Detail Cantuman

ABSTRACT
Introduction: Unplanned pregnancy has been a worldwide issue, many of
which end as unplanned abortions, miscarriages and deliveries. One-time
premarital reproductive and sexual health counseling has been chosen as a
program; however, its later effect on knowledge and attitude has not been
evaluated. This study aimed to analyze the effectiveness of such premarital
counseling for prospective brides on their knowledge and attitude during
their first pregnancy.
Methods: The exposed group of 20 and control group of 40 primigravida
participants were selected consecutively. Questionnaires were distributed
online using Google Form application to participants to gather data on
premarital counseling attendance in the past, and current knowledge and
attitude. The influences were tested with logistic regressions at the
significance level (α) of 0.05.
Results: There was influence of sexual and reproductive health counseling
for the bride and groom on the knowledge (p = 0.036 OR = 8.480 95% CI =
1.153 - 62.346) and the attitude (p = 0.020 OR = 5.411 95% CI = 1.311 -
22.329).
Conclusion: Premarital sexual and reproductive health counseling
influenced primigravidas’ knowledge and attitude. The counselling should be
intensified and extended to other cities to improve knowledge and attitude of
primigravidas. Studies are needed to measure the effect of primigravidas’
knowledge of and attitude toward reproductive and sexual health on the
outcome of the pregnancy.