Document Type : Original Articles

Authors

1 Department of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Arvand International branch, Ahvaz, Iran;

2 Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;

3 Reproductive Health Promotion Research Center, Department of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;

4 Reproductive Health Promotion Research Center, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

Background: Preconception counseling is preventive medicine in obstetrics. Preconception care creates an opportunity for examining conditions before pregnancy improving pregnancy outcome. This study was conducted with the aim of determining the adaptation rate of preconception care with the national standards at health care centers, Ahvaz, 2014.Methods: This descriptive study was conducted at health care centers in 2013 selected randomly. The samples of the study included 385 women at their fertility age who came to receive health services. Researcher observed simultaneous care and filled the related forms. The data were analyzed using the descriptive statistic SPSS version 19.Results: Results showed that the presented preconception care as to the case history section was weak for 14.3% of the cases, medium for 42.3% and desirable for the remainders (43.4%). In addition, presented preconception care at test’s section was weak for 38.4% of the cases, medium for 50.1% and desirable for 11.4%. Presented preconception care at exam’s section was weak in 82.3%, medium in 16.9%, and desirable in 0.8%. Presented preconception care at immunization’s section was weak in 42.3% of cases, medium in 43.1%, and desirable in 14.5%. As to resented preconception care at education’s section, it was weak in 81.6% of the cases, medium in 13.8%, and desirable adaptation with the standard guidelines of country in 4.7%. 84.9% of women were completely satisfied with centers, 11.9% relatively satisfied, and just 3.3% were dissatisfied.Conclusion: Presented preconception care at health care centers is not in the same line with the national standard; thus, a more accurate control is needed.

Keywords

  1. Shahidi S, Aghdak P, Farajzadegan Z, Izadi M,
  2. Mohammadi M, Nikkhah Fard M. Reviewing the
  3. effectiveness of pre-pregnancy counseling protocol
  4. on pregnancy and labor indices. Iran J Nurse Midwifery
  5. Res 2011 Autumn; 16(4): 265-72. PMCID: PMC358309
  6. Nekuoee N, Davazdahemami Sh. Experience of health
  7. worker on diabetic women before fertilization. Iran
  8. medical university 1389; 23(65): 23-32. Downloaded
  9. from http://journals.tums.ac.ir/ at 11:14 IRDT on Friday
  10. August 2nd 2013 .(In Persian).
  11. Impact of Pre-Conception Health Care: Evaluation of
  12. a Social Determinants Focused Intervention. Maternal
  13. and Child Health J 2010; 14(3): 382-91. DOI: 10.1007/
  14. s109950009-0471-4.
  15. Shahidi Sh, Aghdac P, Izadi M. Effect of performance
  16. of preconception care on women awareness. Medical
  17. science journal 1389; 10(5): 525-32. http://journals.
  18. mui.ac.ir. (In Persian).
  19. Johnson K, Posner SF, Biermann J, Cordero JF, Atrash
  20. H, Parker Ch, et al. Recommendations to improve
  21. preconception health and health care United States. A
  22. report of the CDC/ATSDR Preconception Care Work
  23. Group and the Select Panel on Preconception. MMWR
  24. Recomm Rep 2006; 55(RR-6): 1-23. DOI: 10.1007/
  25. springerreference_44442.
  26. Rezasoltani P, Parsaie S. Mother and infant health
  27. Book. . 2005; 2 th ed.(In Persian).
  28. Metteterp N. Labour pain in relation to fetal weight in
  29. pimipara. Obstet Gynecol J 2001; 99: 195-8.
  30. La Merrill M, Stein C, Landrigan P, Engel S,
  31. Savitz D. Pre pregnancy body mass index, smoking
  32. during pregnancy, and infant birth weight. Am
  33. Epidemiology 2011 June; 21(6): 413-20. DOI:10.1016/j.
  34. annepidem.2010.11.012.
  35. Wise L, Heffner L, Rosenberg L, Palmer J. pre
  36. pregnancy body size, gestational weight gain, and
  37. risk of preterm birth in African- American Women.
  38. Epidemiology 2010 March; 21(2): 243-52. DOI:10.1097/
  39. EDE.0b013e3181cb61a9. PMCID: PMC3154020
  40. NIHMSID: NIHMS311873.
  41. Seshadri S, Oakeshott P, Nelso Piercy C, Chappell
  42. L. Pre pregnancy Care. BMJ 2012; 344: e 3467. DOI:
  43. 1136/bmj.e3467 (Published 31 May 2012)
  44. Murphy H, Roland J, Skinner T, Gurnell E, Morrish N,
  45. Kelly S. Effectiveness of Regional Pre pregnancy care
  46. Program In women with type 1 and Type 2 Diabetes.
  47. Diabetes Care 2010; 33: 2514-20. DOI: 10.2337/
  48. dc10-1113
  49. Redaly U, Laughon S, Sun L, Troendle G, Willinger M,
  50. Zhang J. Per pregnancy Risk Factors For Antepartum
  51. Stillbirth In The United States. Obstet Gynecol
  52. November; 116(5): 1119-26. DOI: 10.1097/
  53. AOG.0b013e3181f903f8. PMCID: PMC3326407.
  54. NIHMSID: NIHMS362729.
  55. Hughes S, chambers C, Kassem N, Wahlgren D,
  56. Hovell M, Larson S, et al. Inconsistent Report of
  57. pre-pregnancy- Recognition Alcohol Use Latinas.
  58. Matern child Health J 2009; 13: 857-64. DOI:10.1007/
  59. s10995-008-0416-3.
  60. Staples J, Ponsoby A, Lim L. Low maternal exposure
  61. to ultraviolet radiation in pregnancy, month of birth,
  62. and risk of multiple sclerosis in offspring: longitudinal
  63. analysis. BMJ 2010; 340: c1640. DOI:10.1136/bmj.
  64. c1640. PMCID: PMC2862149.
  65. Nour N. An Introduction to Maternal Mortality. Rev
  66. Obstet Gynecol 2008 Spring; 1(2): 77–81. PMCID:
  67. PMC2505173. Solutions Group
  68. Souza JP, Cecatti JG, Faundes A, Morais S, Villar
  69. J, Carroli G, et al. Maternal near miss and maternal
  70. death in the World Health Organization’s 2005 global
  71. survey on maternal and perinatal health. Bull World
  72. Health Organ 2010; 88(2): 113-9. DOI: org/10.1590/
  73. S0042-96862010000200012.
  74. Ronsmans C, Graham WJ. Maternal mortality: Who,
  75. When, Where, and Why. Lancet 2006; 368(9542): 1189-
  76. DOI:10.1016/S0140-6736(06)69380-X. 18 Pre pregnancy counseling. Fars Medical Science
  77. University. Available at: http://www.sums.com.
  78. Accessed May 29, 2014. (In Persian).
  79. Oumap P, Eijk A, Hamel M, Sikuku E, Odhiambo F,
  80. Munguti K, et al. Antenatal and delivery care in rural
  81. western Kenya: the effect of training health care workers
  82. to provide “focused antenatal care”. Reproductive
  83. Health 2010; 7: 1. DOI:10.1186/1742-4755-7-1.
  84. Izadi S, Eftekhari M, Vatanparast Z, Delshadgholami
  85. G, Zarei L. The effect of increase in preconception
  86. care quality for decreasing of death fetus. Mashhad
  87. Medical Science University. Available at: http://www.
  88. mums.com.2010.(In Persian).
  89. Population and family health. Tehran Medical Science
  90. University. Available at: http://www.tums.com.
  91. Accessed March 6, 2014. (In Persian).
  92. Freda M, Moos M, Curtis M. The History of
  93. Preconception Care: Evolving Guidelines and
  94. Standards. Matern Child Health J 2006; 10: S43 S52.
  95. DOI:10.1007/s10995-006-0087-x.
  96. Hajavi A, Sarbaz M, Moradi N. Medical document
  97. (3,4) Book; 2002; 1 th ed. Jahanyarane nashr:75-77.
  98. (In Persian).
  99. Jahanishuorab N, Ghafarisardasht F, Jafarinezhad F.
  100. The review process of preconception care according
  101. donabedin model at Mashhad therapeutic health center.
  102. IJOGI 2013; 16(53): 7-17. (In Persian).
  103. Farzandipoor M, Asefzadeh S, Rabeei R. Assessment
  104. of consideration on the importance of medical records
  105. department standards of Kashan hospital. Scientific
  106. Information Database (SID) 2006; 10(3): 28-33. (In
  107. Persian).
  108. Oladapo OT, Iyaniwura CA, Sule-Odu AO. Quality of
  109. antenatal services at the primary care level in southwest
  110. Nigeria. Afr J Reprod Health 2008 Dec; 12(3): 71-92.