Southern Nation Nationalities Peoples Region Health Bureau, Hadiya Zone Health Department, Lemo Woreda Health Office, Hosanna, Ethiopia.
Department of Midwifery, School of Health Sciences, Madda Walabu University Shashemene Campus, Shashemene, Ethiopia.
PLoS One. 2022 Jan 7;17(1):e0261895. doi: 10.1371/journal.pone.0261895. eCollection 2022.
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.
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.
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.
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.
有大量证据表明，现有的母婴保健连续服务存在差距；人们对少女和年轻女性的关注较少，直到她们怀孕。此外，产前护理为时已晚，无法减轻女性在器官发生期这一关键时期对胎儿可能造成的有害影响。幸运的是，孕前护理可以填补这些空白，增强妇女和夫妇的幸福感，并改善随后的妊娠和儿童健康结果。因此，本研究的主要目的是评估霍萨纳镇公共卫生设施产前护理诊所孕妇的孕前保健利用情况及其相关因素。
本研究采用 2020 年 7 月 30 日至 8 月 30 日的基于设施的横断面研究设计。通过系统抽样技术，对 400 名符合条件的孕妇进行面对面访谈收集数据。Epi-data 版本 3.1 和 SPSS 版本 24 分别用于数据录入和分析。采用单变量和多变量逻辑回归分析来确定因变量和自变量之间的关系。计算了粗比值比和调整比值比及其各自的 95%置信区间，并宣布 p 值<0.05 具有统计学意义。
这项研究表明，76 名（19%，95%置信区间（15.3，23.2））研究参与者利用了孕前保健。本次妊娠前有计划生育使用史（AOR=2.45；95%CI（1.270，4.741））、不良出生结局史（AOR=3.15；95%CI（1.650，6.005））、对孕前保健知识的了解较差（AOR=0.18；95%CI（0.084，0.379））和之前接受过孕前保健咨询（AOR=2.82；95%CI（1.221，6.493））与利用孕前保健显著相关。
本研究表明，近五分之一的孕妇利用了孕前保健服务。本次妊娠前有计划生育使用史、不良出生结局史、对孕前保健知识的了解较差以及之前接受过孕前保健咨询与利用孕前保健服务显著相关。将孕前保健服务与其他母婴新生儿儿童健康服务相结合，提高妇女/夫妇的知识水平并加强咨询服务至关重要。
