Conocimiento y utilización de la visita preconcepcional en atención primaria de salud.
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| Title: | Conocimiento y utilización de la visita preconcepcional en atención primaria de salud. |
|---|---|
| Alternate Title: | Knowledge and attitudes towards preconception visits within primary health care. |
| Authors: | Rebollo-Garriga, Glòria1 glo01es@hotmail.com, Martínez-Juan, Josefa1, Puig, Gemma Falguera2, Nieto-Tirado, Sara3, Rodríguez, Lídia Núñez4 |
| Source: | Matronas Profesion. 2018, Vol. 19 Issue 2, p52-58. 7p. |
| Subjects: | THERAPEUTIC use of folic acid, NEURAL tube defect prevention, RESEARCH methodology, SCIENTIFIC observation, PRECONCEPTION care, PREGNANCY & psychology, PRENATAL care, PRIMARY health care, STATISTICAL sampling, WOMEN'S health, MIDWIFERY, HEALTH literacy |
| Geographic Terms: | SPAIN |
| Abstract (English): | Objectives: Determine if pregnant women know the preconception visit and the prevalence of women who requested preconception care during the year prior to pregnancy. Subjects/material and method: A transversal descriptive observational study was carried out, with convenience sampling, in women who initiated gestational control in the health centers of the sexual and reproductive health care units (ASSIR) belonging to the Northern Metropolitan Area of Catalonia (Spain) to the year 2015. Results: 235 pregnant women were studied. They knew the possibility of requesting pre-conception assistance 50.2% of women (n= 118), requesting assistance at 38.7% (n= 91). Only 4.3% (n= 4) made an active demand for preventive purposes. The professional who attended most frequently was midwife 41.5% (n= 48) followed by gynaecologist 34.74% (n= 41). We observed a direct impact of preconception care in the prevention of neural tube defects, observing statistically significant differences (p= 0.03) among women who did receive preventive advice. 65.5% (n= 59) of the women who received preconception care started taking folic acid in the pre-pregnancy period compared to 17.7% (n= 27) in those who did not request preconception care. Conclusions: Pregnant women are unaware of the importance of the care of the preconception visit for preventive purposes. Given the low demand, it is necessary to promote the preconception visit to receive pre-pregnancy with the aim of ensuring that couples are informed and has an optimal health status prior to pregnancy. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Averiguar si las mujeres embarazadas conocen la visita preconcepcional y determinar la prevalencia de mujeres que solicitaron atención preconcepcional durante el año previo a la gestación. Sujetos/material y método: Se realizó un estudio observacional, descriptivo y transversal, con muestreo de conveniencia, en mujeres que iniciaron el control gestacional en los centros salud de las unidades de atención a la salud sexual y reproductiva (ASSIR) pertenecientes al Área Metropolitana Norte de Cataluña en 2015. Resultados: Se estudió a 235 gestantes. Conocían la posibilidad de solicitar asistencia previa a la concepción el 50,2% de las mujeres (n= 118), y finalmente solicitaron asistencia el 38,7% (n= 91). Únicamente el 4,3% (n= 4) realizó una demanda activa con finalidad preventiva. El profesional al que acudieron con mayor frecuencia fue la matrona 41,5% (n= 48) seguido del ginecólogo 34,74% (n= 41). El 65,5% (n= 59) de las mujeres que recibieron atención preconcepcional iniciaron la toma de ácido fólico en el periodo pregestacional, frente al 17,7% (n= 27) que no solicitaron atención preconcepcional (p= 0,03). Conclusiones: Las gestantes desconocen la importancia de los cuidados de la visita preconcepcional con finalidad preventiva. Ante la poca demanda, es necesario hacer promoción y difusión activa de esta visita para recibir una atención previa a la gestación, con el objetivo de que las parejas estén informadas y tengan un estado de salud óptimo previo a la gestación. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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