Patterns of Pre-pregnancy Care Usage among Reproductive Age Women in Kedah, Malaysia
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Abstract
Background: This cross-sectional was aimed to assess the prevalence of pre-pregnancy care services usage and its determinant factors among women of reproductive age in Kedah, Malaysia.
Methods: Overall, 1347 respondents who attended 24 government health clinics, were chosen using systematic multistage random sampling. A validated self-administered questionnaire which consisted of sections including socio-demographic characteristics, social support, knowledge on pre-pregnancy care, perception on risk of pregnancy, health status, as well as intention and awareness on pre-pregnancy care services were distributed.
Results: The prevalence of utilization of pre-pregnancy care services was still low i.e. 44.0%. Bivariate and multivariate analysis showed consistent significant level between all factors and pre-pregnancy care usage except for family planning practice. The factors that showed significant difference with the usage of pre-pregnancy care services were age of more than 35 (P<0.001), high education level (P<0.001), non-working mothers (P<0.001), multipara (P=0.001), awareness on the existence of pre-pregnancy care services in government health facilities (P<0.001), intention to use the services (P=0.0030), having medical illness (P=0.005), having social support (P=0.001), high knowledge (P<0.001), and positive perception (P<0.001).
Conclusion: Low usage of pre-pregnancy care services can be improved through health screening on reproductive-aged women with positive determinant factors at the triage level in integrated clinics. Information and knowledge on pre-pregnancy services should be disseminated among community members through various means including roadshows and pre-wedding workshops.
2. Bhutta ZA, Dean SV, Imam AM, Lassi ZS (2011). A systematic review of preconception risks and interventions. Karachi: The Aga Khan University. https://globalmotherchildresearch.tghn.org/site_media/media/articles/Preconception_Report.pdf
3. Lawn JE, Cousens S & Zupan J, et al (2005). Four Million Neonatal Deaths: When? Where? Why? Lancet, 365 (9462): 891-900.
4. World Health Organization (2013). Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity. World Health Organization, Geneva. http://apps.who.int/iris/handle/10665/78067
5. Annual Report (2013). Report of Family Health Development Division. Ministry of Health Malaysia. 2013. pp.: 23-55.
6. Kumar V, Mohanty S, Kumar A (2008). Effect of community-based behaviour change management on neonatal mortality in Shivgarh, Uttar Pradesh, India: A cluster-randomised controlled trial. Lancet, 372 (9644): 1151-1162.
7. Dean SV, Mason EM, Howson CP et al (2013). Born too soon: care before and between pregnancy to prevent preterm births: from evidence to action. Reprod Health, 10 (Suppl 1): S3.
8. Dean S, Rudan I, Althabe F et al (2013). Setting research priorities for preconception care in low-and middle-income countries: Aiming to reduce maternal and child mortality and morbidity. PLoS Med, 10(9): e1001508.
9. Family Health Report (2011). Report on Family Health Division, Kedah Health Department. pp.: 89-99.
10. Goldman JA, Dicker D, Feldberg D et al (1986). Pregnancy outcome in patients with insulin-dependent diabetes mellitus with preconceptional diabetic control: A comparative study. Am J Obstet Gynecol, 155(2): 293-297.
11. Wahabi HA, Alzeidan RA, Esmaeil SA (2012). Pre-Pregnancy care for women with pre-gestational diabetes mellitus: A systematic review and meta-analysis. BMC Public Health, 12: 792.
12. CEMACH (2005). Pregnancy in women with Type 1 and Type 2 diabetes in 2002–2003, England, Wales and North-ern Ireland. London: Confidential Enquiry into Maternal and Child Health, pp.: 98-115
13. Temple R (2011). Preconception care for women with diabetes: Is it effective and who should provide it? Best Pract Res Clin Obstet Gynaecol, 25(1): 3-14.
14. Hogan VK, Amamoo MA, Anderson AD et al (2012). Barriers to women's participation in inter-conceptional care: A cross-sectional analysis. BMC Public Health, 12: 93.
15. Wahabi HA, Alzeidan RA, Esmaeil SA (2012). Pre-Pregnancy care for women with pre-gestational diabetes mellitus: A systematic review and meta-analysis. BMC Public Health, 12: 792.
16. Steel A, Lucke J, Adams J (2015). The prevalence and nature of the use of preconception services by women with chronic health conditions: An integrative review. BMC Womens Health, 15: 14.
17. Corbett E. Preconception health and wellness (PHD Thesis): Knowledge and attitudes of undergraduate women. Tesis Colorado State University. 2011.
18. Ezegwui H, Dim C, Dim N, Ikeme A (2008). Preconception care in South Eastern Nigeria. J Obstet Gynaecol, 28(8): 765-768.
19. Najimudeen M, Sachchithanantham K (2014). An insight into low contraceptive prevalence in Malaysia and its probable consequences. Int J Reprod Contracept Obstet Gynecol, 3(3):493-496.
20. Malaysian population and family survey-1994 and 2004 (2014). National Popula-tion and Family Development Board (NPFDB), Kuala Lumpur. http://familyrepository.lppkn.gov.my/659/
21. Mazlina MN, Ruziaton H, Nuraini D et al (2014). Risk factors for women attending pre-pregnancy screening in selected clinics in Selangor. Malays Fam Physician, 9(3): 20–26.
22. Murphy HR, Temple RC, Ball VE et al (2010). Personal experiences of women with diabetes who do not attend pre‐pregnancy care. Diabet Med, 27(1):92-100.
23. Ezegwui HU, Dim C, Dim N, Ikeme AC (2008). Preconception care in South Eastern Nigeria. J Obstet Gynaecol, 28(8):765-8.
24. Coonrod DV, Bruce NC, Malcolm TD et al (2009). Knowledge and attitudes regarding preconception care in a predominantly low-income Mexican American Population. Am J Obstet Gyne-col, 200(6):686.e1-7.
25. Poppelaars FA, Henneman L, Adèr HJ et al (2004). Preconceptional cystic fibrosis carrier screening: Attitudes and intentions of the target population. Genet Test, 8(2): 80-89.
26. Squiers L, Mitchell EW, Levis DM et al (2013). Consumers' perceptions of preconception health. Am J Health Promot, 27(30): S10–S19.
27. Misra DP, Caldwell C, Young, AA, Abelson S (2010) Do fathers matter? Paternal contributions to birth outcomes and racial disparities. Am J Obstet Gynecol, 202(2):99-100.
28. Moos MK (2010). From concept to practice: Reflections on the preconception health agenda. J Women's Health (Larchmt), 19(3): 561-7.
29. Frey KA & Files JA (2006). Preconception healthcare: What women know and believe. Matern Child Health J, 10(Suppl 1): 73–77.
30. Wickremasinghe V, Prageeth P, Pulleperuma D, Pushpakumara K (2003). Preconceptional care of women at booking visit at De Soysa Maternity Hospital and Castle Street Hospital for Women. Ceylon Med J, 48(3): 77-79.
31. Chuang CH, Velott DL & Weisman CS (2010). Exploring knowledge and attitudes related to pregnancy and preconception health in women with chronic medical conditions. Matern Child Health J, 14(5):713-719.
32. Van Der Zee B, De Beaufort ID, Steegers EA, Denktaş S (2013). Perceptions of preconception counselling among women planning a pregnancy: A qualitative Study. Fam Pract, 30(3):341-6.
33. Temel S, Birnie E, Sonneveld HM et al (2013). Determinants of the intention of preconception care use: Lessons from a multi-ethnic urban population in the Netherlands. Int J Public Health, 58(2):295-304.
| Files | ||
| Issue | Vol 47 No 11 (2018) | |
| Section | Original Article(s) | |
| Keywords | ||
| Pre-pregnancy care services Usage Determinant | ||
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