Utilization of preconception care and associated factors among pregnant women attending ANC in private MCH Hospitals in Addis Ababa, Ethiopia

Author:

Girma Addisu,Bedada Abera,Kumbi Solomon

Abstract

Abstract Background Despite its benefit in promoting maternal health and the health of her developing fetus, little is known about preconception care practice and its associated factors in Ethiopia. Moreover, preconception care utilization in private hospitals is not known. The purpose of this study, therefore, is to determine the utilization of preconception health care services and its associated factors among pregnant women following antenatal care in the private Maternal and Child Health hospitals in Addis Ababa. Methods A Hospital based cross-sectional study was conducted from April 1 to April 30,2022 among 385 women attending ANC in private MCH hospitals. Bestegah and Hemen MCH hospitals were selected by convenience method. Data were collected by a pretested self-administered semi-structured questionnaire. To identify the factors associated with the utilization of preconception care, bivariable and multivariable logistic regression analysis were performed. Adjusted odds ratios with 95% confidence interval were estimated to assess the strength of associations, and statistical significance was declared at a p-value < 0.05. Results The utilization of preconception care among the pregnant mothers according to our study was 40%. Professional/technical/managerial occupation (AOR = 4.3, 95%CI = 1.13, 16.33, P < 0.032), having good knowledge on preconception care (AOR = 3.5, 95%CI = 1.92, 6.53, P < 0.000), having unintended pregnancy (AOR = 0.1, 95%CI = 0.03, 0.42, P < 0.001), history of family planning use before conception (AOR = 3.9, 95%CI = 1.20, 12.60, P < 0.023), having pre-existing medical disease(s) (AOR = 8.4, 95%CI = 2.83, 24.74, P < 0.002), and having adverse pregnancy outcome(s) in previous pregnancies (AOR = 3.2, 95%CI = 1.55, 6.50, P < 0.000) were significantly associated with preconception care utilization. Conclusions This study found out that the utilization of preconception care in the private MCH hospitals is still low i.e., only 40%. Occupation, level of knowledge, having unintended pregnancy, history of family planning use before conception, having adverse pregnancy outcome(s) in previous pregnancy and having pre-existing medical disease(s) were independently associated with preconception care utilization. Lack of awareness about the availability of the services and having an unintended pregnancy were the main reasons for not utilizing preconception care.

Publisher

Springer Science and Business Media LLC

Subject

Obstetrics and Gynecology

Reference26 articles.

1. Center for Desease Control and Prevention. Morbidity and Mortality Weekly Report Recommendations and Reports Recommendations to Improve Preconception Health and Health Care-United States A Report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care Centers for. 2006;55.

2. Shawe J, Steegers EAP. Preconception Health and Care: A Life Course Approach. Preconception Health and Care: A Life Course Approach. 2020.

3. USAID. Ethiopia Fact sheet maternal and Child Health. Nurs Midwifery Board Aust. 2019;035(September):1–3.

4. Why Maternal Mortality Is So. High in Sub-Saharan Africa. [cited 2023 Apr 7]. Available from: https://www.globalcitizen.org/en/content/maternal-mortality-sub-saharan-africa-causes/

5. Mamo K, Siyoum M, Birhanu A. Teenage pregnancy and associated factors in Ethiopia: a systematic review and meta-analysis. Int J Adolesc Youth. 2021;26(1):501–12. https://doi.org/10.1080/02673843.2021.2010577

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