Knowledge and practice of preconception care among women in southeastern Mexico

Authors

DOI:

https://doi.org/10.15649/cuidarte.3512

Keywords:

Preconception Care, Women, Healthy Lifestyles, Reproductive Health, Knowledge

Abstract

Highlights

  • Preconception care is essential to ensure a healthy pregnancy, the health of the future child, and the prevention of short- and long-term complications.
  • Adequate knowledge about preconception care helps couples make informed decisions about their health before conceiving.
  • The practice of preconception care involves adopting healthy habits, evaluating risk diseases for the fetus and avoiding the consumption of harmful substances.
  • Access to preconception care and its integration into family planning are key aspects to improving maternal and child health outcomes.

Introduction: Preconception care is intended to increase the chances of a favorable perinatal outcome; little is known about it in low- and middle-income countries in Latin America. Objective: To evaluate the knowledge and practices of PCC and its relationship with sociodemographic and obstetric characteristics in women of childbearing age in southeastern Mexico. Materials and Methods: A cross-sectional study was conducted with 138 women attending health care centers. Consecutive sampling was used, and data were collected with a structured questionnaire. Data analysis involved the calculation of frequencies, percentages, and inferential tests. Results: Women's APC knowledge score obtained a mean of 13.3 ± 3.24 and for practices a mean of 8.13 ± 3.44 scores considered low for both. Knowledge of APC obtained a relationship with schooling (rs.460, p < .05), monthly economic income (rs =.334, p < .05). In addition, a positive and significant relationship was obtained between knowledge and practice of CPA (rs=.267, p < .05). Discussion: These findings are consistent with results reported in studies conducted in low- and middle-income countries.    Conclusions: There is a relatively low level of knowledge and adoption of CPA practices in women of childbearing age in southern Mexico, and it is related to education and socioeconomic income, which places them in a population group at high risk for maternal and child health problems.

How to cite this article: Hernández Martínez Nora, Pérez Chablé Andrea Paola, Cárdenas Villareal Velia Margarita, Cruz Chávez Norma Edith, Santos Flores Jesús Melchor. Knowledge and practice of preconception care among women in southeastern Mexico. Revista Cuidarte. 2024;15(2):e3512.  https://doi.org/10.15649/cuidarte.3512

Author Biographies

Nora Hernández Martínez, Universidad Autónoma de Nuevo León, México.

Doctora en Ciencias de Enfermería. Facultad de Enfermería de Universidad Autónoma de Nuevo León, México.

Andrea Paola Pérez Chablé, Universidad Autónoma del Campeche.

Egresada de la Universidad Autónoma de Campeche, Facultad de Enfermería como Licenciada en Enfermería. Maestra en Ciencias de Enfermería. Profesor de Asignatura tipo A en el Programa Educativo de Licenciatura en Enfermería en la Universidad Autónoma del Campeche.

Velia Margarita Cárdenas Villarreal, Universidad Autónoma de Nuevo León, México.

Egresada de la Universidad Autónoma de Nuevo León, Facultad de Enfermería como Licenciada en Enfermería, Profesor de tiempo completo, Maestra en Ciencias de Enfermería, Doctora en Ciencias de Enfermería, Perfil deseable PRODEP, Integrante del Sistema Nacional de Investigadores Nivel II, Líder del cuerpo académico respuestas humanas a la salud y a la enfermedad UANL-CA 225.

Norma Edith Cruz Chávez, Universidad Autónoma de Nuevo León, México.

Egresada de la Universidad Autónoma de Nuevo León, Facultad de Enfermería como Licenciada en Enfermería, Profesor de tiempo completo, Maestra en Ciencias de Enfermería, Doctora en Ciencias de Enfermería, Perfil deseable PRODEP, Candidato del Sistema Nacional de Investigadores, Integrante del cuerpo académico respuestas humanas a la salud y a la enfermedad UANL-CA 225.

Jesús Melchor Santos Flores, Universidad Autónoma de Nuevo León, México.

Egresado de la Universidad Autónoma de Nuevo León, Facultad de Enfermería como Licenciado en Enfermería, Profesor de tiempo parcial, Maestro en Ciencias de Enfermería, Doctor en Educación, Candidato del Sistema Nacional de Investigadores.

References

Stephenson J, Schoenaker DA, Hinton W, Poston L, Barker M, Alwan NA, et al. A wake-up call for preconception health: a clinical review. Br J Gen Pract. 2021;71(706):233-236. https://doi.org/10.3399/bjgp21X715733

World Health Organization. Meeting to Develop a Global Consensus on Preconception Care to Reduce Maternal and Childhood Mortality and Morbidity. [Internet] 2013. [Cited: 2023 feb 20]. Available from: https://www.who.int/publications/i/item/9789241505000

Dennis CL, Brennenstuhl S, Brown H, Bell R, Marini F, Birken C. High risk health behaviors of pregnancy-planning women and men: Is there a need for preconception care. Midwifery. 2022;106(103244). https://doi.org/10.1016/j.midw.2021.103244

Stephenson J, Heslehurst N, Hall J, Schoenaker D.A, Hutchinson J, Cade J.E, et al. Before the beginning: Nutrition and lifestyle in the preconception period and its importance for future health. Lancet 2018;391(101032):1830–1841. https://doi.org/10.1016/S0140-6736(18)30311-8

Godfrey KM, Reynolds RM, Prescott SL, Nyirenda M, Jaddoe V, Eriksson JG et al. Influence of maternal obesity on the long-term health of offspring. Lancet Diabetes & Endocrinology. 2017;5(1):53–64. https://doi.org/10.1016/S2213-8587(16)30107-3

International Weight Management in Pregnancy (i-WIP) Collaborative Group. Effect of diet and physical activity-based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomized trials. BMJ. 2017;358: j3119. https://doi.org/10.1136/bmj.j3119

Daly M, Kipping RR, Tinner LE, Sanders J, White JW. Preconception exposures and adverse pregnancy, birth, and postpartum outcomes: umbrella review of systematic reviews. Paediatric and perinatal epidemiology. 2021;36(2):288-299. https://doi.org/10.1111/ppe.12855

Bayrami R, Didarloo A, Asadinejad A. Predictors of preconception care behavior among women of reproductive age using a behavior-change model. Proceedings Singapore Healthcare. 2021;30(2):125–30.https://doi.org/10.1177/2010105820958727

Woldeyohannes D, Tekalegn Y, Sahiledengle B, Hailemariam Z, Erkalo D, Zegeye A, et al. Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with the knowledge level among women in the reproductive age group. SAGE Open Medicine. 2023;11. https://doi.org/10.1177/20503121231153511

Raghuraman N, Tuuli M. Preconception care as an opportunity to optimize pregnancy outcomes. JAMA. 2021;326(1):79-80. https://doi.org/10.1001/jama.2020.27244

Khan NN, Boyle JA, Lang AY, Harrison CL. Preconception Health Attitudes and Behaviours of Woman: A Qualitative Investigation. Nutrients. 2019;11(7):1490. https://doi.org/10.3390/nu11071490

Demisse T, Aliyu S, Kitila S, Tafesse T, Gelaw K, Zerihum M. Utilization of preconception care and associated factors among reproductive age group women in Debra Birhan Town, North Shewa, Ethiopia. Reproductive Health. 2019;16(1):1-10. https://doi.org/10.1186/s12978-019-0758-x

Ekbal AERE, Amany HAER, Naglaa MAG, Hanan EH. Knowledge and Attitude of Women and Nurses regarding Pre-conception care: A comparative study. American Research Journal of Nursing. 2019;5(1):1-15. https://www.arjonline.org/papers/arjn/v5-i1/1.pdf

Kassa A, Hadra N. A systematic review and meta-analysis on women's knowledge of preconception care. EJRH. 2021;13(2):1–8. https://ejrh.org/index.php/ejrh/article/view/469/150

Li D, Huang L, Yang W, Qi C, Shang L, Xin J, et al. Knowledge, attitude, and practice level of women at the periconceptional period: a cross-sectional study in Shaanxi, China. BMC Pregnancy Childbirth. 2019;19(1). https://doi.org/10.1186/s12884-019-2481-6

Polit, D.E., Beck, Ch.T. Investigación en Enfermería, Fundamentos para el uso de la evidencia en la práctica de Enfermería . 9na Edición. Wolters Kluwer; 2018.

Cohen J. Statistical power analysis for the behavioral sciences (2nd ed). Lawrence Erlbaum Associates. 1988. Disponible en: http://doi.org/10.1016/C2013-0-10517-X

Fekene DB, Woldeyes BS, Erena MM, Demisse GA. Knowledge, uptake of preconception care, and associated factors among reproductive age group women in West Shewa Zone, Ethiopia. BMC Women’s Health. 2020;20(1):1-8. https://doi.org/10.1186/s12905-020-00900-2

Hernández N, Pérez AP, Cárdenas VM, Cruz NE, Cárdenas V, Santos JM. Atención preconcepcional. Mendeley Data. 2024 https://doi.org/10.17632/zmn2z5sj4y.3

Secretaria de Gobernación. Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. México. Consulta: Febrero, 20 2023. Disponible en: https://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS.pdf

Ayele AD, Belay HG, Kassa BG, Worke MD. Knowledge and utilisation of preconception care and associated factors among women in Ethiopia: systematic review and meta-analysis. Reprod Health. 2021;18(1):1-15https://doi.org/10.1186/s12978-021-01132-9

Jafari F, Rashidi S. Iranian women’s knowledge, and attitude regarding preconception health: 12 years after integration into the primary health care network. J Nurs Midwifery Sci. 2017;4(3):104.https://www.researchgate.net/publication/338861337_Iranian_women's_knowledge_and_attitude_regarding_preconception_health_12_years_after_integration_into_the_primary_health_care_network

Giri K, Gautam S. Knowledge of preconception care among reproductive aged women in Kaski District, Nepal. Janapriya Journal of Interdisciplinary Studies. 2018;7(1):46–56. https://doi.org/10.3126/jjis.v7i1.23049

Demisse T, Aliyu S, Kitila S, Tafesse T, Gelaw K, Zerihum M. Utilization of preconception care and associated factors among reproductive age group women in Debra Birhan Town, North Shewa, Ethiopia. Reproductive Health. 2019;16(1):1-10. https://doi.org/10.1186/s12978-019-0758-x

Dean S. V, Lassi Z S, Imam A M, Bhutta, Z A. Preconception care: closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health. Reprod Health.2014;11(3):1-8. https://doi.org/10.1186/1742-4755-11-S3-S1

Akinajo, OR, Osanyin GE, Okojie OE. Preconception care: Assessing the level of awareness, knowledge, and practice amongst pregnant women in a tertiary facility. J Clin Sci. 2019;16(3): 87-92. https://doi.org/10.4103/jcls.jcls_41_18

Amaje E, Fikrie A, Utura T. Utilization of Preconception Care and Its Associated Factors among Pregnant Women of West Guji Zone, Oromia, Ethiopia,2021: A Community-Based Cross-Sectional Study. Health services research and managerial epidemiology. 2022;9:233339282210887. https://doi.org/10.1177/23333928221088720

Secretaría de Gobernación SEGOB. Norma Oficial Mexicana NOM-007-SSA2-2016, Para la atención de la mujer durante el embarazo, parto y puerperio, y de la persona recién nacida. 2016. Consulta: Febrero 20. 2023. Disponible en: https://www.dof.gob.mx/nota_detalle.php?codigo=5432289&fecha=07/04/2016#gsc.tab=0

Tekalign T, Lemma T, Silesh M, Lake EA, Teshome M, Yitna T, et al. Mothers’ utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis. PLoS One. 2021;16(7):e0254935. https://doi.org/10.1371/journal.pone.0254935

Agency for Healthcare Research and Quality. About Priority Populations. Content last reviewed. Rockville, MD. 2021 Consulta: Febrero 20. 2023. Disponible en: https://www.ahrq.gov/priority-populations/about/index.html

Dorney E, Boyle JA, Walker R, Hammarberg K, Musgrave L, Schoenaker D, et al. A systematic review of clinical guidelines for preconception care. Seminars in reproductive medicine. 2022;40(03/04):157-169. https://doi.org/10.1055/s-0042-1748190

Benedetto C, Borella F, Divakar,H, O¨Riordan, S, Mazzoli,M, Hanson, M. et al. FIGO Preconception Checklist: Preconception care for mother and baby. International Journal of Gynecology & Obstetrics. 2024;165(1)1-8. https://doi.org/10.1002/ijgo.15446

Published

2024-08-02

How to Cite

1.
Hernández Martínez N, Pérez Chablé AP, Cárdenas Villarreal VM, Cruz Chávez NE, Santos Flores JM. Knowledge and practice of preconception care among women in southeastern Mexico. Revista Cuidarte [Internet]. 2024 Aug. 2 [cited 2024 Sep. 14];15(2). Available from: https://revistas.udes.edu.co/cuidarte/article/view/3512

Altmetrics

Downloads

Download data is not yet available.

Most read articles by the same author(s)