Background: Provision of care to adolescent girls and women before and between pregnancies improves their overall health. It also improves the pregnancy outcomes and the health of the new-born. There are many health related conditions that have an impact on maternal and neonatal health. There is paucity of information regarding the uptake of pre-conception care and the effects thereof in regard to maternal and neonatal morbidity and mortality. The main aim of this study was to assess the Preconception Care (PCC) given to women of child bearing age at Kenyatta National Hospital Reproductive Health clinic. Methods: This was a descriptive prospective study that employed both qualitative and quantitative methods of data collection. The targeted population included the antenatal and postnatal women attended to at these clinics. Questionnaires were used to collect data from the respondents and the care providers were also interviewed. A total of 224 women of childbearing age who met the inclusion criteria were selected by convenient sampling technique and interviewed by use of questioners between December 2017 and March 2018. Content validity was ascertained by use of the test re-test method to establish reliability comparing with a Cronbach Alpha Reliability coefficient value. Data analysis was done by use of SPSS version 22; descriptive and inferential statistical tools like simple and multiple regressions were employed to establish association between the study variables and Chi square was used to establish if the association between independent and dependent variables were significant. Findings: Nineteen percent (19%, n=40) of the women knew about preconception care. There was positive attitude with 75.5% of the respondents stating that preconception care would improve the chances of having a healthy baby. Uptake was poor with only 23.1% had uptake of preconception care services despite the fact that 49.1% had received information on PCC. Conclusion: Women attending KNH reproductive clinic have –limited knowledge about PCC. Most of the women have positive attitude towards PCC but poor PCC practices.
| Published in | Journal of Gynecology and Obstetrics (Volume 9, Issue 6) |
| DOI | 10.11648/j.jgo.20210906.14 |
| Page(s) | 206-211 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Preconception Care, Women of Reproductive Age, Kenyatta National Hospital, Maternal and Neonatal Health
| [1] | Anderson, J. E., Ebrahim, S., Floyd, L., & Atrash, H. (2006). Prevalence of risk factors for adverse pregnancy outcomes during pregnancy and preconception period: United States, 2002-2004. Maternal and Child Health Journal, 10, 101-106. |
| [2] | Bekkers RL, Eskes TK. Periconceptional folic acid intake in Nijmegen, Netherlands. Lancet 1999: 353 (9149): 292. |
| [3] | Chatterjee, S., Sambmoorthi, U., & Kotelchuck, M. (2008). Prevalence of chronic illness in pregnancy, access to care and health care costs: Implications for interconception care. Women’s Health Issues, 18 (Suppl.), S107–S116. |
| [4] | Coonrod, D. V., Bruce, N. C., Malcolm, T. D., Drachman, D., & Frey, K. A. (2009). Knowledge and attitudes regarding PCC in a predominantly low-income Mexican American population. Presented at the 75th annual meeting of the Pacific Coast Obstetrical and Gynecological Society, Victoria, BC, Canada. |
| [5] | De Jong-Potjer, L. C., Elsinga, J., Le Cessie, S., Van der Pal-de Bruin, K. M., Neven, A. K., Buitendijk, S. E., et al. (2006). GP-initiated preconception counselling in a randomised controlled trial does not induce anxiety. BMC family practice, 7 (1), 66. |
| [6] | Elsinga, J., de Jong-Potjer, L, van der Pal-de Bruin, K., Cessie, S., Assendelft, A., & Buitendijk, S. (2008). The effect of preconception counseling on lifestyle and other behavior before and during pregnancy. Women’s Health Issues 18 (6, suppl), S117-S125. |
| [7] | Frey, K. A.,& Files, J. A. (2006). Preconception health care: What women know and believe. Maternal and Child Health Journal, 10, 73-77. |
| [8] | Hillemeier, M. M., Weissman, C. S., Chase, G. A., Dyer, A., & Shaffer, M. L. (2007). Women’s preconceptional health and use of health services: Implications for preconception care. Health Research and Educational Trust, XX, 54-75. |
| [9] | Kenya National Bureau of Statistics (KNBS) and ICF Macro. 2010. Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro. |
| [10] | Kroelinger, C. D., & Ehrenthal, D. (2008). Translating policy to practice and back again: Implementing a preconception program in Delaware. Women’s Health Issues, 18 (Suppl.), S74–S80. |
| [11] | Johnson, K., Posner, S. F., Biermann, J., Cordero, J. F., Atrash, H. K., Parker, C. S.,... & Curtis, M. G. (2006). Recommendations to improve preconception health and Health Care—United States: report of the CDC/ATSDR preconception care work group and the select panel on preconception care. Morbidity and Mortality Weekly Report: Recommendations and Reports, 55 (6), 1-CE. |
| [12] | Lassi, Z. S., Dean, S. V., Mallick, D. et al. Preconception care: delivery strategies and packages for care. Reprod Health 11, S7 (2014). https://doi.org/10.1186/1742-4755-11-S3-S7. |
| [13] | Liu, Y., Liu, J., Ye, R., & Li, Z. (2006). Association of preconceptional health care utilization and early initiation of prenatalcare. Journal of Perinatology, 26, 409–413. Doi: 10.1038/sj.jp.7211537. |
| [14] | Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity. Geneva, World Health Organization, 2013. |
| [15] | Rumbold, A.,&Crowther, C. A. (2005). Vitamin C supplementation in pregnancy. Cochrane Database of Systematic Reviews 2005; Issue 1: Art. No. CD004072. |
| [16] | Tough, C.(2006). Pre-conception practices among family physicians and obstetrician-gynaecologists: Results from a national survey. Journal of Obstetrics and Gynaecology Canada, 28 (9), 780-788. |
| [17] | Ziraba AK, Mills S, Madise NJ, Saliku T, Fotso JC. The state of emergency obstetric care services in Nairobi informal settlements and environs: Results from a maternity health facility survey. BMC Health Serv Res. 2009; 9: 46. doi: 10.1186/1472-6963-9-46. |
APA Style
Edalia Madina Guye, Edalia Bernard Kidinga, Otieno Moses Omondi, Mutabazi Michael, Okun Daniel. (2021). Perception and Level of Knowledge on Preconception Care Uptake Among Women of Child Bearing Age Attending Reproductive Health Clinic at Kenyatta National Hospital. Journal of Gynecology and Obstetrics, 9(6), 206-211. https://doi.org/10.11648/j.jgo.20210906.14
ACS Style
Edalia Madina Guye; Edalia Bernard Kidinga; Otieno Moses Omondi; Mutabazi Michael; Okun Daniel. Perception and Level of Knowledge on Preconception Care Uptake Among Women of Child Bearing Age Attending Reproductive Health Clinic at Kenyatta National Hospital. J. Gynecol. Obstet. 2021, 9(6), 206-211. doi: 10.11648/j.jgo.20210906.14
AMA Style
Edalia Madina Guye, Edalia Bernard Kidinga, Otieno Moses Omondi, Mutabazi Michael, Okun Daniel. Perception and Level of Knowledge on Preconception Care Uptake Among Women of Child Bearing Age Attending Reproductive Health Clinic at Kenyatta National Hospital. J Gynecol Obstet. 2021;9(6):206-211. doi: 10.11648/j.jgo.20210906.14
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.jgo.20210906.14,
author = {Edalia Madina Guye and Edalia Bernard Kidinga and Otieno Moses Omondi and Mutabazi Michael and Okun Daniel},
title = {Perception and Level of Knowledge on Preconception Care Uptake Among Women of Child Bearing Age Attending Reproductive Health Clinic at Kenyatta National Hospital},
journal = {Journal of Gynecology and Obstetrics},
volume = {9},
number = {6},
pages = {206-211},
doi = {10.11648/j.jgo.20210906.14},
url = {https://doi.org/10.11648/j.jgo.20210906.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210906.14},
abstract = {Background: Provision of care to adolescent girls and women before and between pregnancies improves their overall health. It also improves the pregnancy outcomes and the health of the new-born. There are many health related conditions that have an impact on maternal and neonatal health. There is paucity of information regarding the uptake of pre-conception care and the effects thereof in regard to maternal and neonatal morbidity and mortality. The main aim of this study was to assess the Preconception Care (PCC) given to women of child bearing age at Kenyatta National Hospital Reproductive Health clinic. Methods: This was a descriptive prospective study that employed both qualitative and quantitative methods of data collection. The targeted population included the antenatal and postnatal women attended to at these clinics. Questionnaires were used to collect data from the respondents and the care providers were also interviewed. A total of 224 women of childbearing age who met the inclusion criteria were selected by convenient sampling technique and interviewed by use of questioners between December 2017 and March 2018. Content validity was ascertained by use of the test re-test method to establish reliability comparing with a Cronbach Alpha Reliability coefficient value. Data analysis was done by use of SPSS version 22; descriptive and inferential statistical tools like simple and multiple regressions were employed to establish association between the study variables and Chi square was used to establish if the association between independent and dependent variables were significant. Findings: Nineteen percent (19%, n=40) of the women knew about preconception care. There was positive attitude with 75.5% of the respondents stating that preconception care would improve the chances of having a healthy baby. Uptake was poor with only 23.1% had uptake of preconception care services despite the fact that 49.1% had received information on PCC. Conclusion: Women attending KNH reproductive clinic have –limited knowledge about PCC. Most of the women have positive attitude towards PCC but poor PCC practices.},
year = {2021}
}
TY - JOUR T1 - Perception and Level of Knowledge on Preconception Care Uptake Among Women of Child Bearing Age Attending Reproductive Health Clinic at Kenyatta National Hospital AU - Edalia Madina Guye AU - Edalia Bernard Kidinga AU - Otieno Moses Omondi AU - Mutabazi Michael AU - Okun Daniel Y1 - 2021/11/17 PY - 2021 N1 - https://doi.org/10.11648/j.jgo.20210906.14 DO - 10.11648/j.jgo.20210906.14 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 206 EP - 211 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20210906.14 AB - Background: Provision of care to adolescent girls and women before and between pregnancies improves their overall health. It also improves the pregnancy outcomes and the health of the new-born. There are many health related conditions that have an impact on maternal and neonatal health. There is paucity of information regarding the uptake of pre-conception care and the effects thereof in regard to maternal and neonatal morbidity and mortality. The main aim of this study was to assess the Preconception Care (PCC) given to women of child bearing age at Kenyatta National Hospital Reproductive Health clinic. Methods: This was a descriptive prospective study that employed both qualitative and quantitative methods of data collection. The targeted population included the antenatal and postnatal women attended to at these clinics. Questionnaires were used to collect data from the respondents and the care providers were also interviewed. A total of 224 women of childbearing age who met the inclusion criteria were selected by convenient sampling technique and interviewed by use of questioners between December 2017 and March 2018. Content validity was ascertained by use of the test re-test method to establish reliability comparing with a Cronbach Alpha Reliability coefficient value. Data analysis was done by use of SPSS version 22; descriptive and inferential statistical tools like simple and multiple regressions were employed to establish association between the study variables and Chi square was used to establish if the association between independent and dependent variables were significant. Findings: Nineteen percent (19%, n=40) of the women knew about preconception care. There was positive attitude with 75.5% of the respondents stating that preconception care would improve the chances of having a healthy baby. Uptake was poor with only 23.1% had uptake of preconception care services despite the fact that 49.1% had received information on PCC. Conclusion: Women attending KNH reproductive clinic have –limited knowledge about PCC. Most of the women have positive attitude towards PCC but poor PCC practices. VL - 9 IS - 6 ER -
Information
Email: