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Gebelik Öncesi Bakım Alma ve Gebeliklerin Planlı Olma Durumunun Folik Asit ve Sigara İle İlişkisi: Kesitsel Bir Araştırma

Year 2018, Volume: 12 Issue: 1, 43 - 48, 19.03.2018
https://doi.org/10.21763/tjfmpc.399914

Abstract

Giriş: Bu çalışmada, gebelerin, gebelik öncesi danışmanlık alma ve gebeliklerinin planlı olma durumunun; folik asit (FA) hakkında bilgi düzeyi, FA kullanımı
ve sigara dumanı maruziyeti ile ilişkisinin değerlendirilmesi amaçlanmıştır. Yöntem: Bu çalışma, Karadeniz Teknik Üniversitesi Tıp Fakültesine, gebelik
takibi amacıyla başvuran kadınlar arasında, Ocak-Nisan 2015 tarihleri arasında kesitsel bir araştırma olarak yürütülmüştür (n=199). Katılımcıların demografik
özellikleri, gebelik öncesi danışmanlık alma durumu, gebeliğinin planlı olup olmadığı, FA hakkında bilgi düzeyi ve kullanımı, sigara kullanımı ve pasif içicilik
durumu, yüz yüze görüşme yöntemiyle bir anket formu uygulanarak değerlendirilmiştir. Tanımlayıcı istatistikler, Student t testi, Mann-Whitney U testi ve Ki
kare testi yapıldı. İstatistiksel anlamlılık düzeyi p<0,05 olarak alınmıştır. Bulgular: Katılımcıların yaş ortalaması 30,2±5,8 yıldı. Gebelik öncesi bakım için,
herhangi bir doktordan danışmanlık alanların oranı %26,1’di. Mevcut gebeliğini planladığını belirten kadınların oranı %63,8’di. Düzenli FA kullandığını
belirtenlerin oranı %62,8 iken, bunların sadece %9,9’u gebelik öncesinde kullanmaya başlanmıştı. Gebeliği süresince sigara kullanmaya devam edenlerin
oranı %6,5 iken, katılımcıların %31,7’si sigara dumanına maruz kaldığını belirtmiştir. Gebelik öncesi danışmanlık alanlarda; gebeliklerini planlama, gebelik
öncesi FA kullanmaya başlama ve FA’nın doğumsal anomalileri önlediğini bilme oranı daha yüksek bulunmuştur (p<0,05). Demografik özellikler, düzenli
FA kullanımı ve sigara maruziyeti ile gebelik öncesi danışmanlık alma arasında istatistiksel anlamlı ilişki saptanmamıştır (p>0,05). Sonuç: Çalışmamızda,
kadın ve olası çocuklarının sağlığının geliştirilmesi açısından çok önemli bir fırsat olan gebelik öncesi bakım hizmetlerinin yetersiz olduğu görülmüştür.
Üreme çağındaki kadınlara hizmet eden bütün sağlık çalışanları, gebelik öncesi danışmanlık konusunda bilinçlendirilmeli ve cesaretlendirilmelidir. 

References

  • 1. Temel S, van Voorst SF, de Jong-Potjer LC, Waelput AJ, Cornel MC, de Weerd SR, et al. The Dutch national summit on preconception care: a summary of definitions, evidence and recommendations. Journal of community genetics. 2015;6(1):107-115.
  • 2. Dickinson JE. Preconception assessment: An opportunity often lost. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2014;54(6):501-2.
  • 3. Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, Parker CS, et al. Recommendations to improve preconception health and health care--United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep. 2006;55(RR-6):1-23.
  • 4. Williams L, Zapata LB, D’Angelo DV, Harrison L, Morrow B. Associations between preconception counseling and maternal behaviors before and during pregnancy. Maternal and child health journal. 2012;16(9):1854-61.
  • 5. Oza‐Frank R, Gilson E, Keim SA, Lynch CD, Klebanoff MA. Trends and Factors Associated with Self‐Reported Receipt of Preconception Care: PRAMS, 2004–2010. Birth. 2014;41(4):367-73.
  • 6. Beckmann MM, Widmer T, Bolton E. Does preconception care work? Aust N Z J Obstet Gynaecol. 2014;54(6):510-4.
  • 7. Shawe J, Delbaere I, Ekstrand M, Hegaard HK, Larsson M, Mastroiacovo P, et al. 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. 2015;20(2):77-87.
  • 8. Şahin M, Yurdakul M. Gebelik öncesi danışmanlık. Florence Nightingale Hemşirelik Dergisi. 2012;20(1):80-5.
  • 9. Moos MK, Dunlop AL, Jack BW, Nelson L, Coonrod DV, Long R, et al. Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age. Am J Obstet Gynecol. 2008;199(6 Suppl 2):S280-9.
  • 10. Shores SE, Bailey T. Recommendations for women of reproductive age. N C Med J. 2009;70(5):432-8.
  • 11. Mook-Kanamori DO, Steegers EA, Eilers PH, Raat H, Hofman A, Jaddoe VW. Risk factors and outcomes associated with first-trimester fetal growth restriction. JAMA. 2010;303(6):527-34.
  • 12. van der Zee B, de Beaufort I, Temel S, de Wert G, Denktas S, Steegers E. Preconception care: an essential preventive strategy to improve children's and women's health. J Public Health Policy. 2011;32(3):367-79.
  • 13. Wilkes J. AAFP releases position paper on preconception care. American family physician. 2016;94(6):508.
  • 14. Callegari LS, Ma EW, Schwarz EB. Preconception care and reproductive planning in primary care. Medical Clinics of North America. 2015;99(3):663-82.
  • 15. Lu MC, Kotelchuck M, Culhane JF, Hobel CJ, Klerman LV, Thorp JM. Preconception care between pregnancies: the content of internatal care. Maternal and Child Health Journal. 2006;10(1):107-22.
  • 16. Gavin L, Moskosky S, Carter M, Curtis K, Glass E, Godfrey E, et al. Providing quality family planning services: Recommendations of CDC and the U.S. Office of Population Affairs. MMWR Recomm Rep. 2014;63(RR-04):1-54.
  • 17. Wolff T, Witkop CT, Miller T, Syed SB. Folic acid supplementation for the prevention of neural tube defects: an update of the evidence for the US Preventive Services Task Force. Annals of Internal Medicine. 2009;150(9):632-9.
  • 18. Lassi ZS, Imam AM, Dean SV, Bhutta ZA. Preconception care: caffeine, smoking, alcohol, drugs and other environmental chemical/radiation exposure. Reproductive health. 2014;11(3):1.
  • 19. Öztaş Ö, Artantaş AB, Tetik BK, Yalçıntaş A, Üstü Y, Uğurlu M. 18-49 yaş grubu evli kadınların üreme sağlığı ve kontrasepsiyon hakkındaki bilgi, tutum ve davranışları. Ankara Med J. 2015; 15(2):67-76.
  • 20. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (2014), “2013 Türkiye Nüfus ve Sağlık Araştırması”. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Kalkınma Bakanlığı ve TÜBİTAK, Ankara, Türkiye.
  • 21. Finer LB, Zolna MR. Declines in unintended pregnancy in the United States, 2008-2011. N Engl J Med. 2016;374(9):843-52.
  • 22. Finer LB, Zolna MR. Shifts in intended and unintended pregnancies in the United States, 2001-2008. Am J Public Health. 2014;104 Suppl 1:S43-8.
  • 23. Tezel A, Gönenç İ, Akgün Ş, Öztaş Karataş D, Altuntaş Yıldız T. Kadınların aile planlamasına yönelik tutumları ve etkileyen faktörler. Journal of Anatolia Nursing and Health Sciences. 2015;18(3):181-188.
  • 24. Gözükara F, Kabalcıoğlu F, Ersin F. Şanlıurfa İlinde Kadınların aile planlamasına ilişkin tutumlarının belirlenmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2015;12(1):9-16
  • 25. Köken GN, Derbent AU, Erol O, Saygın N, Ayık H, Karaca M. Awareness and use of folic acid among reproductive age and pregnant women. Journal of the Turkish German Gynecological Association. 2013;14(2):87.
  • 26. Baykan Z, Öztürk A, Poyrazoğlu S, Gün İ. Awareness, knowledge, and use of folic acid among women: a study from Turkey. Archives of gynecology and obstetrics. 2011;283(6):1249-53.
  • 27. Elsinga J, de Jong-Potjer LC, van der Pal-de KM, le Cessie S, Assendelft WJ, Buitendijk SE. The effect of preconception counselling on lifestyle and other behaviour before and during pregnancy. Women's Health Issues. 2008;18(6):S117-S25.
  • 28. Turgul O, Anli N, Mandiracioglu A, Bati H, Akkol S. The regional campaign for women on awareness of neural tube defects and folic acid in Narlidere, Izmir: a community-based intervention. Eur J Contracept Reprod Health Care. 2009;14(1):69-74.
  • 29. Baysoy NG, Özkan S. Gebelik öncesi (prekonsepsiyonel) bakım: Halk sağlığı perspektifi. Gazi Medical Journal. 2012;23(3):77-90

Relationship Between Preconception Care and Pregnancy Planning Status with Folic Acid and Smoking: A Cross-Sectional Study

Year 2018, Volume: 12 Issue: 1, 43 - 48, 19.03.2018
https://doi.org/10.21763/tjfmpc.399914

Abstract

Introduction: In this study, it was aimed to evaluate preconception counseling and pregnancy planning status and to determine the relationship between these
status and knowledge about folic acid (FA), use of FA and smoke exposure in pregnant women. Methods: This study was carried out as a cross-sectional
study between January-April 2015 among women who applied to Karadeniz Technical University Medical Faculty for pregnancy follow-up (n=199).
Participants' demographic characteristics, preconception counseling and pregnancy planning status, knowledge and use of FA, smoking and passive smoking
were evaluated by applying a questionnaire face to face interview method. Descriptive statistics, Student t test, Mann-Whitney U test and Chi square test were
performed. Statistical significance level was taken as p <0,05. Results: The mean age of participants was 30.2 ± 5.8 years. Twenty-six percent of the
participants had consulted by any doctor for preconception care. The proportion of women who indicated that they planned current pregnancy was 63.8%.
While rate of those who stated that they use regular FA was %62,8, ten percent of them started to use it before conception. The rate of those who continued to
smoke during pregnancy was 6,5% and 32% of the participants were exposed to smoke. In pregnants with preconception counseling; rate of pregnancy
planning, using FA before pregnancy and knowing that FA prevented birth defects were higher (p<0,05). There was no statistically significant relationship
between demographic characteristics, regular FA use and smoking exposure and preconception counseling (p> 0,05). Conclusion: Preconception care services,
a very important opportunity in terms of improving the health of women and possible children, have been found to be inadequate in our study. All health
workers who serve women in the reproductive age should be encouraged to have preconception counseling. 

References

  • 1. Temel S, van Voorst SF, de Jong-Potjer LC, Waelput AJ, Cornel MC, de Weerd SR, et al. The Dutch national summit on preconception care: a summary of definitions, evidence and recommendations. Journal of community genetics. 2015;6(1):107-115.
  • 2. Dickinson JE. Preconception assessment: An opportunity often lost. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2014;54(6):501-2.
  • 3. Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, Parker CS, et al. Recommendations to improve preconception health and health care--United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep. 2006;55(RR-6):1-23.
  • 4. Williams L, Zapata LB, D’Angelo DV, Harrison L, Morrow B. Associations between preconception counseling and maternal behaviors before and during pregnancy. Maternal and child health journal. 2012;16(9):1854-61.
  • 5. Oza‐Frank R, Gilson E, Keim SA, Lynch CD, Klebanoff MA. Trends and Factors Associated with Self‐Reported Receipt of Preconception Care: PRAMS, 2004–2010. Birth. 2014;41(4):367-73.
  • 6. Beckmann MM, Widmer T, Bolton E. Does preconception care work? Aust N Z J Obstet Gynaecol. 2014;54(6):510-4.
  • 7. Shawe J, Delbaere I, Ekstrand M, Hegaard HK, Larsson M, Mastroiacovo P, et al. 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. 2015;20(2):77-87.
  • 8. Şahin M, Yurdakul M. Gebelik öncesi danışmanlık. Florence Nightingale Hemşirelik Dergisi. 2012;20(1):80-5.
  • 9. Moos MK, Dunlop AL, Jack BW, Nelson L, Coonrod DV, Long R, et al. Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age. Am J Obstet Gynecol. 2008;199(6 Suppl 2):S280-9.
  • 10. Shores SE, Bailey T. Recommendations for women of reproductive age. N C Med J. 2009;70(5):432-8.
  • 11. Mook-Kanamori DO, Steegers EA, Eilers PH, Raat H, Hofman A, Jaddoe VW. Risk factors and outcomes associated with first-trimester fetal growth restriction. JAMA. 2010;303(6):527-34.
  • 12. van der Zee B, de Beaufort I, Temel S, de Wert G, Denktas S, Steegers E. Preconception care: an essential preventive strategy to improve children's and women's health. J Public Health Policy. 2011;32(3):367-79.
  • 13. Wilkes J. AAFP releases position paper on preconception care. American family physician. 2016;94(6):508.
  • 14. Callegari LS, Ma EW, Schwarz EB. Preconception care and reproductive planning in primary care. Medical Clinics of North America. 2015;99(3):663-82.
  • 15. Lu MC, Kotelchuck M, Culhane JF, Hobel CJ, Klerman LV, Thorp JM. Preconception care between pregnancies: the content of internatal care. Maternal and Child Health Journal. 2006;10(1):107-22.
  • 16. Gavin L, Moskosky S, Carter M, Curtis K, Glass E, Godfrey E, et al. Providing quality family planning services: Recommendations of CDC and the U.S. Office of Population Affairs. MMWR Recomm Rep. 2014;63(RR-04):1-54.
  • 17. Wolff T, Witkop CT, Miller T, Syed SB. Folic acid supplementation for the prevention of neural tube defects: an update of the evidence for the US Preventive Services Task Force. Annals of Internal Medicine. 2009;150(9):632-9.
  • 18. Lassi ZS, Imam AM, Dean SV, Bhutta ZA. Preconception care: caffeine, smoking, alcohol, drugs and other environmental chemical/radiation exposure. Reproductive health. 2014;11(3):1.
  • 19. Öztaş Ö, Artantaş AB, Tetik BK, Yalçıntaş A, Üstü Y, Uğurlu M. 18-49 yaş grubu evli kadınların üreme sağlığı ve kontrasepsiyon hakkındaki bilgi, tutum ve davranışları. Ankara Med J. 2015; 15(2):67-76.
  • 20. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (2014), “2013 Türkiye Nüfus ve Sağlık Araştırması”. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Kalkınma Bakanlığı ve TÜBİTAK, Ankara, Türkiye.
  • 21. Finer LB, Zolna MR. Declines in unintended pregnancy in the United States, 2008-2011. N Engl J Med. 2016;374(9):843-52.
  • 22. Finer LB, Zolna MR. Shifts in intended and unintended pregnancies in the United States, 2001-2008. Am J Public Health. 2014;104 Suppl 1:S43-8.
  • 23. Tezel A, Gönenç İ, Akgün Ş, Öztaş Karataş D, Altuntaş Yıldız T. Kadınların aile planlamasına yönelik tutumları ve etkileyen faktörler. Journal of Anatolia Nursing and Health Sciences. 2015;18(3):181-188.
  • 24. Gözükara F, Kabalcıoğlu F, Ersin F. Şanlıurfa İlinde Kadınların aile planlamasına ilişkin tutumlarının belirlenmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2015;12(1):9-16
  • 25. Köken GN, Derbent AU, Erol O, Saygın N, Ayık H, Karaca M. Awareness and use of folic acid among reproductive age and pregnant women. Journal of the Turkish German Gynecological Association. 2013;14(2):87.
  • 26. Baykan Z, Öztürk A, Poyrazoğlu S, Gün İ. Awareness, knowledge, and use of folic acid among women: a study from Turkey. Archives of gynecology and obstetrics. 2011;283(6):1249-53.
  • 27. Elsinga J, de Jong-Potjer LC, van der Pal-de KM, le Cessie S, Assendelft WJ, Buitendijk SE. The effect of preconception counselling on lifestyle and other behaviour before and during pregnancy. Women's Health Issues. 2008;18(6):S117-S25.
  • 28. Turgul O, Anli N, Mandiracioglu A, Bati H, Akkol S. The regional campaign for women on awareness of neural tube defects and folic acid in Narlidere, Izmir: a community-based intervention. Eur J Contracept Reprod Health Care. 2009;14(1):69-74.
  • 29. Baysoy NG, Özkan S. Gebelik öncesi (prekonsepsiyonel) bakım: Halk sağlığı perspektifi. Gazi Medical Journal. 2012;23(3):77-90
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Orijinal Articles
Authors

Ceyhun Yurtsever 0000-0003-4889-9919

Turan Set

Publication Date March 19, 2018
Submission Date November 3, 2017
Published in Issue Year 2018 Volume: 12 Issue: 1

Cite

Vancouver Yurtsever C, Set T. Gebelik Öncesi Bakım Alma ve Gebeliklerin Planlı Olma Durumunun Folik Asit ve Sigara İle İlişkisi: Kesitsel Bir Araştırma. TJFMPC. 2018;12(1):43-8.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.