Effect of Antenatal Instructional Package on Pregnant Women' Knowledge, Attitude and Practices

Amira Mohammed Salama^1, and Fatma Kamal Aly¹

¹Obstetrics and Woman’s Health Nursing, Faculty of Nursing, Benha University, Egypt

Cite this paper:
Amira Mohammed Salama and Fatma Kamal Aly. Effect of Antenatal Instructional Package on Pregnant Women' Knowledge, Attitude and Practices. American Journal of Nursing Research. 2019; 7(4):519-533. doi: 10.12691/ajnr-7-4-14

Abstract

Background: Antenatal care is a careful, systematic assessment and follow-up of pregnant women that includes education, counseling, screening, and treatment to assure the best possible health of the mother and fetus. Aim of the research was to examine the effect of antenatal instructional package on pregnant women' knowledge, attitude and practices. Design: A quasi-experimental research design was adopted to fulfil the aim of this research. Setting: The research was conducted at obstetrics & gynaecological outpatient clinic in Benha university hospital. Sample: A purposive sample of one hundred and forty pregnant women among those attending the above mentioned setting. Tools: Data were collected through five main tools: A Structured interviewing questionnaire, maternal knowledge questionnaire, maternal health attitude questionnaire, maternal health practices questionnaire, and women's satisfaction sheet. Results: showed that nearly one third of studied women in both study group (41.4%) and control group (37.1%) had source of information from friends and families while minority of them had source of information from newspaper. Also there was no statistical significant difference regarding all knowledge, attitude and practice items about antenatal care between the study and the control group before instructional package implementation. However, a highly statistically significant difference (p-values < 0.001) was observed between the study and the control group one month after instructional package implementation. Additionally total knowledge, total attitude and total practices regarding antenatal care were greatly improved after instructional package implementation than pre implementation among study group while there were minimal improvements after instructional package implementation than pre implementation among control group. Also the majority of pregnant women in the study group were satisfied with the antenatal instructional package implementation. Conclusion: the study concluded that research hypotheses are supported and the antenatal instructional package had appositive effect on improvement of pregnant women' knowledge and in turn attitude and practices were also improved in study group compared to control group .Also the majority of pregnant women in the study group were satisfied with the antenatal instructional package implementation. Recommendations: From time to time, the antenatal instructional package should be restructured and reviewed to meet up with the health needs of the pregnant women.

Keywords:
antenatal instructional package pregnant women

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References:

[1]	Nwankwo, C.U., Okafor, J.O., Makachi, M.C., Anieche, J.E., Chiejina, E.N., et al., (2016). Effect of maternal health education on the health attitude of pregnant mothers attending ante-natal clinics in Anambra State, Nigeria. IOSR Journal of Nursing and Health Science. 5(1): 56-63.
[2]	Shafqat, T., Fayaz, S., Rahim, R., and Saima, S., (2015). Knowledge and awareness regarding antenatal care and delivery among pregnant women. J Med Sci 23(2): 88-91.
[3]	Pierre-Marie, T., Gregory, H., Maxwell, D.I., Robinson, E.M., Yvette, M., et al., (2015). Maternal mortality in Cameroon: A university teaching hospital report. Pan African Medical Journal. 2015; 21:16. Available at: http://www.ncbi.nlm.nih.gov/pmc/ articles/PMC4561158/. Accessed September, 23 2018, 10Am.
[4]	Bande, M. I., Chutiyami, M., Shehu, U., and Garba, M. S., (2018). Effects of Socio Demographic and Institutional Factors on Utilization of Antenatal Care Services among Pregnant Women in Damaturu, Yobe State, Nigeria. International Journal of tropical disease & Health. 29(2): 1-9.
[5]	Muyunda, B., Makasa, M., Jacobs, C., Musonda, P., and Michelo, C., (2016). Higher Educational Attainment Associated with Optimal Antenatal Care Visits among Childbearing Women in Zambia. Front. Public Health 4:127.
[6]	World Health Organization. (2017). World Health Statistics. (2017). Available at: www.who.int/gho/publications/world_health_statistics/2014/en/. Accessed August, 20 2018, 11Am.
[7]	Wolderufael, T.S., (2018). Factors Influencing Antenatal Care Service Utilization Among Pregnant Women in Pastoralist Community in Menit-Shasha District, Ethiopia.Int J Med Res Health Sci 2018, 7(5): 143-156.
[8]	Bank, T.W., (2013). Trends in Maternal Mortality: 1990 to 2013.
[9]	Al hazmi, J.M., Habib, H.M., Sebeih, S.H., Khan, M.I., Elmaghrabi, S.A., et al., (2017). Awareness of Antenatal Care Importance among Saudi Pregnant. Journal of Gynecology and Women’s Health. 4(4): 1-15.
[10]	Patel, B.B, Gurmeet, P., Sinalkar, D.R., Pandya, K.H., Mahen, A., et al., (2016). A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a Tertiary Care Hospital of Pune, Maharashtra. Medical Journal. 9(3): 354-362.
[11]	Lilungulu, A.G., Matovelo, D., and Gesase, A., (2016). Reported knowledge, attitude and practice of antenatal care services among women in dodoma municipal, tanzania. Journal of Pediatrics and Neonatal Care.2016, 4(1): 00125.
[12]	Al-Ateeq, M., and Al-Rusaiess, A., (2015). Health education during antenatal care. International Journal of Women’s Health. 2015:7 239-242.
[13]	Almalik, M.M.A., and Mosleh, S.M., (2017). Pregnant women: What do they need to know during pregnancy? A descriptive study. Women and birth: journal of the Australian College of Midwives, 30(2): 100-106.
[14]	Alshabanah, R.F., Almohayya, T.S., and Alahmari, E.M., (2018):Assessment of Knowledge, Attitudes and Practices of Expectant Mothers in Relation to Antenatal Care in Abha. The Egyptian Journal of Hospital Medicine. 70 (6): 939-942.
[15]	World Health Organization, (2014). Maternal mortality fact sheet. Available at: http://apps.who.int/iris/bitstream/handle/10665/112318/WHO_RHR_1. Accessed July, 15 2018, 11pm.
[16]	Nwaneri A.C., Ndubuisi, I., Okoronkwo, I.L., Ezike, O., and Nkiruka, U., (2018). Determinants of late booking for antenatal care among pregnant women in selected hospitals in South East Nigeria. International Journal of Nursing and Midwifery. 10(7): 74-80.
[17]	Gupta, R., Agarwal, S., Singh, N., Jain, R., Katiyar, A., et al., (2016). A study to assess knowledge and attitude of antenatal women about maternal nutrition attending a tertiary care centre. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(5):1549-1552.
[18]	Divya, M., Pushpa, N., Lata, R., Iqbal, R., and Nidhi, S., (2017). Knowledge, attitude and practices of antenatal care among pregnant women attending antenatal clinic at SMS Medical College Jaipur. International Journal of Science and Applied Research, 4(7): 08-12.
[19]	Rosliza, A.M., and Muhamad, H.J., (2011). Knowledge, attitude and practice on antenatal care among Orang Asli women in Jempol, Negeri Sembilan. Malaysian. Journal of Public Health Medicine, 11(2): 13-21.
[20]	Nun, D.R., Adesuyi, E.O., and Olawoore, S.A., (2018). Knowledge attitude and practices of pregnant women attending comprehensive Health Centre, Isolo, Ondo State towards Hygienic Practice. International Journal of TROPICAL DISEASE & Health. 30(2): 1-10.
[21]	Singer, A.J., and Thode, J.R., (1998). Determination of the minimal clinically significant difference on a patient visual analog satisfaction scale. Acad Emerg Med. 5: 1007-11.
[22]	Kaur, H., Ramanadin, P., Vadivukkarasi, and Bala, K., (2015). A quasi experimental study on effectiveness of self-instructional module on knowledge regarding antenatal care among primigravida women attending selected hospitals of Punjab and Haryana. Int J Psychiatric Nurs. 1: 188-94.
[23]	Indra, V., (2016). Effectiveness of Self Instructional Module (SIM) on Knowledge Regarding Selected Aspects of Safe Motherhood among Primigravida Women in Selected Hospitals, Puducherry. International Journal of Nursing Education and Research. 4(3): 2454-2660.
[24]	Jibril, U.N., Saleh, G.N., Badaki, O., Anyebe, E.E., Umar, A., et al., (2018). Health education intervention on knowledge and accessibility of pregnant women to antenatal care services in Edu, Kwara State, Nigeria. International Journal of Women’s Health and Reproduction Science. 6(2):154-160.
[25]	Abdel Hafez, A.A., Makhlouf, E.M., and Mohammed, O., (2018). Effect of antenatal educational guidelines on mother's knowledge. IOSR Journal of Nursing and Health Science. 7(2):21-26.
[26]	Latha, P., and Indira, S., (2016). Effectiveness of IEC (Information, Education & Communication) package on knowledge regarding minor ailments of pregnancy and its management among antenatal mothers at NMCH, Nellore, A.P.International Journal of Applied Research. 2(10):593-596.
[27]	Abd Elhaliem, S., AbdElhady, R., and Mohamed, A., (2018):Utilization of Self-Care Practice Guideline on Relieving Mino Discomfort (Ailments) Among New Pregnant Woman. IOSR Journal of Nursing and Health Science. 7(1): 07-15.
[28]	Mohamed, N.S., (2016). The effect of an educational program on pregnant women’s knowledge about obstetric danger signs. IOSR Journal of Nursing and Health Science, 8(1): 08-16.
[29]	Vainikka, P., (2015). Psychological factors influencing consumer behaviour. Bachelor’s Thesis. Centria University of Applied Sciences. Pp27:28.
[30]	Nidhi, J., (2018). Effectiveness of self-instructional module on knowledge and attitude regarding antenatal care among primigravida mothers in selected government hospital, Dehradun, Uttarakhand. International Journal of Medical Science and Public Health. 7(8):651-654.
[31]	Bej, P., (2018). Knowledge, attitude and practices among pregnant women about antenatal care, danger sign during pregnancy and adopting family planning method.4 (1):1-10.
[32]	Oliveira, S.C., Fernandes, A.F., Vasconcelos, E.M., Ximenes, L.B., Leal, L.B., et al., (2018). Effect of an educational intervention on pregnancy: a cluster-randomized clinical trial. Acta Paulista de Enfermagem. 31(3):8-291.
[33]	Said, A.R., (2016). Effect of counseling intervention on women's knowledge, practices and lifestyle of fetal well-being among Primigravida. International Journal of Nursing Science. 6(4): 87-93.
[34]	Ibrahim, H.K., El Borgy, M.D., and Mohammed, H.O., (2014). Knowledge, attitude, and practices of pregnant women towards antenatal care in primary healthcare centers in Benghazi, Libya.J Egypt Public Health Assoc. 89(3): 26-119.