Preconception Care Patterns and Some Related Factors in Pregnant Women in Gorgan in ۲۰۱۷

Background: Preconception care is an opportunity to change unhealthy behaviors which in turn reduces unplanned pregnancy and plays an important role in reducing maternal and infant mortality. The aim of this study was to determine the level of preconception care and its related factors in pregnant women.   Methods: This cross-sectional study was conducted on ۳۹۴ pregnant women referred to Gorgan health centers in ۲۰۱۷. Samples were selected by multi-stage stratified sampling method from Gorgan health centers in Golestan province. Data was gathered using self-report questionnaire. Data analysis was performed using chi-square test, Fisher's exact, and Kruskal-Wallis tests in SPSS-۱۶. The P-value less than ۰.۰۵ were considered significant.   Results: ۳۲.۷%  of women were received complete preconception care and ۱۷.۸%  had no pre-pregnancy care. Only ۴۴.۲% of women used folic acid daily since the first trimester of pregnancy. Most of pregnant women (۶۳.۷%) performed triple screening laboratory test (FBS, CBC, TSH). Preconception care was more successful in mothers with higher level of education (p<۰.۰۰۱), having health insurance (p<۰.۰۰۱), history of disease (p=۰.۰۲۷), higher family income (p=۰.۰۴۴), and nulliparity (p= ۰.۰۴۹).   Conclusions: Preconception care coverage and acid folic consumption is not optimal. It seems necessary to plan more precisely on how such services need to be provided. The identification of factors associated with this care showed that far less attention was paid among low-income, without assurance coverage and low-educated people. Since these people do not have enough money to take care of mother and infant during pregnancy, health policymakers should provide the related services for free.

کلیدواژه ها:

Preconception Care ، Pregnant Woman ، Reproductive Health