Browsing by Author "Kassie Aychew"

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    Assessment of Knowledge and Experience of Preconception Care and Associated Factors Among Pregnant Mothers with Per Existing Diabetes Mellitus Attending Diabetic Follow up Clinic at Selected Governmental Hospitals in Addis Ababa, Ethiopia, 2018.
    (Addis Ababa University, 2018-06) Kassie Aychew; G/Yohannis Tigistu (Msc)
    Background: Despite improved access and quality of antenatal care, women with pregestational diabetes and their fetuses are at increased risk of developing seriouscomplications compared with the non-diabetic pregnant women; including spontaneous abortion, stillbirth,hypertensive disorders, and delivery by cesarean section. Preconception care is a key to prevent associated fetal and maternal morbidity and mortality. Objective: The aim of this study was to assess the knowledge and experience of preconception care and associated factors among pregnant mothers with pre existing diabetes mellitus attending diabetic clinic at selected governmental hospitals in Addis Ababa. Methods: A facility based both qualitative and quantitative cross-sectional study conducted from March 11 to April 12, 2018. For quantitative part, 142 pregnant mothers and for qualitative part, eight pregnant mothers who visited the clinic during the study period were included. Quantitative data coded and entered to Epi-data version 4.2.0 and exported to SPSS version 25 for analysis. Logistic regression used to identify independent predictor of knowledge and statistical significance considered at p-value <0.05 and 95% CI. Qualitative data analyzed using an open code version 4.02. Result: This study revealed that 67(42.7%) of the study participants had good knowledge on preconception care. Educational level, occupational status and duration of diabetic follow up were factors significantly associated with knowledge of preconception care. Few women experienced anxiety related to their health condition and reproductive needs. All women interviewed had taken preconception folic acid and only few recognize its benefit. Conclusion and recommendation: Women’s level of knowledge on preconception care is relatively low. Consequently, establishing formal preconception care clinic that can address all the components of the care and increasing women’s knowledge regarding preconception care is important.