Guideline about Antenatal Care for Pregnant Women at Damietta City

Author

Family and Community Health Nursing Faculty of Nursing Port-Said University

Abstract

Background: In Egypt more than 2500 mothers die every year from problems related to pregnancy and childbirth, leaving behind 200 motherless newborns. These   deaths, can be avoided if mothers have proper information about access to pregnancy care. Maternal mortality in Egypt may be due to no or poor antenatal care, delay in seeking medical care, unwanted pregnancy, substandard care from team/ general practitioner and lack of blood bank. Aim of study determines guideline about antenatal care for pregnant women in Damietta City. Quasi–experimental design was utilized in this study. The study Sample The sample of this study consisted of 93 women from the total number 500 pregnant women attending all Maternal and Child Health Centers (MCH) at Damietta city according to inclusion criteria. The data were collected using two tools: The 1st tool: Interview Questionnaire to assess knowledge and practices of pregnant women about antenatal care, the 2nd tool was opinionnaire of pregnant women about booklet. The results of this study showed that, the total mean scores of knowledge of the studied sample in pre-test was (25.61±6.43), after implementation of the guideline, it raised to be (51.26±3.70). While  the total mean score of practice in pre-test was (16.28±5.26), raised in post-test to be (29.65±2.43). Moreover a highly statistical significant differences were detected between pre and post test as regard knowledge and practice where p ≤ 0.001. The conclusion of this study was implementation of guideline about antenatal care improved pregnant women knowledge and practices about antenatal care. The study recommended thatBased on the present findings, It was recommended the following. Provision of posters & booklets about antenatal care within the Maternal and Child Health Centers (MCH) available to see by pregnant women. Further research about different methods for maternal care education.

Keywords


Agbede, P.E. Omeonu & J.O. Kio. Influence of Clinic-Based Health Education on Pregnant Women's Knowledge and Attitudes in Relation to Pregnancy Management:Evidence from Ogun State, Nigeria, Global Journal of Medical Research: E Gynecology and Obstetrics 2015;15 (1 ) :4
Akpan-Nnah, E. M. (2011): Knowledge and attitude of pregnant women towards focused antenatal care in General Hospital, Ikot Ekpene, Akwa Ibom State,  International Professional Nursing Journal. 9(1): 96 – 104.
 
Ankur Barua(2010):Effectiveness of Reproductive Health Education in Adolescent, Rural School Girls of Udupi Taluk, Karnataka JIMSA October - December 2010: 23
(4):6
 
Habib F, Hanafi M, El sagheer A. antenatal care in primary health care centers in Madina, Saudi Arabia, 2009: a cross-sectional study. Eastern Mediterranean Health Journal 2011; 17(3):196-202.
 
Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, Lopez AD,Lozano R, Murray CJL.Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. The Lancet, 2010;375(1):609-23.
 
Izugbara, C.O., Wekesah, F. M. & Adedini, S. AMaternal Health in Nigeria: A Situation Update. African Population and Health Research Center (APHRC), Nairobi, Kenya 2016
 
Laxmi Kumar. Effectiveness of ‘Self Instructional Module’ (SIM) On the Level of Knowledge Regarding Selected Minor Ailments and Their Remedial Measures among Pregnant Women, IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959. ISSN: 2320–1940 Ver. IV 2014; 3(1):32-38
 
Kish, Leslie. (1965): Survey Sampling. New York: John Wiley and Sons, Inc.
 
Mansour and  Amin.(2012):Women's Satisfaction with the Quality ofAntenatal Care at the Primary Health Care Centers in Al-Madinah Al-Menawarh, KSA. Life Sci J, 2012;9(4):4291-4299
 
Montasser N, Helal R, Megahed W, Amin S,Saad A, Ibrahim T, Abd Elmoneem    H.(2012): Egyptian Women's Satisfaction and Perception of Antenatal Care. International Journal of Tropical Disease & Health 2012; 2(2): 145-156
 
National Institute of Child Health & Human Development. (2010): Care before and during pregnancy: Prenatal care. Retrieved October 13, 2011, from
 
Nitanjali Patil1, Jyoti Salunkhe.(2013): Assessment of Knowledge on Minor Ailments of Pregnancy and Home Remedies International Journal of Science and Research (IJSR) ISSN (Online): 2319-7064 Index Copernicus Value : 6.14 | Impact Factor 2013; 4.438
 
Ojong, Idang N, Uga Adaora, L. & Chiotu, Catherine N.(2015): Knowledge and attitude of pregnant women towards focused antenatal care services in University of calabar  teaching hospital, Calabar, Cross Riverstate,Nigeria, International Journal of Midwife and Health Related Cases2015;.1(1):14-23
 
Otaiby TAI, Jradi H, Bawazir A. (2013): Antenatal Education: An assessment of Pregnant Women Knowledge and Preferences in Saudi Arabia. J Women’s Health Care 2013;2 (1): 139.
 
Rashad WA, Essa RM.(2010): Women's awareness of danger signs of obstetrics complications. J Am Sci 2010; 6:1299-1306. 
 
Rosalia, A. M. & Muhammad, J. Knowledge, attitude and practices on antenatal care among orang asli women in Jrempel, Nigeria Sembelian. Malaysian. Journal of public health medicine 2011; 11(2), 13-21.
 
Sanayaima Devi, Jalina Laishram, Usha Devi Thounaojam, Jina Panmei, Salona Mukhia. Knowledge and Practice of Ante-natal Carein an Urban Area, Indian Medical Gazette — March 2013
 
Soliman. F. Satisfaction of Rural Pregnant Women as Quality Indicator of Provided Antenatal Care, International Journal of Scientific and Research Publications, 2015; 5(3):2250-3153
 
Titaley, M. Dible, C. Roberts. Factors associated with underutilization ofantenatal care services in Indonesia: results of Indonesia Demographic and Health Survey 2002/2003 and 2007, BMC Public Health, 2010;10 (1): 485.
 
Yang Ye, Y., Yashida, H. R. & Junichi, S. Factors Affecting Utilisation of Antenatal Care Services among Women in Khan District, Xrengkhouang Province. Nagoya Journal of Medical Sciences 2010; 72(1): 23-33.