Preconception care patterns and some related factors in pregnant women in Gorgan in 2017

Preconception care is an opportunity to change unhealthy behaviors which in turn
reduces unplanned pregnancy and plays an important role in reducing maternal and infant
mortality. The aim of this study was to determine the level of preconception care and its related
factors in pregnant women.
Methods: This cross-sectional study was conducted on 394 pregnant women referred to Gorgan
health centers in 2017. Samples were selected by multi-stage stratified sampling method from
Gorgan health centers in Golestan province. Data was gathered using self-report questionnaire.
Data analysis was performed using chi-square test, Fisher's exact, and Kruskal-Wallis tests in
SPSS-16. The P-value less than 0.05 were considered significant.
Results: 32.7% of women were received complete preconception care and 17.8% had no prepregnancy
care. Only 44.2% of women used folic acid daily since the first trimester of
pregnancy. Most of pregnant women (63.7%) performed triple screening laboratory test (FBS,
CBC, TSH). Preconception care was more successful in mothers with higher level of education
(P<0.001), having health insurance (P <0.001), history of disease (P=0.027), higher family
income (P=0.044), and nulliparity (P = 0.049).Preconception care coverage and acid folic consumption is not optimal. It seems
necessary to plan more precisely on how such services need to be provided. The identification of
factors associated with this care showed that far less attention was paid among low-income,
without assurance coverage and low-educated people. Since these people do not have enough
money to take care of mother and infant during pregnancy, health policymakers should provide
the related services for free.