Iranian Journal of Nursing and Midwifery Research1735-9066132200902134646MSc, Department of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IranMSc, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IranPhD, Biostatistics, Tehran University of Medical Sciences, Tehran, Iran20101113<strong>Background:</strong> Midwives are responsible for providing preconception care for couples, they should have adequate knowledge<br />and decision making skill in this regards. This study aimed to determine the knowledge and decision making skill<br />regarding preconception care in midwifery students and also the relationship between the mentioned items.<br /><strong>Methods:</strong> In a cross sectional study, all undergraduate midwifery students in their last year of study at ";Tehran";, ";Iran"; and<br />";Shahid Beheshti"; medical universities were included through headcount sampling (N = 40). A questionnaire with 26 multiple<br />choice questions used to evaluate the level of knowledge; a computerized patient management problem (CPMP) questionnaire<br />with 9 questions, required short answers, was also used in form of a computer software to assess clinical decision<br />making. The results were analyzed using descriptive statistics, Pearson and Spearman's correlation coefficients, and &chi;<br />2<br />tests via SPSS software Regression used to determine the share of each field of knowledge and decision making in the aggregate<br />level.<br /><strong>Results:</strong> In a scale of 100, the mean score for knowledge of preconception care was 54.23 (&plusmn; 9.04) and for clinical decision<br />making 35.62 (&plusmn; 7.01). All units remained at average in both cases. A significant relationship was seen between the level<br />of knowledge and the decision making skill (p = 0.017, r = 0.36).<br /><strong>Conclusion:</strong> The knowledge and decision making skills of midwives were in an average level. Much attention should be<br />paid to their education and new methods such PMP should be used in training and evaluating them.<br /><strong>Key words:</strong> Preconception care, knowledge, clinical decision making, midwifery student, patient management problemshttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/46http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/46/46