PDF(Pubmed)
Abstract：
BACKGROUND: Preconception care is not widespread in Japan and there is a pressing need to improve the practice. The present study assessed the knowledge and behavior of preconception care among women to seek effective intervention. Our research questions were: 1) How much do women know about preconception care? 2) How much are they practicing preconception care and what are the information sources of their behavior? 3) Do the women\'s preconception care behavior associated with accurate knowledge?
METHODS: The research was conducted in a rural town in central Japan. Using an exploratory sequential mixed methods design, we undertook interviews, developed a survey based on the qualitative results, and then conducted a survey. The interviews explored how preconception care was perceived and practiced in women of childbearing age. The survey was designed to investigate the knowledge of preconception care among women with and without pregnancy experience, their practice behavior of preconception care, and whether the behavior is associated with knowledge.
RESULTS: The participants were 13 for the interview and 232 for the survey. They had limited access to preconception care recommendations and advice for specific actions was given by obstetricians and gynecologists after pregnancy. There was a large gap in knowledge about preconception care between parous and nulliparous women, especially about the need for folic acid supplementation. Practices that were manageable in their daily lives, such as cessation of smoking and alcohol, diet, and weight management, were considered common sense. In contrast, recommended practices that require medical attention, such as screening for sexually transmitted diseases and cervical cancer, tended to be less accurately known and practiced. Participants\' sources of information about preconception care were the Internet, family and friends and mass media.
CONCLUSIONS: In rural Japan, women of childbearing age lack knowledge about preconception care, especially before their first pregnancy. Primary care providers should try outreach to schools and women\'s groups in the community, promote information sharing among family and close friends, and utilize information technology to enhance the knowledge and practice of preconception care.
METHODS: The research was conducted in a rural town in central Japan. Using an exploratory sequential mixed methods design, we undertook interviews, developed a survey based on the qualitative results, and then conducted a survey. The interviews explored how preconception care was perceived and practiced in women of childbearing age. The survey was designed to investigate the knowledge of preconception care among women with and without pregnancy experience, their practice behavior of preconception care, and whether the behavior is associated with knowledge.
RESULTS: The participants were 13 for the interview and 232 for the survey. They had limited access to preconception care recommendations and advice for specific actions was given by obstetricians and gynecologists after pregnancy. There was a large gap in knowledge about preconception care between parous and nulliparous women, especially about the need for folic acid supplementation. Practices that were manageable in their daily lives, such as cessation of smoking and alcohol, diet, and weight management, were considered common sense. In contrast, recommended practices that require medical attention, such as screening for sexually transmitted diseases and cervical cancer, tended to be less accurately known and practiced. Participants\' sources of information about preconception care were the Internet, family and friends and mass media.
CONCLUSIONS: In rural Japan, women of childbearing age lack knowledge about preconception care, especially before their first pregnancy. Primary care providers should try outreach to schools and women\'s groups in the community, promote information sharing among family and close friends, and utilize information technology to enhance the knowledge and practice of preconception care.
摘要：
背景：孕前护理在日本并不普遍，迫切需要改进这种做法。本研究评估了女性的孕前保健知识和行为，以寻求有效的干预措施。我们的研究问题是：1）妇女对孕前保健了解多少？2）她们在进行孕前保健多少，其行为的信息来源是什么？3）妇女的孕前保健行为与准确知识有关吗？
方法：该研究是在日本中部的一个农村小镇进行的。使用探索性的顺序混合方法设计，我们接受了采访，根据定性结果制定了一项调查，然后进行了调查。访谈探讨了育龄妇女如何看待和实施孕前保健。这项调查旨在调查有和没有怀孕经历的妇女的孕前保健知识，他们的孕前护理实践行为，以及行为是否与知识相关联。
结果：参与者在访谈中为13，在调查中为232。他们获得孕前护理建议的机会有限，怀孕后产科医生和妇科医生给出了具体行动的建议。产妇和未产妇女在孕前保健方面的知识差距很大，特别是关于补充叶酸的需要。在日常生活中可以管理的做法，例如停止吸烟和饮酒，饮食，和体重管理，被认为是常识。相比之下,需要医疗护理的推荐做法，例如筛查性传播疾病和宫颈癌，往往不太准确地了解和实践。参与者关于孕前保健的信息来源是互联网，家人和朋友和大众媒体。
结论：在日本农村，育龄妇女缺乏孕前保健知识，尤其是在他们第一次怀孕之前.初级保健提供者应尝试与社区中的学校和妇女团体联系，促进家人和亲密朋友之间的信息共享，并利用信息技术增强孕前护理的知识和实践。
方法：该研究是在日本中部的一个农村小镇进行的。使用探索性的顺序混合方法设计，我们接受了采访，根据定性结果制定了一项调查，然后进行了调查。访谈探讨了育龄妇女如何看待和实施孕前保健。这项调查旨在调查有和没有怀孕经历的妇女的孕前保健知识，他们的孕前护理实践行为，以及行为是否与知识相关联。
结果：参与者在访谈中为13，在调查中为232。他们获得孕前护理建议的机会有限，怀孕后产科医生和妇科医生给出了具体行动的建议。产妇和未产妇女在孕前保健方面的知识差距很大，特别是关于补充叶酸的需要。在日常生活中可以管理的做法，例如停止吸烟和饮酒，饮食，和体重管理，被认为是常识。相比之下,需要医疗护理的推荐做法，例如筛查性传播疾病和宫颈癌，往往不太准确地了解和实践。参与者关于孕前保健的信息来源是互联网，家人和朋友和大众媒体。
结论：在日本农村，育龄妇女缺乏孕前保健知识，尤其是在他们第一次怀孕之前.初级保健提供者应尝试与社区中的学校和妇女团体联系，促进家人和亲密朋友之间的信息共享，并利用信息技术增强孕前护理的知识和实践。
