Preconception care in Saudi women with diabetes mellitus

Abstract

Background:The rate of preexisting diabetes mellitus (DM) in Saudi Arabia is one of the highest in the world. The role of preconception care (PCC) is well-established as a means of improving pregnancy outcomes in DM.Objectives:To assess the rate of preconception counseling, the level of PCC knowledge, and the rate of unplanned pregnancies in Saudi women with DM.Materials and Methods:A cross-sectional study was conducted among 355 Saudi women aged 18–49 years with self-reported DM. The study questionnaire contained variables about the provision of preconception counseling, knowledge of PCC facts, and the number of unplanned pregnancies after developing DM. The level of PCC knowledge was evaluated using a modified Likert scale. Statistical Package for Social Sciences 20 was used for statistical analysis. Descriptive statistics, mean and standard deviation, and percentages were calculated; t-test was used for statistical significance.Results:About one-third of the participants had received preconception counseling after being diagnosed with DM. Counseling on PCC for older and married participants was significantly less. Of the 355 participants, 42.8% had little or no PCC knowledge. All pregnancies that occurred after developing DM were unplanned.Conclusions:The rate of preconception counseling, the level of PCC knowledge in the studied Saudi women with DM is suboptimal, and none of the pregnancies that occurred after developing DM was planned. The study highlights the need for PCC programs that target all Saudi women of child-bearing age with DM, and their families starting at the age of puberty and at diagnosis of type 2DM, to optimize women's health and improve pregnancy outcomes.

Knowledge, uptake of preconception care and associated factors among reproductive age group women in west shoa zone, Ethiopia, 2018.

“…However, it is lower than the findings from Saudi Arabia (57.2%), Jordan (85%), and in USA among low income Mexican American group (76%) (18)(19)(20). The low knowledge level in this study might be due to the relative low media coverage in Ethiopia concerning PCC, which showed there is a need to broaden media coverage in the country.…”

Women’s knowledge and associated factors in preconception care in adet, west gojjam, northwest Ethiopia: a community based cross sectional study

“…The highest knowledge in this study might be due to the fact that there were varied in time and large and representative sample size, which make the study comprehensive. However, it is significantly lower than the findings from Saudi Arabia (37.9%), Jordan (85%) [19, 20], Egyptian (76%) and Arabian (51%) mothers [21]. The low knowledge level in this study might be due to the relative low media coverage in Ethiopia, which showed there is a need to broaden media coverage in the country.…”

Knowledge of Preconception Care and Associated Factors among Pregnant Mothers with Pre-existing Diabetes Mellitus in selected Governmental Hospitals, Addis Ababa Ethiopia

“…Knowledge was measured based on respondent's correct response to preconception care knowledge questions. Those respondents who correctly respond to 50% or more of the preconception care knowledge questions were considered to have good knowledge and those who scored<50% were considered as having poor knowledge (11,12). The data was coded and entered into Epi-data version 4.2.0 then exported to statistical package for social science (SPSS) version 25.…”