

Care Service ◽

First Trimester ◽

Antenatal Clinic ◽

Long Distance ◽

Factors Associated ◽

Care Services ◽

First Trimester Of Pregnancy

The purpose of this study was to identify the factors associated with the delay in seeking first antenatal care (ANC) service among pregnant women at Katutura state hospital, Khomas region. A qualitative, explorative and descriptive design was used to gain the data from pregnant women started first antenatal care later than twelve weeks of gestation.Data was collected through in-depth interview among pregnant women during their first visit at Katutura state hospital antenatal clinic, Khomas region. The data analysis was done in line with thematic analysis and themes and sub-themes were identified.The study findings concluded that most pregnant women attend their first ANC later than twelve weeks gestation because of work commitment, long distance to health facilities, and lack of knowledge about the important of starting ANC in first trimester of pregnancy.The study recommends the establishment and implementation of a community based health education programs about the antenatal care services in order to create awareness and knowledge in the community about the importance of starting antenatal care services during the first trimester of pregnancy.

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Knowledge and utilisation of preconception care and associated factors among women in Ethiopia: systematic review and meta-analysis

Reproductive Health ◽

10.1186/s12978-021-01132-9 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Alemu Degu Ayele ◽

Habtamu Gebrehana Belay ◽

Bekalu Getnet Kassa ◽

Mulugeta Dile Worke

Keyword(s):

Systematic Review ◽

Antenatal Care ◽

Associated Factors ◽

Preconception Care ◽

Meta Analysis ◽

Grey Literature ◽

Database Systems ◽

Child Health Services ◽

Measurement Tool ◽

Care Services

Abstract Background Preconception care is the provision of biomedical, behavioural, and social health interventions provided to women and couples before conception. However, in Ethiopia, little is known and practised to support preconception care. Therefore, this study aimed to assess women’s knowledge and utilisation of preconception care and its associated factors in Ethiopia using systematic review and meta-analysis. Method In the current meta-analysis, variables were searched from different electronic database systems, which included PubMed, Google Scholar, EMBASE, HINAR, Scopus, Web of Sciences, and Grey literature. Data were extracted using a standardised data collection measurement tool. The data were analysed by using STATA 14 statistical software. I2 tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled knowledge and utilisation of preconception care. Results Thirteen full-text studies were included. The pooled prevalence of knowledge and utilisation of preconception care among women in Ethiopia was 30.95% and 16.27% respectivelly. Secondary education (OR = 2.78, 95% CI,2.01–3.85), college and above (OR = 5.05, 95% CI,2.70–9.44), and antenatal care (OR = 3.89, 95% CI, 1.69–8.98) were significantly associated with knowledge level whereas; age (OR = 2.43, 95% CI, 1.30–4.53) and knowledge on preconception care (OR = 3.95, 95% CI,2.35–6.62) were positively associated with utilisation of preconception. Conclusions Women’s level of knowledge and utilisation of preconception care was significantly low. Educational status and antenatal care follow-up were factors shown to affect knowledge of preconception care. Age and having a sound knowledge of preconception care indicated a significant association towards utilisation of preconception care. Thus, integrating preconception care strategies and policies that can address all the components of preconception care services with other maternal and child health services will be essential when designing effective implementation strategies to improve preconception care uptake. Besides this, advocating for better education for women, awareness creation, and increasing antenatal care services are essential. Prospero registration: CRD42020218062

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Utilization of preconception care and its impacts on health behavior changes among expectant couples in Shanghai, China

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03940-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Li Du ◽

Xuena La ◽

Liping Zhu ◽

Hong Jiang ◽

Biao Xu ◽

...

Keyword(s):

Folic Acid ◽

Child Health ◽

Health Behavior ◽

Pregnant Women ◽

Preconception Care ◽

Behavior Changes ◽

Care Services ◽

Folic Acid Supplements ◽

Health Behavior Changes ◽

And Child Health

Abstract Background Preconception care is an opportunity for detecting potential health risks in future parents and providing health behavior education to reduce morbidity and mortality for women and their offspring. Preconception care has been established in maternal and child health hospitals in Shanghai, China, which consists of health checkups, health education and counseling. This study investigated factors associated with the utilization of preconception care, and the role of preconception care on health behavior changes before conception among pregnant women and their partners. Methods A cross-sectional study was conducted among pregnant women at three maternal and child health hospitals in Shanghai. The participants were invited to complete a self-administered questionnaire on the utilization of preconception care and health behavioral changes before conception. Results Of the 948 recruited pregnant women, less than half (42.2%) reported that they had utilized preconception care before the current pregnancy. Unplanned pregnancy, unawareness of preconception care and already having a general physical examination were the main reasons for not attending preconception care. The two main sources of information about preconception care were local community workers and health professionals. Younger women and the multipara were less likely to utilize preconception care. Women who utilized preconception care were more likely to take folic acid supplements before conception [Adjusted Odds Ration (aOR) 3.27, 95% Confidence Interval (CI) 2.45–4.36, P < 0.0001]. The partners of pregnant women who had attended preconception care services were more likely to stop smoking [aOR 2.76, 95%CI 1.48–5.17, P = 0.002] and to stop drinking [aOR 2.13, 95%CI 1.03–4.39, P = 0.041] before conception. Conclusions Utilization of preconception care was demonstrated to be positively associated with preconception health behavior changes such as women taking folic acid supplements before pregnancy, their male partner stopping smoking and drinking before conception. Future studies are needed to explore barriers to utilizing preconception care services and understand the quality of the services. Strategies of promoting preconception care to expectant couples, especially to young and multipara women, should be developed to further improve the utilization of the services at the community level.

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Attitudes of Pregnant Women Towards Antenatal Care Services Provided in Primary Health Care Facilities of Mbombela Municipality, Mpumalanga Province, South Africa

The Open Public Health Journal ◽

10.2174/1874944502013010569 ◽

2020 ◽

Vol 13 (1) ◽

pp. 569-575

Author(s):

Lucia Drigo ◽

Masane Luvhengo ◽

Rachel T. Lebese ◽

Lufuno Makhado

Keyword(s):

Health Care ◽

Primary Health Care ◽

Antenatal Care ◽

Pregnant Women ◽

Healthcare Providers ◽

Health Care Facilities ◽

Care Services ◽

Primary Health ◽

Care Facilities ◽

Primary Health Care Facilities

Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data saturation. Data were analysed using Tech’s method of analysis. Results: Results revealed the following theme and sub-themes: Attitudes of pregnant women related to individual perceptions, perceived barriers to utilizing antenatal care services,’ attitudes of healthcare providers, long waiting times in healthcare facilities, lack privacy and confidentiality in healthcare facilities and attitudes of pregnant women related to attendance of antenatal services. Conclusion: Attitudes of pregnant women about antenatal care are shaped by their knowledge and previous encounters with the health care services that they had previously received. It is therefore important to provide women-friendly services. It is recommended that health education regarding the importance of antenatal care services must be given to all women daily in the waiting areas of each primary health care facilities, thus, the healthcare providers should promote the active participation of pregnant women during the health education sessions and provide opportunities to ask questions.

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Utilization of preconception care and associated factors in Hosanna Town, Southern Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0261895 ◽

2022 ◽

Vol 17 (1) ◽

pp. e0261895

Author(s):

Meron Admasu Wegene ◽

Negeso Gebeyehu Gejo ◽

Daniel Yohannes Bedecha ◽

Amene Abebe Kerbo ◽

Shemsu Nuriye Hagisso ◽

...

Keyword(s):

Child Health ◽

Pregnant Women ◽

Birth Outcomes ◽

Preconception Care ◽

Previous History ◽

Care Utilization ◽

Adverse Birth Outcomes ◽

Care Services ◽

History Of ◽

And Child Health

Introduction There is substantial body of evidence that portrays gap in the existing maternal and child health continuum of care; one is less attention given to adolescent girls and young women until they get pregnant. Besides, antenatal care is too late to reduce the harmful effects that a woman’s may have on the fetus during the critical period of organogenesis. Fortunately, preconception care can fill these gaps, enhance well-being of women and couples and improve subsequent pregnancy and child health outcomes. Therefore, the main aim of the current study was to assess preconception care utilization and associated factors among pregnant women attending antenatal care clinics of public health facilities in Hosanna town. Methods A facility based cross-sectional study design was carried out from July 30, 2020 to August 30, 2020. Data were collected through face-to-face interview among 400 eligible pregnant women through systematic sampling technique. Epi-data version 3.1 and SPSS version 24 was used for data entry and analysis respectively. Both bivariable and multivariable logistic regression analysis was conducted to identify association between dependent and independent variables. Crude and adjusted odds ratio with respective 95% confidence intervals was computed and statistical significance was declared at p-value <0.05. Result This study revealed that 76 (19%, 95% Cl (15.3, 23.2) study participants had utilized preconception care. History of family planning use before the current pregnancy (AOR = 2.45; 95% Cl (1.270, 4.741), previous history of adverse birth outcomes (AOR = 3.15; 95% Cl (1.650, 6.005), poor knowledge on preconception care (AOR = 0.18; 95% Cl (0.084, 0.379) and receiving counseling on preconception care previously (AOR = 2.82; 95% Cl (1.221, 6.493) were significantly associated with preconception care utilization. Conclusions The present study revealed that nearly one-fifth of pregnant women have utilized preconception care services. History of family planning use before the current pregnancy, previous history of adverse birth outcomes, poor knowledge on preconception care and receiving counseling on preconception care previously were significantly associated with preconception care utilization. Integrating preconception care services with other maternal neonatal child health, improving women’s/couples knowledge & strengthening counseling services is pivotal.

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A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a Tertiary Care Hospital of Pune, Maharashtra

Medical Journal of Dr D Y Patil University ◽

10.4103/0975-2870.182507 ◽

2016 ◽

Vol 9 (3) ◽

pp. 354 ◽

Cited By ~ 4

Author(s):

BarunBhai Patel ◽

Pranaya Gurmeet ◽

DatttreyaRamkrishna Sinalkar ◽

KapilH Pandya ◽

Ajoy Mahen ◽

...

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Antenatal Clinic ◽

Care Hospital

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Magnitude and factors associated with anemia among pregnant women attending antenatal care at St. Paul's Hospital Millennium Medical College, Addis ababa, Ethiopia - a cross sectional type of study

10.21203/rs.3.rs-35290/v1 ◽

2020 ◽

Author(s):

Desta Samuel Umuro ◽

Yared Lasebew Asres ◽

Gezahegn Mamo Muluneh

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Addis Ababa ◽

Antenatal Clinic ◽

Parasitic Infestation ◽

Cross Sectional ◽

Care Clinic ◽

Factors Associated ◽

Medical College ◽

History Of

Abstract Background This study aimed to assess magnitude and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods Institution based cross sectional study design was conducted from December 1–30, 2018 on 405 pregnant women attending antenatal clinic. All pregnant women visiting the Antenatal care clinic during the study period and who fulfilled the eligibility criteria were included in the study. Secondary data was collected from clients register and personal files on hemoglobin, HIV, stool, and other variables. Descriptive statistics was used to analysis some variables by using SPSS. Logistic regression was carried out to identify factors associated with anemia in pregnancy. Adjusted odds ratio with their 95% of confidence interval and p < 0.05 are consider to have significant association. Results The magnitude of Anemia in pregnant women in this study was 19.8%, (95% CI 16.00-23.70). HIV infection (AOR = 6.12(95% CI 2.19, 17.08) parasitic infestation (AOR = 11.88 (95% CI 5.60, 25.20) and history of not taking fruit after meal during pregnancy (AOR = 3.12(95% CI 1.72, 5.67) were the major determinants of anemia. Conclusion This study showed that the magnitude of anemia among pregnant women was high especially at third trimester. Living with HIV /AIDS, parasitic infestation and no history of taking fruits after meal were the main factors.

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Dietary Habits Associated with Anemia Among Pregnant Women Attending Antenatal Care Services

Current Developments in Nutrition ◽

10.1093/cdn/nzaa178 ◽

2020 ◽

Author(s):

Nyasiro S Gibore ◽

Agatha F Ngowi ◽

Mariam J Munyogwa ◽

Mwanaisha M Ali

Keyword(s):

Higher Education ◽

Antenatal Care ◽

Pregnant Women ◽

Birth Interval ◽

Dietary Habits ◽

Dietary Diversity ◽

Education Level ◽

Morbidity And Mortality ◽

Care Services ◽

Prevalence Of Anemia

Abstract Background Anemia is a major cause of morbidity and mortality of pregnant women and increases the risks of fetal and neonatal morbidity and mortality. Approximately 50% of all anemia is estimated to be caused by low dietary intake of iron, poor absorption of dietary iron, or blood loss. The objective of the present study was to determine the prevalence and assess the dietary habits associated with anemia among pregnant women receiving antenatal care in Unguja Island, Tanzania. A cross-sectional study was conducted to select 338 pregnant women at Kivunge, Mwembeladu and Mnazimmoja hospitals from March to June, 2018. Hemoglobin concentration was measured using a HemoCue photometer on capillary blood. Sociodemographic data and dietary habits were collected using a structured questionnaire. The data were analysed using the SPSS version 21.0. Multivariate logistic regression analysis was carried out to determine the predictors of anemia among pregnant women. The overall prevalence of anemia was 80.8%. Of these 68.64% had mild anemia, 11.24% had moderate anemia and 0.89% had severe anemia. Anemia was significantly associated with inadequate dietary diversity (Adjusted Odds Ratio (AOR) = 1.16, 95%CI = 0.57–2.36, p < 0.05), drinking tea or coffee with meal (AOR = 0.06, 95%CI = 0.03–0.13, p < 0.001), consuming less than three meals per day (AOR = 2.92, 95%CI = 1.60–5.84, p < 0.001), higher education level (AOR = 3.4, 95%CI = 1.6–7.2, p < 0.0001), birth interval of less than two years (AOR = 3.6, 95%CI = 1.1–11.9, p < 0.05) and multigravida (AOR = 1.2, 95% = 0.3–4.4, p < 0.0001). The prevalence of anemia in this study demonstrates a severe public health problem among pregnant women. Inadequate dietary diversity coupled with inadequate daily meal intake and consumption of tea or coffee were the dietary habits predictors of anemia among pregnant women. Other predictors of anemia were higher education level, multigravida and birth interval of less than two years. Nutrition policy interventions are needed in order to complement antenatal care services by providing important information on healthy eating habits during pregnancy.

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