Research Article
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Women's knowledge and opinions on midwife-led continuity preconception care and counseling

Year 2025, Volume: 10 Issue: 1, 33 - 39, 30.04.2025

Zeliha Burcu Yurtsal , Öznur Hasdemir

Abstract

This study was aimed at determining the knowledge and opinions of women about the midwife-led continuity preconception care and counseling (MLCPCC). The research is of descriptive type. The sample of the study consisted of 178 women aged 18-49 years. The study data were collected online the Personal Information Form and Form to Assess Women's Knowledge and Opinions of MLCPCC. Of the women participating in the study, 29.2% were in the age group of 30-34 years, 70.2% were married, 75.3% were at least university graduates, and 12.9% received preconception care and counseling. Of those who received preconception care and counseling, 6.7% received preconception care and counseling from midwives. The mean score the participants obtained from the Form to Assess Women's Knowledge and Opinions of MLCPCC was 41.97 ± 9.22 (Min-Max: 0-48). The participants’ descriptive characteristics and pregnancy experience-related characteristics did not affect the scores they obtained from the Form to Assess Women's Knowledge and Opinions of MLCPCC (p> 0.05). Although most of the participants were higher education graduates, they did not receive preconception care and counseling, which is quite surprising. The fact that the mean scores they obtained from the Form to Assess Women's Knowledge and Opinions of MLCPCC were high suggests that they supported MLCPCC, which plays a significant role in the development of women and community health.

Keywords

Counseling Leadership Midwifery Preconception Care Public Health

References

  • American College of Obstetricians and Gynecologists. (2019). ACOG committee opinion no.762: prepregnancy counseling. Obstet Gynecol, 133(1), e78-89. https://doi.org/10.1097/AOG.0000000000003013
  • Başli, M., & Aksu, H. (2018). Preconception care and counseling. Ege University Faculty of Nursing Journal, 34(3):128-140.
  • Beckmann, M. M., Widmer, T., & Bolton, E. (2014). Does preconception care work? Australian and New Zealand Journal of Obstetrics and Gynaecology, 54(6), 510-514. https://doi.org/10.1111/ajo.12224
  • Betran, A. P., Temmerman, M., Kingdon, C., Mohiddin, A., Opiyo, N., Torloni, M. R., ... & Downe, S. (2018). Interventions to reduce unnecessary caesarean sections in healthy women and babies. The Lancet, 392(10155), 1358-1368. https://doi.org/10.1016/S0140-6736(18)31927-5
  • Center for Disease Control and Prevention (2022). Before Pregnancy. CDC. https://www.cdc.gov/preconception/planning.html
  • Chapman, A., Nagle, C., Bick, D., Lindberg, R., Kent, B., Calache, J., & Hutchinson, A.M. (2019). Maternity service organisational interventions that aim to reduce caesarean section: a systematic review and meta-analyses. BMC pregnancy and childbirth, 19, 1-21. https://doi.org/10.1186/s12884-019- 2351-2
  • Czeizel, A. E. (2012). Experience of the Hungarian Preconception Service between 1984 and 2010. European Journal of Obstetrics & Gynecology and Reproductive Biology, 161(1), 18-25. https://doi.org/10.1016/j.ejogrb.2011.12.019
  • Dean A.G., Sullivan K.M., & Soe M.M. (2021) OpenEpi: Open-Source Epidemiologic Statistics for Public Health, Version. www.OpenEpi.com, updated 2013/04/06. https://www.openepi.com/Menu/OE_Menu.htm
  • Dean, S. V., Lassi, Z. S., Imam, A. M., & Bhutta, Z. A. (2014). Preconception care: nutritional risks and interventions. Reproductive health, 11(3), 1-15. https://doi.org/10.1186/1742-4755-11-S3-S3
  • Forster, D. A., McLachlan, H. L., Davey, M. A., Biro, M. A., Farrell, T., Gold, L., ... & Waldenström, U. (2016). Continuity of care by a primary midwife (caseload midwifery) increases women’s satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial. BMC pregnancy and childbirth, 16, 1-13. https://doi.org/10.1186/s12884-016-0798-y
  • Fowler, J. R., Mahdy, H., & Jack, B. W (2022). Preconception counseling. Online Book. StatPearls Publishing 2022. https://www.ncbi.nlm.nih.gov/books/NBK441880/
  • Fox, D., Scarf, V., Turkmani, S., Rossiter, C., Coddington, R., Sheehy, A., ... & Baird, K. (2023). Midwifery continuity of care for women with complex pregnancies in Australia: An integrative review. Women and Birth, 36(2), e187-e194. https://doi.org/10.1016/j.wombi.2022.07.001
  • Gökdemir F, & Eryılmaz G. (2017). Preconceptional Health Services. Türkiye Clinics J Obstet Womens Health Dis Nurs-Special Topics, 3(3): 204-212.
  • Hanahoe, M. (2020). Midwifery-led care can lower caesarean section rates according to the Robson ten group classification system. European Journal of Midwifery, 31(4):7. https://doi.org/10.18332/ejm/119164
  • International Confederation of Midwifes (2023). ICM.Trust the evidence: invest in midwives. https://www.internationalmidwives.org/icm-news/trust-the-evidence-invest-in-midwives.html.
  • Karakaya, E., & Coşkun, P. (2013). The Evaluatıon of Communıty-Based Safe Motherhood Applıcatıon Performed In Provınce of Dıyarbakır. Journal of Education and Research in Nursing, 10(2), 20-28.
  • Lindgren, H., & Erlandsson, K. (2022). The MIDWIZE conceptual framework: a midwife-led care model that fits the Swedish health care system might after contextualization, fit others. BMC research notes, 15(1), 306. https://doi.org/10.1186/s13104-022-06198-7
  • McLachlan, H. L., Forster, D. A., Davey, M. A., Farrell, T., Flood, M., Shafiei, T., & Waldenström, U. (2016). The effect of primary midwife‐led care on women's experience of childbirth: results from the COSMOS randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology, 123(3), 465-474. https://doi.org/10.1111/1471-0528.13713
  • Renfrew, M. J., McFadden, A., Bastos, M. H., Campbell, J., Channon, A. A., Cheung, N. F., ... & Declercq, E. (2014). Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. The Lancet, 384(9948), 1129-1145. https://doi.org/10.1016/S0140-6736(14)60789-3
  • Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife‐led continuity models versus other models of care for childbearing women. Cochrane database of systematic reviews, 15 (9): CD004667. https://doi.org/10.1002/14651858.CD004667.pub5
  • Shahid, S., Jan, R., Qureshi, R. N., & Rattani, S. (2014). A review related to midwifery led model of care. Journal of General Practice, 2(5),1.https://doi.org/10.4172/2329-9126.1000180
  • Shawe, J., Delbaere, I., Ekstrand, M., Hegaard, H. K., Larsson, M., Mastroiacovo, P., ... & Tydén, T. (2015). Preconception care policy, guidelines, recommendations and services across six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom. The European Journal of Contraception & Reproductive Health Care, 20(2), 77-87. https://doi.org/10.3109/13625187.2014.990088
  • Skogsdal, Y., Fadl, H., Cao, Y., Karlsson, J., & Tydén, T. (2019). An intervention in contraceptive counseling increased the knowledge about fertility and awareness of preconception health—a randomized controlled trial. Upsala journal of medical sciences, 124(3), 203-212. https://doi.org/10.1080/03009734.2019.1653407
  • Turkey Ministry of Health (2019). Health Statistics Yearbook, Newsletter. https://dosyamerkez.saglik.gov.tr/Eklenti/39024,haber-bulteni-2019pdf.pdf?0
  • ten Hoope-Bender, P., de Bernis, L., Campbell, J., Downe, S., Fauveau, V., Fogstad, H., ... & Van Lerberghe, W. (2014). Improvement of maternal and newborn health through midwifery. The Lancet, 384(9949), 1226-1235.https://doi.org/10.1016/S0140-6736(14)60930-2
  • Vincent, C. M., Spineli, L. Μ., Barlow, P., & Gross, M. M. (2022). Unplanned visits and midwife-led antenatal care. European Journal of Midwifery, 6(10):72. https://doi.org/10.18332/ejm/157160
  • WHO & ICM (2021). The state of the world’s midwifery 2021. https://www.unfpa.org/sites/default/files/pub-pdf/21-038-UNFPA-SoWMy2021-Report-ENv4302_0.pdf
  • Wiegerinck, M. M., Van Der Goes, B. Y., Ravelli, A. C., Van Der Post, J. A., Buist, F. C., Tamminga, P., & Mol, B. W. (2018). Intrapartum and neonatal mortality among low-risk women in midwife-led versus obstetrician-led care in the Amsterdam region of the Netherlands: a propensity score matched study. BMJ open, 8(1): e018845. https://doi.org/10.1136/bmjopen-2017-018845
  • World Health Organization. (2013). Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity: World Health Organization Headquarters, Geneva, 6–7 February 2012: meeting report. https://iris.who.int/bitstream/handle/10665/78067/9789241505000_eng.pdf?sequence=1
  • World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization.https://iris.who.int/bitstream/handle/10665/250796/9789241549912-eng.pdf?sequence=1

Kadınların ebe liderliğinde sürekli prekonsepsiyonel bakım ve danışmanlık hakkında bilgi ve görüşleri

Year 2025, Volume: 10 Issue: 1, 33 - 39, 30.04.2025

Zeliha Burcu Yurtsal , Öznur Hasdemir

Abstract

Bu araştırmanın amacı, kadınların ebe liderliğinde sürekli prekonsepsiyonel bakım ve danışmanlığa (ELSPBD) ilişkin bilgi ve görüşlerini değerlendirmektir. Araştırma tanımlayıcı tiptedir. Araştırmanın örneklemi 18-49 yaş arası 178 kadından oluşmaktadır. Araştırma verileri kişisel bilgi formu ve kadınların ELSPBD ilişkin bilgi ve görüşlerini değerlendirme formu kullanılarak çevrimiçi olarak toplanmıştır. Araştırmaya katılan kadınların %29.2’sinin 30-34 yaş arasında, %70.2’sinin evli ve %75.3’ünün en az üniversite mezunu olduğu bulunmuştur. Kadınların %12.9’unun prekonsepsiyonel bakım ve danışmanlık aldığı, %6.7’sinin ise ebelerden prekonsepsiyonel bakım ve danışmanlık aldığı saptanmıştır. ELSPBD ilişkin bilgi ve görüş puan ortalamalarının 41.97±9.22 (min-max: 0-48) olduğu bulunmuştur. Kadınların tanıtıcı ve gebelik deneyimine ilişkin özelliklerine göre kadınların ELSPBD ilişkin bilgi ve görüş puanlarını etkilemediği saptanmıştır (p>0.05). Kadınların çoğunun eğitim durumu yüksek olmasına rağmen prekonsepsiyonel bakım ve danışmanlık almadığını ifade etmesi son derece dikkat çekidir. ELSPBD ile ilgili puan ortalamalarının yüksek olması ise kadın ve toplum sağlığının geliştirilmesinde yararı olan bu hizmeti desteklediklerini düşündürmektedir.

Keywords

Danışmanlık Liderlik Ebelik Prekonsepsiyonel Bakım Toplum Sağlığı

References

  • American College of Obstetricians and Gynecologists. (2019). ACOG committee opinion no.762: prepregnancy counseling. Obstet Gynecol, 133(1), e78-89. https://doi.org/10.1097/AOG.0000000000003013
  • Başli, M., & Aksu, H. (2018). Preconception care and counseling. Ege University Faculty of Nursing Journal, 34(3):128-140.
  • Beckmann, M. M., Widmer, T., & Bolton, E. (2014). Does preconception care work? Australian and New Zealand Journal of Obstetrics and Gynaecology, 54(6), 510-514. https://doi.org/10.1111/ajo.12224
  • Betran, A. P., Temmerman, M., Kingdon, C., Mohiddin, A., Opiyo, N., Torloni, M. R., ... & Downe, S. (2018). Interventions to reduce unnecessary caesarean sections in healthy women and babies. The Lancet, 392(10155), 1358-1368. https://doi.org/10.1016/S0140-6736(18)31927-5
  • Center for Disease Control and Prevention (2022). Before Pregnancy. CDC. https://www.cdc.gov/preconception/planning.html
  • Chapman, A., Nagle, C., Bick, D., Lindberg, R., Kent, B., Calache, J., & Hutchinson, A.M. (2019). Maternity service organisational interventions that aim to reduce caesarean section: a systematic review and meta-analyses. BMC pregnancy and childbirth, 19, 1-21. https://doi.org/10.1186/s12884-019- 2351-2
  • Czeizel, A. E. (2012). Experience of the Hungarian Preconception Service between 1984 and 2010. European Journal of Obstetrics & Gynecology and Reproductive Biology, 161(1), 18-25. https://doi.org/10.1016/j.ejogrb.2011.12.019
  • Dean A.G., Sullivan K.M., & Soe M.M. (2021) OpenEpi: Open-Source Epidemiologic Statistics for Public Health, Version. www.OpenEpi.com, updated 2013/04/06. https://www.openepi.com/Menu/OE_Menu.htm
  • Dean, S. V., Lassi, Z. S., Imam, A. M., & Bhutta, Z. A. (2014). Preconception care: nutritional risks and interventions. Reproductive health, 11(3), 1-15. https://doi.org/10.1186/1742-4755-11-S3-S3
  • Forster, D. A., McLachlan, H. L., Davey, M. A., Biro, M. A., Farrell, T., Gold, L., ... & Waldenström, U. (2016). Continuity of care by a primary midwife (caseload midwifery) increases women’s satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial. BMC pregnancy and childbirth, 16, 1-13. https://doi.org/10.1186/s12884-016-0798-y
  • Fowler, J. R., Mahdy, H., & Jack, B. W (2022). Preconception counseling. Online Book. StatPearls Publishing 2022. https://www.ncbi.nlm.nih.gov/books/NBK441880/
  • Fox, D., Scarf, V., Turkmani, S., Rossiter, C., Coddington, R., Sheehy, A., ... & Baird, K. (2023). Midwifery continuity of care for women with complex pregnancies in Australia: An integrative review. Women and Birth, 36(2), e187-e194. https://doi.org/10.1016/j.wombi.2022.07.001
  • Gökdemir F, & Eryılmaz G. (2017). Preconceptional Health Services. Türkiye Clinics J Obstet Womens Health Dis Nurs-Special Topics, 3(3): 204-212.
  • Hanahoe, M. (2020). Midwifery-led care can lower caesarean section rates according to the Robson ten group classification system. European Journal of Midwifery, 31(4):7. https://doi.org/10.18332/ejm/119164
  • International Confederation of Midwifes (2023). ICM.Trust the evidence: invest in midwives. https://www.internationalmidwives.org/icm-news/trust-the-evidence-invest-in-midwives.html.
  • Karakaya, E., & Coşkun, P. (2013). The Evaluatıon of Communıty-Based Safe Motherhood Applıcatıon Performed In Provınce of Dıyarbakır. Journal of Education and Research in Nursing, 10(2), 20-28.
  • Lindgren, H., & Erlandsson, K. (2022). The MIDWIZE conceptual framework: a midwife-led care model that fits the Swedish health care system might after contextualization, fit others. BMC research notes, 15(1), 306. https://doi.org/10.1186/s13104-022-06198-7
  • McLachlan, H. L., Forster, D. A., Davey, M. A., Farrell, T., Flood, M., Shafiei, T., & Waldenström, U. (2016). The effect of primary midwife‐led care on women's experience of childbirth: results from the COSMOS randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology, 123(3), 465-474. https://doi.org/10.1111/1471-0528.13713
  • Renfrew, M. J., McFadden, A., Bastos, M. H., Campbell, J., Channon, A. A., Cheung, N. F., ... & Declercq, E. (2014). Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. The Lancet, 384(9948), 1129-1145. https://doi.org/10.1016/S0140-6736(14)60789-3
  • Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife‐led continuity models versus other models of care for childbearing women. Cochrane database of systematic reviews, 15 (9): CD004667. https://doi.org/10.1002/14651858.CD004667.pub5
  • Shahid, S., Jan, R., Qureshi, R. N., & Rattani, S. (2014). A review related to midwifery led model of care. Journal of General Practice, 2(5),1.https://doi.org/10.4172/2329-9126.1000180
  • Shawe, J., Delbaere, I., Ekstrand, M., Hegaard, H. K., Larsson, M., Mastroiacovo, P., ... & Tydén, T. (2015). Preconception care policy, guidelines, recommendations and services across six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom. The European Journal of Contraception & Reproductive Health Care, 20(2), 77-87. https://doi.org/10.3109/13625187.2014.990088
  • Skogsdal, Y., Fadl, H., Cao, Y., Karlsson, J., & Tydén, T. (2019). An intervention in contraceptive counseling increased the knowledge about fertility and awareness of preconception health—a randomized controlled trial. Upsala journal of medical sciences, 124(3), 203-212. https://doi.org/10.1080/03009734.2019.1653407
  • Turkey Ministry of Health (2019). Health Statistics Yearbook, Newsletter. https://dosyamerkez.saglik.gov.tr/Eklenti/39024,haber-bulteni-2019pdf.pdf?0
  • ten Hoope-Bender, P., de Bernis, L., Campbell, J., Downe, S., Fauveau, V., Fogstad, H., ... & Van Lerberghe, W. (2014). Improvement of maternal and newborn health through midwifery. The Lancet, 384(9949), 1226-1235.https://doi.org/10.1016/S0140-6736(14)60930-2
  • Vincent, C. M., Spineli, L. Μ., Barlow, P., & Gross, M. M. (2022). Unplanned visits and midwife-led antenatal care. European Journal of Midwifery, 6(10):72. https://doi.org/10.18332/ejm/157160
  • WHO & ICM (2021). The state of the world’s midwifery 2021. https://www.unfpa.org/sites/default/files/pub-pdf/21-038-UNFPA-SoWMy2021-Report-ENv4302_0.pdf
  • Wiegerinck, M. M., Van Der Goes, B. Y., Ravelli, A. C., Van Der Post, J. A., Buist, F. C., Tamminga, P., & Mol, B. W. (2018). Intrapartum and neonatal mortality among low-risk women in midwife-led versus obstetrician-led care in the Amsterdam region of the Netherlands: a propensity score matched study. BMJ open, 8(1): e018845. https://doi.org/10.1136/bmjopen-2017-018845
  • World Health Organization. (2013). Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity: World Health Organization Headquarters, Geneva, 6–7 February 2012: meeting report. https://iris.who.int/bitstream/handle/10665/78067/9789241505000_eng.pdf?sequence=1
  • World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization.https://iris.who.int/bitstream/handle/10665/250796/9789241549912-eng.pdf?sequence=1
There are 30 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Article
Authors

Zeliha Burcu Yurtsal 0000-0001-5586-0970

Öznur Hasdemir 0000-0003-1087-2112

Publication Date April 30, 2025
Submission Date November 21, 2024
Acceptance Date March 14, 2025
Published in Issue Year 2025Volume: 10 Issue: 1

Cite

Vancouver Yurtsal ZB, Hasdemir Ö. Women’s knowledge and opinions on midwife-led continuity preconception care and counseling. J Cumhuriyet Univ Health Sci Inst. 2025;10(1):33-9.
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The Journal of Sivas Cumhuriyet University Institute of Health Sciences is an international, peer-reviewed scientific journal published by Sivas Cumhuriyet University, Institute of Health Sciences.