Survey of Reasons for Not Conducting pre-pregnancy Counseling in Primiparous Women in Kermanshah

Introduction: Pre-pregnancy care is a set of care services that assesses the risks of pregnancy and tries to improve pregnancy outcomes by suitable interventions before pregnancy. The purpose of this care is assessment of mother condition from physically and spiritually aspect to have a healthier pregnancy. This reduces the mortality and morbidity in mothers and infants. Therefore, pre-pregnancy counselling is the most important visit. Unfortunately, most women become aware of their pregnancy very late so they lose their golden time to prevent some maternal and fetal complications. Therefore, this study was conducted to investigate the reasons for not conducting pre-pregnancy counseling in primiparous pregnant women.Material and Methods: This retrospective study was performed on 370 primiparous women who attend to hospital with continuous sampling. The data gathering tool was a researcher-made form and data were analyzed using SPSS software.Results: The results showed that among 370 primiparous women who attend to hospital for delivery, only 85 (23%) cases had pre-pregnancy counselling and 285 (67%) cases did not do that. Reasons for not conducting pre-pregnancy counselling include lack of knowledge about its benefits (70%), unwanted pregnancy (15.8%), lack of access (11.2%), and financial problems (3.5%). The rate of hospitalization during pregnancy due to pregnancy complications in the counseling group was 4.7% and in the non-counseling group was 9.5%, which there was a significant difference between two groups.Conclusion: Considering the findings that the most common reason for not conducting pre-pregnancy counseling is lack of awareness of its benefits, so women can be trained to do pre- pregnancy counselling to plan a safe and secure pregnancy.

کلیدواژه ها:

Pre-pregnancy counseling ، Consultation ، primiparous women