Women’s and Care Providers’ Perspectives of Quality Preconception Care: A Qualitative Descriptive Study

Fatemeh Ghaffari Sardasht, Zahra Motaghi, Afsaneh Keramat, Mohammad Shariati, Nahid Akbari

Abstract


Background: A growing body of evidence is showing that Preconception Care (PCC) can increase the health and well‑being of women and couples and improve subsequent pregnancy and child health outcomes. The present study aimed to determine the quality of preconception care from women’s and care providers’ perspectives.

Materials and Methods: This qualitative study was conducted in 2020 using conventional content analysis approach. Face to face Semi‑structured interviews were conducted with 13 reproductive age women and 12 midwives recruited from urban health centers across Shahroud, Iran. Data were analyzed using qualitative content analysis.

Results: Three major themes based on Donabedian’s model emerged during data analysis: structure, process and outcome of care. Midwives and women’s experiences of quality of preconception care included problems in organizing care, poor education performance of personnel and low‑sensitivity about importance of preconception care in women.

Conclusions: The findings suggest key considerations for the organizing and delivery of preconception care. Most especially, it seems necessary to adopt appropriate strategies to improve public awareness about the importance of pre‑pregnancy care.

Keywords:


Keywords


Delivery of care, Quality of health care, preconception care, Iran, qualitative research

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References


Abrha MW, Asresu TT, Weldearegay HG. Husband support rises women’s awareness of preconception care in Northern Ethiopia. Sci World J 2020. doi: 10.1155/2020/3415795.

Collier AR, Molina RL. Maternal mortality in the United States: updates on trends, causes, and solutions. Neoreviews 2019;20:e561-74.

Bhrolcháin MN, Beaujouan É. Do People Have Reproductive Goals? Constructive Preferences and the Discovery of Desired Family Size. Analytical Family Demography. 2019:27.

Geleto A, Chojenta C, Musa A, Loxton D. Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa: a systematic review of literature. Systematic reviews 2018;7:1-4.

Fardi SA. Neonatal hair cortisol in relation to maternal environment, sociodemographic factors, and infant outcomes in rural Gambia [Doctoral dissertation]. University of Colorado at Boulder; 2017.

Jafari Shobeiri M, Ghojazadeh M, Azami Aghdash S, Naghavi Behzad M, Piri R, Pourali Akbar Y, et al. Prevalence and risk factors of gestational diabetes in Iran: A systematic review and meta analysis. Iran J Public Health 2015;44:1036.

Ranjbaran M, Samani RO, Almasi Hashiani A, Matourypour P, Moini A. Prevalence of premenstrual syndrome in Iran: A systematic review and meta analysis. Int J Reprod Biomed 2017;15:679 86.

Rahmani A, Sayehmiri K, Asadollahi K, Sarokhani D, Islami F, Sarokhani M. Investigation of the prevalence of obesity in Iran: A systematic review and meta analysis study. Acta Med Iran 2015;53:596 607.

Vakilian K, Ranjbaran M, Khorsandi M, Sharafkhani N, Khodadost M. Prevalence of preterm labor in Iran: A systematic review and meta analysis. Int J Reprod Biomed 2015;13:743 8.

Kharaghani R, Cheraghi Z, Esfahani BO, Mohammadian Z, Nooreldinc RS. Prevalence of preeclampsia and eclampsia in Iran. Arch Iran Med 2016;19:64 71.

Chivers BR, Boyle JA, Lang AY, Teede HJ, Moran LJ, Harrison CL. Preconception health and lifestyle behaviours of women planning a pregnancy: a cross-sectional study. Journal of clinical medicine 2020;9:1701.

Sardasht FG, Keramat A. Preconception care utilization and its predictors in women referring to teaching hospitals in mashhad. Int J Health Studies 2020;6.

World Health Organization. Trends in Maternal Mortality: 1990 2015: Estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: World Health Organization; 2015.

Iranian Ministry of Health and Medical Education, editor. Iranian National Program on Safe Motherhood, Integrated Care on Mother’s Health, Outside Hospital Services Guide. 4th ed. Tehran: Iranian Ministry of Health and Medical Education; 2013.

Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder DeWan S, et al. High quality health systems in the sustainable development goals era: Time for a revolution. Lancet Global Health 2018;6:e1196 252.

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;127:863 72.

Wahabi HA, Alzeidan RA, Esmaeil SA. Pre pregnancy care for women with pre gestational diabetes mellitus: A systematic review and meta analysis. BMC Public Health 2012;12:792.

Schuler T. Education Intervention of Preconception Screening in Primary Care. [dissertation]. [Massachusetts]: University of Massachusetts Amherst; 2016. 38p.

Jahani Shourab N, Ghaffari Sardasht F, Jafarnejad F, Esmaili H. Assessment of prenatal care process based on donabedian model in Mashhad health centers. The Iran J Obstet Gynecol Infertil 2013;16:7 17.

Sardasht FG, Jafarnejad F, Jahani N. Applying donabedian quality of care framework in assessing the structure of preconception care in urban health centers, Mashhad, 2012. J Mazandaran Univ Med Sci 2014;24:149 60.

Rahmqvist M, Bara AC. Patient characteristics and quality dimensions related to patient satisfaction. Int J Qual Health Care 2010;22:86 92.

Bhattacharyya S, Srivastava A, Saxena M, Gogoi M, Dwivedi P, Giessler K. Do women’s perspectives of quality of care during childbirth match with those of providers? A qualitative study in Uttar Pradesh, India. Glob Health Action 2018;11:1527971.

Sword W, Heaman MI, Brooks S, Tough S, Janssen PA, Young D, et al. Women’s and care providers’ perspectives of quality prenatal care: A qualitative descriptive study. BMC Pregnancy Childbirth 2012;12:1 18.

Chavehpour Y, Rashidian A, Woldemichael A, Takian A. Inequality in geographical distribution of hospitals and hospital beds in densely populated metropolitan cities of Iran. BMC Health Serv Res 2019;19:614 622.

McNamee P, Ternent L, Hussein J. Barriers in accessing maternal healthcare: Evidence from low and middle income countries. Expert Rev Pharmacoecon Outcomes Res 2009;9:41 8.

Firouznia R, Dargahi H, Jafari Koshki T, Khaledian Z. Challenges of Iranian maternal health program from midwives’ perspectives: A qualitative study. Jundishapur J Health Sci 2019;11:e92354.

Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing addiction in America: The surgeon general’s report on alcohol, drugs, and health. Washington (DC): US Department of Health and Human Services; 2016.

Moghasemi S, Vedadhir A, Simbar M. Models for providing midwifery care and its challenges in the context of Iran. J Holistic Nurs Midwifery 2018;28:64 74.

van der Zee B, de Beaufort ID, Steegers EA, Denktaş S. Perceptions of preconception counselling among women planning a pregnancy: A qualitative study. Fam Pract 2013;30:341 6.

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;21:21 8.


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