Preventive Care in Nursing and Midwifery Journal
Volume 15, Issue 2 (10-2025)
PCNM 2025, 15(2): 0-0 |
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Ethics code: IR.SHMU.REC.1398.025
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ghaffari sardasht F, sadeghi M. Women’s Satisfaction with Preconception Care and Childbearing Counseling Services: A Cross-Sectional Study. PCNM 2025; 15 (2)
URL: http://nmcjournal.zums.ac.ir/article-1-973-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-973-en.html
Phd in Reproductive health, school of nursing and midwifery, medical sciences university of Neyshabur,Neyshabur,Iran , ghaffarisf3@mums.ac.ir
Abstract: (20 Views)
Background: Women's satisfaction with fertility counseling and preconception care is a critical indicator of the quality and effectiveness of reproductive health services. This study evaluated satisfaction levels and identified key determinants among women of reproductive age attending urban Comprehensive Health Service Centers in Shahroud, Iran, and identified key determinants.
Methods: A cross-sectional study was conducted between May and December 2022 among 319 eligible women selected through a multistage sampling process from all 10 urban health centers in Shahroud County. Data were collected immediately after each participant’s preconception care session using a validated 35-item satisfaction questionnaire covering two domains: childbearing counseling (11 items, score range 11–55) and preconception care (24 items, score range 24–120). Scores were converted to percentages of the maximum possible value and classified into low (< 51%), moderate (51–75%), and high (> 75%) satisfaction categories. All analyses were conducted with SPSS v.22.
Results: Mean satisfaction score for counseling was 29.59 ± 8.34, corresponding to 53.8% of the maximum possible score (55 points), while mean satisfaction for care was 56.59 ± 15.67, equivalent to 47.2% of its respective maximum (120 points). The overall satisfaction score was 86.18 ± 20.76 (49.2% of the total possible score), indicating a generally moderate to low quality of services. In the counseling domain, the item "counseling was conducted in the presence of my husband" showed the highest agreement (36.1% strongly agreed), while "education was sufficient and understandable" had the lowest (0.6% strongly agreed). Regarding preconception care, "ease of locating the service site" attracted the highest disagreement (64.9%), and "midwife’s behavior was polite" scored the lowest for strong agreement (1.3%).Deficiencies were most evident in educational content, clarity of communication, explanation of risks such as delayed childbearing (only 19.4% agreed), and wayfinding. Accessibility via community health workers was a relative strength.
Conclusion: Low satisfaction stemmed mainly from poor communication, inadequate education, and structural barriers. Targeted improvements in provider skills, educational materials, privacy, and multidisciplinary access are recommended.
Methods: A cross-sectional study was conducted between May and December 2022 among 319 eligible women selected through a multistage sampling process from all 10 urban health centers in Shahroud County. Data were collected immediately after each participant’s preconception care session using a validated 35-item satisfaction questionnaire covering two domains: childbearing counseling (11 items, score range 11–55) and preconception care (24 items, score range 24–120). Scores were converted to percentages of the maximum possible value and classified into low (< 51%), moderate (51–75%), and high (> 75%) satisfaction categories. All analyses were conducted with SPSS v.22.
Results: Mean satisfaction score for counseling was 29.59 ± 8.34, corresponding to 53.8% of the maximum possible score (55 points), while mean satisfaction for care was 56.59 ± 15.67, equivalent to 47.2% of its respective maximum (120 points). The overall satisfaction score was 86.18 ± 20.76 (49.2% of the total possible score), indicating a generally moderate to low quality of services. In the counseling domain, the item "counseling was conducted in the presence of my husband" showed the highest agreement (36.1% strongly agreed), while "education was sufficient and understandable" had the lowest (0.6% strongly agreed). Regarding preconception care, "ease of locating the service site" attracted the highest disagreement (64.9%), and "midwife’s behavior was polite" scored the lowest for strong agreement (1.3%).Deficiencies were most evident in educational content, clarity of communication, explanation of risks such as delayed childbearing (only 19.4% agreed), and wayfinding. Accessibility via community health workers was a relative strength.
Conclusion: Low satisfaction stemmed mainly from poor communication, inadequate education, and structural barriers. Targeted improvements in provider skills, educational materials, privacy, and multidisciplinary access are recommended.
Keywords: Preconception care, Childbearing counseling, Reproductive health services, Quality of health care
Type of Study: Orginal research |
Subject:
Midwifery
Received: 2025/07/12 | Accepted: 2025/10/2 | Published: 2025/10/2
Received: 2025/07/12 | Accepted: 2025/10/2 | Published: 2025/10/2
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