Knowledge of Preconception Care and Associated Factors among Pregnant Mothers with Pre-existing Diabetes Mellitus in selected Governmental Hospitals, Addis Ababa Ethiopia

Kassie, Aychew; Abebe, Mesfin

doi:10.21203/rs.2.12398/v1

Cited by 10 publications

(20 citation statements)

References 5 publications

(5 reference statements)

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“…Women who had formal education were nearly two times more likely to have good awareness of NCDs screening during the preconception period than their counterparts. This find was consistent with previous studies from different countries [40,48,49,[51][52][53]. Attending education gives individuals the chance of gaining information directly from the class or indirectly from discussion with friends or using different information sources like novel social media.…”

Section: Discussionsupporting

confidence: 93%

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Predictors of Women’s awareness of common non-communicable diseases screening during preconception period in Manna District, Southwest Ethiopia: implication for wellness check-up

Gonfa

Koricha

2021

BMC Health Serv Res

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Background Non-communicable diseases (NCDs) are the dominant cause of global morbidity and mortality, especially in developing countries. Tackling NCDs is central to advancing women’s and child health, and future generations. Many NCDs can be prevented with appropriate approaches across the maternal and child health life-cycle, throughout the years of reproductive age especially before conception and continuing through pregnancy. However, women’s awareness of NCDs screening during the preconception period was not well known in many countries including Ethiopia. Therefore, this study aimed to assess women’s awareness of common NCDs screening during the preconception period and associated factors in Manna District, Jimma Zone, Oromia Region, Ethiopia, 2019. Methods A community-based cross-sectional study was conducted from March 02 to April 10, 2019. The sample size was 636 pregnant women from eight randomly selected rural kebeles and a purposively taken urban kebele. The data were collected using a pre-tested structured questionnaire and entered into Epi data manager version 4.0.2 and exported to SPSS version 21. Descriptive, binary, and multivariable logistic regression analyses were carried out. Results Of the total of 623 respondents, 459 (73.7%) of them had good awareness of common NCDs screening during the preconception period. Women who had formal education [AOR = 1.95, 95% CI: (1.31–2.89)], those who had planned pregnancy [AOR = 2.17, 95% CI: (1.47–3.19)], on ANC follow up [AOR = 1.79, 95% CI: (1.16–2.74], and those who had media (radio and/or television) in their house [AOR = 1.55, 95% CI: (1.05–2.29)] had good awareness on common NCDs screening during the preconception period compared to their counterparts. Conclusions In this study, nearly three-quarters of respondents had a good awareness of common NCDs screening during the preconception period. Women’s educational status, pregnancy planning status, ANC visit, and having radio and/or television in the house were predictors of women’s good awareness of common NCDs screening during the preconception period. Therefore, all concerned bodies are recommended to work toward increasing women’s awareness using different approaches like awareness creation campaigns and counseling clients attending health facilities.

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Section: Discussionsupporting

confidence: 93%

“…The results of the current study revealed that 73.7% of the respondents had good awareness of common NCDs screening during the preconception period. This finding was comparable with the studies conducted in Nigeria (76.0%) [39] and Addis Ababa Ethiopia (72.5%) [40]. This might be due to the similarity of the study population.…”

Section: Discussionsupporting

confidence: 89%

Predictors of Women’s awareness of common non-communicable diseases screening during preconception period in Manna District, Southwest Ethiopia: implication for wellness check-up

Gonfa

Koricha

2021

BMC Health Serv Res

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“…Evidence advocated that inadequate antenatal, medical, and preconception care are factors affecting adverse birth outcomes among diabetic women [ 6 , 25 , 26 ]. American Diabetes Association (ADA) [ 27 ] and International Diabetic Federation (IDF) [ 28 ] sets standards of medical cares like preconception counseling and preconception care to prevent the resulting adverse birth outcomes.…”

Section: Introductionmentioning

confidence: 99%

Adverse birth outcome and associated factors among diabetic pregnant women in Ethiopia: Systematic review and meta-analysis

et al. 2020

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Background The magnitude of adverse birth outcome among diabetic pregnant women is high in low-and-middle income countries, like Ethiopia. Precise epidemiological evidence is necessary to plan, evaluate and improve effective preventive measures. This systematic review and meta-analysis is the first to estimate the pooled prevalence of adverse birth outcome and associated factors among diabetic pregnant women in Ethiopia. Methods PubMed, Cochrane Library, Google Scholar, SCOPUS, Web of Science and PsycINFO, and article found in University online repository were accessed. Observational studies such as cross-sectional, case-control and prospective cohort reported using English language was involved. I2 statistic was used to check heterogeneity. Egger’s test and funnel plot were used to measure publication bias. Weighted inverse variance random effects model was also performed. Results Seven studies with 1,225 study participants were retrieved to estimate the pooled prevalence of adverse birth outcome and associated factors. The pooled prevalence of adverse birth outcome among diabetic pregnant women was 5.3% [95% CI; 1.61, 17.41]. Fasting blood glucose level above 100 mg/dl [Adjusted Odds ratio (AOR) = 10.51; 95% Confidence Interval (CI) = 5.90, 15.12], two hour post prandial glucose level above 120 mg/dl [AOR = 8.77; 95% CI = 4.51, 13.03], gestational age <37 completed week [AOR = 9.76; 95% CI = 5.29, 14.23], no ANC follow-up [AOR = 10.78; 95% CI = 6.12, 15.44], history of previous adverse outcomes [AOR = 3.47; 95% CI = 1.04, 5.90], maternal age < 30 years [AOR = 3.47; 95% CI = 1.04, 5.90], and illiteracy [AOR = 2.89; 95% CI = 0.81,4.97)] were associated factors of adverse birth outcome. Conclusions The pooled prevalence of adverse birth outcomes among diabetic pregnant women in Ethiopia was high. Child born from mothers who were illiterate, maternal age < 30 years, gestational age < 37 completed weeks, history of previous adverse birth outcomes and no ANC follow-up increased the risk of adverse birth outcome. Trial registration It is registered in PROSPERO data base: (PROSPERO 2020: CRD42020167734).

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“…Maternal obesity, previous history of macrosomia, multiparity, being post-term and inadequate antenatal, medical and preconception care are among the risk factors associated with macrosomia [10,24,25]. The complications associated with foetal macrosomia affect not only the mothers but also the newborns.…”

Section: Introductionmentioning

confidence: 99%

Macrosomia and its predictors in pregnant women with diabetes in Ethiopia

Belay

Bayih

Alemu

et al. 2021

Tropical Med Int Health

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Background: To estimate the prevalence of macrosomia and contributing factors among pregnant women with diabetes in Ethiopia. Methods:The Cochrane, PubMed, Google Scholar, SCOPUS, Web of Science electronic databases and grey literature found in online university repositories were searched for primary studies reporting the prevalence of macrosomia (birth weight ≥4 kg, irrespective of gestational age) and/or at least one determinant factor using WHO diabetes diagnosis criteria were involved. Variations across the studies were checked using the I 2 statistic; funnel plot and Egger's test were used to assess publication bias. A weighted inverse random effect model was used to estimate the overall prevalence of macrosomia. Results:The overall prevalence of macrosomic newborns among pregnant women with diabetes [15.1% (95% CI: 9.0%, 21.2%)] was higher than the prevalence among nondiabetic mothers (3.9%).

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Knowledge of Preconception Care and Associated Factors among Pregnant Mothers with Pre-existing Diabetes Mellitus in selected Governmental Hospitals, Addis Ababa Ethiopia

Cited by 10 publications

References 5 publications

Predictors of Women’s awareness of common non-communicable diseases screening during preconception period in Manna District, Southwest Ethiopia: implication for wellness check-up

Predictors of Women’s awareness of common non-communicable diseases screening during preconception period in Manna District, Southwest Ethiopia: implication for wellness check-up

Adverse birth outcome and associated factors among diabetic pregnant women in Ethiopia: Systematic review and meta-analysis

Macrosomia and its predictors in pregnant women with diabetes in Ethiopia

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