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Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak

Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak. Preconception care is a promising new approach to improve the health of future...

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Main Author: Jusoh, Nazirah
Format: Thesis
Language:English
Published: 2018
Subjects:
RG551-591 Pregnancy
Online Access:http://eprints.usm.my/46716/1/Dr.%20Nazirah%20Jusoh-24%20pages.pdf
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spelling my.usm.eprints.46716 http://eprints.usm.my/46716/ Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak Jusoh, Nazirah RG551-591 Pregnancy Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak. Preconception care is a promising new approach to improve the health of future children through primary intervention and to ensure appropriate action and avoid risks in early pregnancy. A greater number of women are being categorized as high risk pregnancies due to shift in maternal age and obesity prevalence. This study aims to determine the preconception health knowledge and practice, factors associated with early antenatal booking and to explore the experiences and perceptions of preconception care among antenatal women with high risk pregnancy in Kinta District, Perak. This is a mixed-method study comprising of a quantitative crosssectional survey and an exploratory qualitative study. A cross-sectional survey was conducted between March and December 2016 at 14 health clinics in Kinta District, Perak. Women who came for their first antenatal booking were randomly selected. A validated interviewer guided questionnaire was administered. It consisted of three domains, assessing sociodemographic data, knowledge and practice of preconception care. Knowledge score of more than 12 was categorized as good knowledge, and practice score of more than 8 was considered as good preconception practice. The qualitative study using focus group discussion and in-depth interview were conducted among women with high risk pregnancy selected through purposive sampling among those who had participated in the quantitative survey. A total of 490 respondents participated in the study. The mean age was 29.9 (SD 5.56) years old. Majority of respondents were Malay 347 (70.8%). Only 23.9% of respondents attended preconception care. About 48.6% of the respondents had good knowledge and 76.7% had good practice of preconception health. The proportion of those who attended early antenatal booking was 74.3%. The significant factors found to be associated with early antenatal booking were women who attended preconception care (Adj. OR: 1.54; 95% CI: 1.30, 3.98; p=0.043), planned pregnancy (Adj. OR: 2.21; 95% CI: 1.42, 3.45; p<0.001) and preconception health practice (Adj. OR: 1.88; 95% CI: 1.17, 3.01; p=0.009). There were three major themes emerged from the interview which are: women’s perceived preconception care is for family planning, preconception care is indicated for women with high risk pregnancy and preconception care as for preparation for the next pregnancy. Women who attended preconception care experienced long waiting time from the registration to the consultation, lack of privacy and confidentiality, and preferred to be seen by female doctors. Proportion of antenatal women with high risk pregnancy who attended preconception care were low and they had fair knowledge on preconception health. Most of the respondents’ perception of preconception care was incomplete. Strategies should focus on improving the low level of knowledge as well as misconception about preconception care as identified in this study. 2018-01 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/46716/1/Dr.%20Nazirah%20Jusoh-24%20pages.pdf Jusoh, Nazirah (2018) Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak. Masters thesis, Universiti Sains Malaysia.
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
language English
topic RG551-591 Pregnancy
spellingShingle RG551-591 Pregnancy
Jusoh, Nazirah
Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak
description Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak. Preconception care is a promising new approach to improve the health of future children through primary intervention and to ensure appropriate action and avoid risks in early pregnancy. A greater number of women are being categorized as high risk pregnancies due to shift in maternal age and obesity prevalence. This study aims to determine the preconception health knowledge and practice, factors associated with early antenatal booking and to explore the experiences and perceptions of preconception care among antenatal women with high risk pregnancy in Kinta District, Perak. This is a mixed-method study comprising of a quantitative crosssectional survey and an exploratory qualitative study. A cross-sectional survey was conducted between March and December 2016 at 14 health clinics in Kinta District, Perak. Women who came for their first antenatal booking were randomly selected. A validated interviewer guided questionnaire was administered. It consisted of three domains, assessing sociodemographic data, knowledge and practice of preconception care. Knowledge score of more than 12 was categorized as good knowledge, and practice score of more than 8 was considered as good preconception practice. The qualitative study using focus group discussion and in-depth interview were conducted among women with high risk pregnancy selected through purposive sampling among those who had participated in the quantitative survey. A total of 490 respondents participated in the study. The mean age was 29.9 (SD 5.56) years old. Majority of respondents were Malay 347 (70.8%). Only 23.9% of respondents attended preconception care. About 48.6% of the respondents had good knowledge and 76.7% had good practice of preconception health. The proportion of those who attended early antenatal booking was 74.3%. The significant factors found to be associated with early antenatal booking were women who attended preconception care (Adj. OR: 1.54; 95% CI: 1.30, 3.98; p=0.043), planned pregnancy (Adj. OR: 2.21; 95% CI: 1.42, 3.45; p<0.001) and preconception health practice (Adj. OR: 1.88; 95% CI: 1.17, 3.01; p=0.009). There were three major themes emerged from the interview which are: women’s perceived preconception care is for family planning, preconception care is indicated for women with high risk pregnancy and preconception care as for preparation for the next pregnancy. Women who attended preconception care experienced long waiting time from the registration to the consultation, lack of privacy and confidentiality, and preferred to be seen by female doctors. Proportion of antenatal women with high risk pregnancy who attended preconception care were low and they had fair knowledge on preconception health. Most of the respondents’ perception of preconception care was incomplete. Strategies should focus on improving the low level of knowledge as well as misconception about preconception care as identified in this study.
format Thesis
author Jusoh, Nazirah
author_facet Jusoh, Nazirah
author_sort Jusoh, Nazirah
title Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak
title_short Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak
title_full Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak
title_fullStr Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak
title_full_unstemmed Knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in Kinta District, Perak
title_sort knowledge and practice of preconception health, perception and experience of utilising preconception care and its association with early antenatal booking among women with high risk pregnancy in kinta district, perak
publishDate 2018
url http://eprints.usm.my/46716/1/Dr.%20Nazirah%20Jusoh-24%20pages.pdf
http://eprints.usm.my/46716/
_version_ 1672611558988972032
score 13.211869

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