TITLE:
Educational Program for Pregnant Women Regarding Obstetrics Dangerous Signs in Rural Areas
AUTHORS:
Mai Ahmed Gobran, Marwa Tharwat Abdel Fatah, Mohamed S. H. Ramadan, Ghada A. Amer, M. Mahmoud Rabeh, Rofida M. Elshafei, Almandouh Hussein Bosilah, Hala Hassan Saied Khalil, Sharbat Thabet Hassanine, Manal Mansour Mostafa, Mohamed Sobhy Bakry, Safaa A. Ibrahim, Eman Ramadan Abd El Fattah, Abeer M. Abdelbary
KEYWORDS:
Obstetric Danger Signs, Knowledge, Practice, Obstetric Complications
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.5,
May
19,
2021
ABSTRACT: Background: Complications linked to postpartum & pregnancy are one of the major
causes of female death. In order to understand the causes of complications and
encourage women to take sufficient action in order to receive emergency
treatment, a critical step should therefore be taken to minimize complications
related to pregnancy, in order to ensure the safety of both women and newborns. Aim of the work: Evaluate the effectiveness of the education programs for pregnant women
on obstetric danger signs in rural areas and help minimize the incidence of
pregnancy loss and comorbidities. Methods: A quasi-experimental design on 70 women from a population of through
372 women in six-month in antenatal clinics recruited from the previously
mentioned settings with pre- and post-test was conducted at antenatal clinics
(M.C.H centers) affiliated to the available geographical health zones in
EL-fayoum rural area including: Al-sheikh hassan at sanorse. We collected the
data of women characteristics by a self-administered interview questionnaire
& a structured reported knowledge and practices checklist to evaluate
pregnant women practices and knowledge. Follow up was done to the studied
groups & histopathology assessments of the product of conception in cases
of abortion secondary to the complications to compare between effect of
antenatal care program on the woman who followed the program and those who did
not. Results: There is an improvement in 63% of pregnant women knowledge and
practices after educational program in all aspects. The most
common danger signs that may occur during pregnancy were miscarriage and
vaginal bleeding, intrauterine fetal death as reported by women &
confirmed by the histopathology reports. Conclusion: The educational
program had an efficient improving women knowledge and practice regarding
danger signs for pregnant women in rural areas, with highly statically
significant differences in all the tested items between pre/post program
implementation (P 0.001). Recommendations: Establishment of in-service training
programs and continuous supervision in rural areas to a raise women knowledge
and practice regarding educational pregnant women and developing antenatal
classes for all pregnant women about obstetric danger signs.