Knowledge, Attitude and Practice of Preconception Care Among Sudanese Women in Reproductive Age About Rheumatic Heart Disease
[1]
Khalid Yassin M. Ahmed, Departmen of Obstetrical and Gynecology, Faculty of Medicine, Al Neelain University, Khartoum, Sudan.
[2]
Isra Mutasim Hamad Elbashir, Department of Obstetrical and Gynecology, Khartoum North Teaching Hospital, Khartoum, Sudan.
[3]
Salah Mohamed Ibrahim Mohamed, Department of Cardiology, Alshaab Teaching Hospital, Khartoum, Sudan.
[4]
Amel Kamil M. Saeed, Department of Medicine, Al Neelain University, Khartoum, Sudan.
[5]
Awad Ali M. Alawad, Faculty of Medicine, University of Medical Sciences and Technology, Khartoum, Sudan.
Background: Cardiovascular disease complicates 1% to 3% of all pregnancies and 90% being of rheumatic origin. With adoption of preconception care policy a lot of adverse situation could be picked and corrected and patient who is at high risk could be counseled against pregnancy. Objectives: To study knowledge, attitude and practice of preconception care among Sudanese women with rheumatic heart disease in reproductive age. Methodology: It was cross-sectional, hospital based and total coverage study carried out at Alshaab and Ahmad Gassim hospitals (cardiac centres) in Khartoum State, Sudan during the period from October 2014 to October 2015. One hundred women who were known case of rheumatic heart disease were incorporated. Results: During the study period, a total of 100 women with underlying Rheumatic heart disease were reviewed. Mean age of the patients was 30.92 years (SD 5.38 years). 44% of the women were educated, majority of them were multiparity (79%) and half of them were with multivalve lesion. Awareness regarding preconception care was seen in only 11% of the women interviewed, nearly one third had positive attitudes towards preconception care, the majority of the women either partial know or have no knowledge about the impact of pregnancy on their disease and almost half of the women (49%) intend to seek preconception care next time. Conclusion: Preconception care and the availability of well designed multidisciplinary care are still poor and challenge in our humbled setup. Despite having poor knowledge, compliance for seeking preconception care is high among our women.
Knowledge, Attitude, Practice, Preconception Care
[1]
Elkayam U, Bitar F. Valvular heart disease and pregnancy: part II: prosthetic valves. J Am Coll Cardiol. 2005; 46:403-410
[2]
Sartain JB, Anderson NL, Barry JJ, Boyd PT, Howat PW. Rheumatic heart disease in pregnancy: cardiac and obstetric outcomes. Internal medicine journal. 2012;42(9):978-84.
[3]
Marijon E, Ou P, Celermajer DS, Ferreira B, Mocumbi AO, Jani D, Paquet C, Jacob S, Sidi D, Jouven X. Prevalence of rheumatic heart disease detected by echocardiographic screening. N Engl J Med. 2007;357:470-476.
[4]
Moos MK. Preconceptional wellness as a routine objective for women's health care: an integrative strategy. J Obstet Gynecol Neonatal Nurs 2003;32:550--6
[5]
Lin JH, Ling WW, Liang AJ. [Pregnancy outcome in women with rheumatic heart disease]. Zhonghua fu chan ke za zhi. 2007;42(5):315-9.
[6]
Lim ST. Rheumatic heart diseases in pregnancy. Annals of the Academy of Medicine, Singapore. 2002;31(3): 340-8.
[7]
Sartain JB, Anderson NL, Barry JJ, Boyd PT, Howat PW. Rheumatic heart disease in pregnancy: cardiac and obstetric outcomes. Internal medicine journal. 2012;42(9):978-84.
[8]
Khalid Yassin, Amira Mutasim Elfil Huda Hamid, Amel Alkamil , Pattern of Heart disease in pregnancy among patient in Khartoum Teaching Hospital, Sudan: 2013 , 23-27.
[9]
Westhoff-Bleck M, Hilfiker-Kleiner D, Gunter HH, Schieffer E, Drexler H. [Management of heart diseases in pregnancy: rheumatic and congenital heart disease, myocardial infarction and post partum cardiomyopathy]. Der Internist. 2008;49(7): 805-10.
[10]
Weisman CS, Hillemeier MM, Chase GA, et al. Preconceptional health: risks of adverse pregnancy outcomes by reproductive life stage in the Central Pennsylvania Women's Health Study (cepawhs). Women's health issues: official publication of the Jacobs Institute of Women's Health. 2006;16:216–24.
[11]
Posner SF, Johnson K, Parker C, Atrash H, Biermann J. The national summit on preconception care: a summary of concepts and recommendations. Matern Child Health J 2006;10:S197–S205.
