Studying the Opinions of Medical Workers about Preconception Care
DOI:
https://doi.org/10.3889/oamjms.2022.9601Keywords:
Preconception care, Medical workers, Public responsibility, ImplementationAbstract
Abstract.
Objective: to study the opinion of medical personnel (doctors and nurses) on the methods of preconception care and measures to improve the provision of medical care before conception in Kazakhstan (Karaganda region).
Design: The data obtained during the study were subjected to statistical processing by the method of variation statistics using the free version of the EPI InfoTM program. The arithmetic mean (M) and standard deviation (±SD) were calculated for quantitative indicators, the data were presented as M±SD. The Krusk-Wallis test (H test) was used to compare means. Absolute (n) and relative (%) values describe qualitative variables. χ2 were used to compare frequencies and qualitative variables.
The critical significance level (p) when testing statistical hypotheses was taken as 0.05.
Conditions: In the Karaganda region, a survey was conducted among doctors of the specialty general practitioner, general practitioner/family doctor, obstetrician-gynecologist and nursing staff. The survey was aimed at identifying the knowledge of health professionals about preconception care and at identifying barriers and factors preventing preconception care.
Participants: 365 doctors and 375 nurses/midwives took part in the survey.
Results: medical staff were asked to fill out a questionnaire, which addressed issues related to the ways of providing PC, barriers to the implementation of PC. 40% (n=292) of respondents noted that preconception care should be carried out by specialists from the family planning office. 24.3% (n=180) do not conduct conversations on preconception care due to lack of time, knowledge, a clear algorithm for conducting PC, and because they do not consider it their functional duty. Measures were proposed to improve the level of provision of preconception training in the Republic of Kazakhstan.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
World Health Organization. Born too Soon: The Global Action Report on Preterm Birth. Geneva: World Health Organization; 2012.
Steegers-Theunissen RP, Twigt J, Pestinger V, Sinclair KD. The periconceptional period, reproduction and long-term health of offspring: The importance of one-carbon metabolism. Hum Reprod Update. 2013;19(6):640-55. https://doi.org/10.1093/humupd/dmt041 PMid:23959022 DOI: https://doi.org/10.1093/humupd/dmt041
De Weerd S, Steegers EA. The past and present practices and continuing controversies of preconception care. Community Genet. 2002;5(1):50-60. https://doi.org/10.1159/000064631 PMid:14960900 DOI: https://doi.org/10.1159/000064631
Maas VY, Poels M, Lamain-de Ruiter M, Kwee A, Bekker MN, Franx A, et al. Associations between periconceptional lifestyle behaviours and adverse pregnancy outcomes. BMC Pregnancy Childbirth. 2021;21(1):492. https://doi.org/10.1186/s12884-021-03935-x PMid:34233654 DOI: https://doi.org/10.1186/s12884-021-03935-x
Temel S, van Voorst SF, Jack BW, Denktas S, Steegers EA. Evidence-based preconceptional lifestyle interventions. Epidemiol Rev. 2014;36:19-30. DOI: https://doi.org/10.1093/epirev/mxt003
De Weerd S, van der Bij AK, Cikot RJ, Braspenning JC, Braat DD, Steegers EA. Preconception care: A screening tool for health assessment and risk detection. Prev Med. 2002;34(5):505-11. https://doi.org/10.1006/pmed.2002.1009 PMid:11969350 DOI: https://doi.org/10.1006/pmed.2002.1009
Shannon GD, Alberg C, Nacul L, Pashayan N. Preconception healthcare delivery at a population level: Construction of public health models of preconception care. Matern Child Health J. 2013;18(6):1512-31. https://doi.org/10.1007/s10995-013-1393-8 PMid:24234279 DOI: https://doi.org/10.1007/s10995-013-1393-8
Order of the Minister of Health of the Republic of Kazakhstan Dated August 26, 2021 No. KR DSM-92. On Approval of the Standard for Organizing the Provision of Obstetric and Gynecological Care in the Republic of Kazakhstan; 2021.
Tuomainen H, Cross-Bardell L, Bhoday M, Qureshi N, Kai J. Opportunities and challenges for enhancing preconception health in primary care: Qualitative study with women from ethnically diverse communities. BMJ Open. 2013;3(7):e002977. https://doi.org/10.1136/bmjopen-2013-002977 DOI: https://doi.org/10.1136/bmjopen-2013-002977
Mazza D, Chapman A, Michie S. Barriers to the implementation of preconception care guidelines as perceived by general practitioners: A qualitative study. BMC Health Serv Res. 2013;13(1):36. https://doi.org/10.1186/1472-6963-13-36 PMid:23368720 DOI: https://doi.org/10.1186/1472-6963-13-36
Van Voorst S, Plasschaert S, de Jong-Potjer L, Steegers E, Denktaş S. Current practice of preconception care by primary caregivers in the Netherlands. Eur J Contracept Reprod Health Care. 2016;21(3):251-8. https://doi.org/10.3109/13625187.2016.1154524 PMid:27003266 DOI: https://doi.org/10.3109/13625187.2016.1154524
M’Hamdi HI, van Voorst SF, Pinxten W, Hilhorst MT, Steegers EA. Barriers in the uptake and delivery of preconception care: Exploring the views of care providers. Matern Child Health J. 2017;21(1):21-8. https://doi.org/10.1007/s10995-016-2089-7 PMid:27423236 DOI: https://doi.org/10.1007/s10995-016-2089-7
Poels M, Koster MP, Boeije HR, Franx A, van Stel HF. Why do women not use preconception care? A systematic review on barriers and facilitators obstet. Gynecol Surv. 2016;71(10):603-12. https://doi.org/10.1097/OGX.0000000000000360 PMid:27770130 DOI: https://doi.org/10.1097/OGX.0000000000000360
Poels M, Koster MP, Franx A, van Stel HF. Healthcare providers’ views on the delivery of preconception care in a local community setting in the Netherlands. BMC Health Serv Res. 2017;17(1):92. https://doi.org/10.1186/s12913-017-2051-4 PMid:28137263 DOI: https://doi.org/10.1186/s12913-017-2051-4
Van Heesch PN, de Weerd S, Kotey S, Steegers EA. Dutch community midwives’ views on preconception care. Midwifery. 2006;22(2):120-4. https://doi.org/10.1016/j.midw.2005.06.003 PMid:16126311 DOI: https://doi.org/10.1016/j.midw.2005.06.003
Bureau of National Statistics of the Agency for strategic planning and reforms. Available from: https://www.stat.gov.kz/region/256619/news/ESTAT438542 [Last accessed on 2022 Feb 20].
Frayne DJ, Verbiest S, Chelmow D, Clarke H, Dunlop A, Hosmer J, et al. Health care system measures to advance preconception wellness: Consensus recommendations of the clinical workgroup of the national preconception health and health care initiative. Obstet Gynecol. 2016;127(5):863-72. https://doi.org/10.1097/AOG.0000000000001379 PMid:27054935 DOI: https://doi.org/10.1097/AOG.0000000000001379
Poels M, Koster MP, Franx A, van Stel HF. Parental perspectives on the awareness and delivery of preconception care. BMC Pregnancy Childbirth. 2017;17(1):324. https://doi.org/10.1186/s12884-017-1531-1 PMid:28950838 DOI: https://doi.org/10.1186/s12884-017-1531-1
Central Bureau for Statistics. Centraal Bureau voor de Statistiek (Central Bureau for Statistics) Ongeveer Drie Kwart Bezoekt Jaarlijks Huisarts En Tandarts (About Three Quarters Visit a General Practitioner and Dentist Every Year). Delhi: Central Bureau for Statistics; 2013. https://www.cbs.nl/nl-nl/nieuws/2013/27/ongeveer-drie-kwart-bezoekt-jaarlijks-huisartsen-tandarts [Last accessed on 2022 Feb 20].
Nypaver C, Arbour M, Niederegger E. Preconception care: Improving the health of women and families. J Midwifery Womens Health. 2016;61(3):356-64. https://doi.org/10.1111/jmwh.12465 PMid:27218593 DOI: https://doi.org/10.1111/jmwh.12465
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Yuliya Podilyakina, Dusentay Kulov , Zhanna Amirbekova, Rasa Stundžienė, Elena Drobchenko, Tleuzhan Abugalieva (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0