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Educational Status and Needs of Premature Birth Prevention and Its Association with Preconception Health Behavior among Women of Childbearing Age in Korea

  • Kim, Sun-Hee (College of Nursing, Research Institute of Nursing Science, Daegu Catholic University) ;
  • Hong, Ji-Yeon (College of Nursing, Daegu Catholic University) ;
  • Park, Mi Kyung (College of Nursing, Daegu Catholic University)
  • Received : 2022.07.08
  • Accepted : 2022.09.27
  • Published : 2022.12.31

Abstract

Purpose: The aim of this study was to investigate the educational status and needs of premature birth prevention, and to identify factors associated with preconception health behaviors. Methods: The study design was a crosssectional descriptive study. Data were collected through an online questionnaire survey, and the subjects were 192 women of childbearing age in Korea. Data were analyzed using the Mann-Whitney U test, Kruskal-Wallis test, Spearman's correlation coefficients, and multiple regression. Results: The proportion of subjects who received education on premature birth prevention was 8.9%, and 75.5% of subjects answered that they needed education on premature birth prevention. They demanded education through online media, small groups, cases, cartoons (webtoon) with stories, pictures, and videos. A related factor of preconception health behavior was self-efficacy for high-risk pregnancy health care (β=.20, p=.012), which accounted for 8.2% of the total variance related to preconception health behavior. Conclusion: There was a need for more development of education programs to prevent premature birth for women of childbearing age. Its education programs should be applied with online, small group activities using various educational media. It is also required to promote preconception health behavior through self-efficacy for high-risk pregnancy health care.

Keywords

Acknowledgement

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2021R1I1A3047489)

References

  1. World Health Organization. Preterm birth[Internet]. Geneva, Switzerland: World Health Organization; 2018. Available from: https://www.who.int/en/news-room/fact-sheets/detail/preterm-birth 
  2. Korean Statistical Information Service. Total fertility rates and age-specific fertility rates for city, county, and district [Internet]. Daejeon: Statistics Korea; c2022 [cited 2022 Jun 1]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B81A17&conn_path=I2&language=en 
  3. Fuchs F, Monet B, Ducruet T, Chaillet N, Audibert F. Effect of maternal age on the risk of preterm birth: A large cohort study. Public Library of Science One. 2018;13(1):e0191002. https://doi.org/10.1371/journal.pone.0191002 
  4. Cunningham FG, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM. Preterm birth. Williams Obstetrics, 26e. New York, NY: McGraw Hill; 2022. 
  5. Koullali B, Oudijk MA, Nijman TAJ, Mol BWJ, Pajkrt E. Risk assessment and management to prevent preterm birth. Seminars in Fetal and Neonatal Medicine. 2016;21(2):80-88. https://doi.org/10.1016/j.siny.2016.01.005 
  6. Atrash H, Jack B. Preconception care to improve pregnancy outcomes: The science. Journal of Human Growth and Development. 2020;30(3):355-362. https://doi.org/10.7322/jhgd.v30.11064 
  7. Hwang JY. Reclassification of high-risk pregnancy for maternal-fetal healthcare providers. Journal of the Korean Society of Maternal and Child Health. 2020;24(2):65-74. https://doi.org/10.21896/jksmch.2020.24.2.65 
  8. Mitchell EW, Levis DM, Prue CE. Preconception health: Awareness, planning, and communication among a sample of US men and women. Maternal and Child Health Journal. 2012;16(1): 31-39. https://doi.org/10.1007/s10995-010-0663-y 
  9. Zhu Y, Hedderson MM, Brown SD, Badon SE, Feng J, Quesenberry CP, et al. Healthy preconception and early-pregnancy lifestyle and risk of preterm birth: A prospective cohort study. The American Journal of Clinical Nutrition. 2021;114(2):813-821. https://doi.org/10.1093/ajcn/nqab089 
  10. Dean SV, Mason E, Howson CP, Lassi ZS, Imam AM, Bhutta ZA. Born too soon: Care before and between pregnancy to prevent preterm births: From evidence to action. Reproductive Health. 2013;10(1):S3. https://doi.org/10.1186/1742-4755-10-s1-s3 
  11. Hong SC, Hwang RI, Ahn KH, Kim KH, Jung SW. The Status and influencing factors of preconception care among pregnant women in an area. Journal of the Korean Society of Maternal and Child Health. 2015;19(2):222-232. https://doi.org/10.21896/jksmch.2015.19.2.222 
  12. Van der Zee B, De Beaufort ID, Steegers EAP, Denktas S. Perceptions of preconception counselling among women planning a pregnancy: A qualitative study. Family Practice. 2013; 30(3):341-346. https://doi.org/10.1093/fampra/cms074 
  13. Vitner D, Barrett J, Katherine W, White SW, Newnham JP. Community-based, population-focused preterm birth prevention programs - a review. Archives of Gynecology and Obstetrics. 2020;302(6):1317-1328. https://doi.org/10.1007/s00404-020-05759-0 
  14. Ryan P, Sawin KJ. The individual and family self-management theory: Background and perspectives on context, process, and outcomes. Nursing Outlook. 2009;57(4):217-225.e6. https://doi.org/10.1016/j.outlook.2008.10.004 
  15. Bandura A. Self-efficacy: The exercise of control. 1st ed. New York: NY: W.H. Freeman and Company; 1997. 606 p. 
  16. Niewiadomska I, Bien A, Rzonca E, Jurek K. The mediating role of dispositional optimism in the relationship between health locus of control and self-efficacy in pregnant women at risk of preterm delivery. International Journal of Environmental Research and Public Health. 2022;19(10):6075. https://doi.org/10.3390/ijerph19106075 
  17. Yeom GJ, Kim IO. Development of preconception health behavior scale. Korean Journal of Women Health Nursing. 2019; 25(1):31-45. https://doi.org/10.4069/kjwhn.2019.25.1.31 
  18. Wang HJ, Kim IO. Effects of a mobile web-based pregnancy health care educational program for mothers at an advanced maternal age. Journal of Korean Academy of Nursing. 2015;45 (3):337-346. https://doi.org/10.4040/jkan.2015.45.3.337 
  19. Priani IF, Afiyanti Y, Kurniawati W. Preparing pregnancy through preconception education training. Enfermeria Clinica. 2019;29:304-309. https://doi.org/10.1016/j.enfcli.2019.04.140 
  20. Wagijo MA, Sheikh A, Duijts L, Been JV. Reducing tobacco smoking and smoke exposure to prevent preterm birth and its complications. Paediatr Respiratory Reviews. 2017;22:3-10. https://doi.org/10.1016/j.prrv.2015.09.002 
  21. Ota E, Hori H, Mori R, Tobe-Gai R, Farrar D. Antenatal dietary education and supplementation to increase energy and protein intake. Cochrane Database of Systematic Reviews. 2015 (6):CD000032. https://doi.org/10.1002/14651858.CD000032.pub3 
  22. Wang HJ, Park HS, Kim IO. Comparison of prenatal health management state and educational needs for pregnant women with advanced maternal age and under the age of 35. Korean Journal of Women Health Nursing. 2013;19(4):230-241. http:// doi.org/10.4069/kjwhn.2013.19.4.230 
  23. Miele MJO, Pacagnella RC, Osis MJD, Angelini CR, Souza JL, Cecatti JG. "Babies born early?" - Silences about prematurity and their consequences. Reproductive Health. 2018;15(1):154. https://doi.org/10.1186/s12978-018-0594-4 
  24. Silva TV, Bento SF, Katz L, Pacagnella RC. "Preterm birth risk, me?" Women risk perception about premature delivery - a qualitative analysis. BMC Pregnancy and Childbirth. 2021;21 (1):633. https://doi.org/10.1186/s12884-021-04068-x 
  25. Khan NN, Boyle JA, Lang AY, Harrison CL. Preconception health attitudes and behaviours of women: A qualitative investigation. Nutrients. 2019;11(7). https://doi.org/10.3390/nu11071490 
  26. Ekstrand Ragnar M, Niemeyer Hultstrand J, Tyden T, Larsson M. Development of an evidence-based website on preconception health. Upsala Journal of Medical Sciences. 2018;123(2): 116-122. https://doi.org/10.1080/03009734.2018.1476423 
  27. Conijn T, Nijmeijer SCM, Lakeman P, Henneman L, Wijburg FA, Haverman L. Preconception expanded carrier screening: Impact of information presented by text or video on genetic knowledge and attitudes. Journal of Genetic Counseling. 2021; 30(2):457-469. https://doi.org/10.1002/jgc4.1332 
  28. Bastani F, Hashemi S, Bastani N, Haghani H. Impact of preconception health education on health locus of control and self-efficacy in women. Eastern Mediterranean Health Journal. 2010;16(4):396-401. https://doi.org/10.26719/2010.16.4.396 
  29. Karami Z, Nekuei N, Kazemi A, Paknahad Z. Psychosocial factors related to dietary habits in women undergoing preconception care. Iranian Journal of Nursing and Midwifery Research. 2018;23(4):311-315. https://doi.org/10.4103/ijnmr.IJNMR_22_17 
  30. Kazemi A, Toghiyani Z, Nekoei-Zahraei N. Using social cognitive theory to explain physical activity in Iranian women preparing for pregnancy. Women & Health. 2020;60(9):1024-1031. https://doi.org/10.1080/03630242.2020.1789259