Abstract
Objective
Pregnancy-related urinary tract infections (UTI) is the leading cause of obstetrical
ward admissions and is responsible for poor maternal and perinatal outcomes. This
study aimed to reduce the incidence of UTI by improving the knowledge and preventive
practices of pregnant women through the implementation of a health education package.
Study Design
A health education package consisting of a seminar, sending of weekly text messages,
and distribution of educational leaflets on UTI awareness and prevention was implemented
in various rural health units in Pampanga, Philippines. A structured questionnaire
was used to assess the pre- and post-intervention knowledge and preventive practices
of pregnant women. Whereas, urinalysis results from the various rural health units
were used to assess the incidence of UTI among the respondents.
Results
Significant improvement (p < 0.001) was observed regarding the participant’s knowledge and water intake after
the intervention. Although there was no significant change (p = 0.16) in their hygiene statistically, all participants had improvements in hygiene
practices after the intervention. The number of pregnant women who were positive for
UTI also decreased significantly (p < 0.001) following the intervention.
Conclusion
The implemented health education package was able to reduce the incidence of pregnancy-related
UTI by improving the knowledge and preventive practices of pregnant women.
Keywords
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Article info
Publication history
Published online: August 28, 2019
Accepted:
August 27,
2019
Received in revised form:
August 23,
2019
Received:
October 29,
2018
Identification
Copyright
© 2019 Elsevier B.V. All rights reserved.