“EFFECTIVENESS OF PRE-CONCEPTION COUNSELING AND EXPLORE THE CONCEPT REGARDING PRECONCEPTUAL COUNSELING AMONG ELIGIBLE COUPLE IN SELECTED AREAS OF VADODARA.- A MIXED METHOD APPROACH”

Abstract

BACKGROUND OF THE STUDY: Pre-conception counseling is the process of communication in that
an appointment with the health care professional specially midwife for making plan for future pregnancy.
In this study an evaluative research approach with mixed method research approach in that convergent
parallel design was used, data was collected from 30 eligible from selected areas of vadodara. Self
structured questionnaires used to assess the of eligible couple regarding pre-conception counseling and
interview question used for assess the explore concepts of eligible couple regarding pre-conception
counseling. The investigator obtain written consent from the concerned authority before the study. Result
of the study show that pre-conception counseling is effective to improve the knowledge regarding preconception counseling among eligible couple.
MATERIAL AND METHOD: in this research study a mixed method approach with one group pre test
post test was used and in the qualitative phenomenology research design was used. The sampling technique
was non probability purposive sampling technique was used to collect the 60 sample of eligible couple who
are living in selected areas of vadodra. data was collected by administering self structured knowledge
questionnaire. Data was analyzed by using descriptive and inferential statistic. RESULT: The result from
the quantitative study with the regard to the pre test assessment, the (76.66%) eligible couple was having
poor level of knowledge,(23.34%) were having average level of knowledge, while in the post test 56.34%
eligible couple having average knowledge, and 46.66% having good knowledge .no body was found poor
knowledge. The obtained pre-test mean score was 8.24 and after providing pre-conception counseling, it
increase up to 20.13, the mean difference between pre test and post test is 11.85. the pre test SD was 2.518
and post test SD 1.953 the obtained Z value was -6.693 and P-value < 0.001 (to be precise P-value = 2.18 x
10-11) when tested at 5% level of significance. Therefore, we can conclude that the difference in Pre and
Post knowledge level is highly statistically significant and pre-conception counseling was effective so that
H1:There will be a significant difference between pre-test and post-test knowledge regarding pre
conception counseling among eligible couple in selected areas of vadodara was accepted.
The pre test knowledge score with socio demographic variable not associated, hence H2 is failure to accept.
For the qualitative study the study revealed that out of 10 questions, 2 questions were not clearly answered.
Rest of the 8 questions majority participant has response positively.