Azamalsadat Navabi; Mohsen Shamsi; Mahboobeh Khorsandi; Maryam Zamanian
Abstract
Background: Considering the fact that neonatal are the most susceptible group against different kinds of disease, the present study aimed to evaluate the predictive power of the theory of planned behavior on the intention of pregnant women to neonatal care. Methods: In this cross-sectional study, 100 ...
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Background: Considering the fact that neonatal are the most susceptible group against different kinds of disease, the present study aimed to evaluate the predictive power of the theory of planned behavior on the intention of pregnant women to neonatal care. Methods: In this cross-sectional study, 100 pregnant women were selected in their trimester of pregnancy via random sampling in health centers of Arak in 2019. Data was collected using a questionnaire and interviews with pregnant women. The questionnaire included demographic characteristics of the mothers and the theory of planned behavior construct. The data were analyzed via Pearson correlation and linear regression. Results: The average age was 26.12±4.9 years and their marriage age were 3.9±2.7 years. There was a close correlation between perceived behavioral control and behavioral intention (r=0.40; p <0.001). Over 40% of the pregnant women were found not to have enough overall neonatal care-associated knowledge. The mothers who were better prepared for parenting tended to have a higher level of schooling, perceived control behavior, and knowledge. Regression analysis revealed that the constructs of the theory of planned behavior predicted variance of 32% in intention. Perceived behavioral control and knowledge were the most significant predictors of the intention to neonatal care (p <0.001). Conclusions: This study supports the predictive ability of the theory of planned behavior for neonatal care; therefore, the design of educational intervention should be based on intention and knowledge as the most important predictors of maternal behavior.
Adebukunola Olajumoke Afolabi; Adenike Ayobola Olaogun; Kolade Afolayan Afolabi
Abstract
Background: The gap between women’s reproductive intention and contraceptive behavior could be attributed to the increasing rate of unintended pregnancies globally. The present study was conducted to explore nursing mothers’ perception of contraception,identify the pattern of contraceptive ...
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Background: The gap between women’s reproductive intention and contraceptive behavior could be attributed to the increasing rate of unintended pregnancies globally. The present study was conducted to explore nursing mothers’ perception of contraception,identify the pattern of contraceptive uptake, examine the variations in pregnancy intention, and ultimately, to identify factors influencing contraceptive uptake and pregnancy intention in Nigeria.Methods: The current study adopted sequential explanatory mixed method. We collected the quantitative data from 400 nursing mothers in Irewole and Ife Central Local Government Areas of Osun State, Southwest Nigeria employing semi-structuredquestionnaire. Our nursing mothers were selected through multi-stage sampling technique. This excluded mothers whose index child were older than 2 years old. Focus Group Discussion was conducted with use of focus group discussion guide was conducted for the qualitative survey. Eight discussants selected by convenient sampling participated in each session. We analyzedthe quantitative data using SPSS software at univariate, bivariate and multivariate levels. Binary and multinomial regression analysis examined the association between dependent and independent variables while the level of significance was consideredat p < 0.05. The qualitative findings were reported thematically.Results: The participants in this work perceived that inappropriate contraceptive use influenced pregnancy intention, 8.5% of the nursing mothers used barrier method of contraception, 9.5% used intrauterine device, 4% hormonal pills, 8% hormonal injections,6.5% implants, 1% calendar methods, and 0.5% traditional methods whereas 62% did not use any form of contraception. About 37% of the nursing mothers had previous pregnancies unintended, 52% were ambivalent while 11% had their pregnanciesplanned. Age (P=0.02, relative risk ratio (RRR)=0.42, CI=0.20-0.87), parity (P=0.001, RRR=10.38, CI=3.27-32.92), ethnicity (P=0.002, RRR=0.13,CI=0.03-0.48), and religion (P=0.048, RRR=0.26, CI=0.07-0.99) were the main predictors of pregnancyintention while Islamic religion (P=0.02, OR=2.23, CI=1.16 - 4.26) and grand multiparty (P=0.01, OR=3.61, CI=1.37-9.51) significantly influenced contraceptive choices.Conclusion: Nursing mothers’ parity, age, religion and ethnicity were the main predictors of pregnancy intention, among which religion and parity significantly influenced contraceptive choices. These variables should be incorporated into future interventionprograms which aim to develop effective strategies towards improving uptake and utilization of reproductive health services
