{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T01:37:43Z","timestamp":1790991463185,"version":"4.1.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite its benefit in promoting maternal health and the health of her developing fetus, little is known about preconception care practice and its associated factors in Ethiopia. Moreover, preconception care utilization in private hospitals is not known. The purpose of this study, therefore, is to determine the utilization of preconception health care services and its associated factors among pregnant women following antenatal care in the private Maternal and Child Health hospitals in Addis Ababa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A Hospital based cross-sectional study was conducted from April 1 to April 30,2022 among 385 women attending ANC in private MCH hospitals. Bestegah and Hemen MCH hospitals were selected by convenience method. Data were collected by a pretested self-administered semi-structured questionnaire. To identify the factors associated with the utilization of preconception care, bivariable and multivariable logistic regression analysis were performed. Adjusted odds ratios with 95% confidence interval were estimated to assess the strength of associations, and statistical significance was declared at a p-value\u2009&lt;\u20090.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The utilization of preconception care among the pregnant mothers according to our study was 40%. Professional\/technical\/managerial occupation (AOR\u2009=\u20094.3, 95%CI\u2009=\u20091.13, 16.33, P\u2009&lt;\u20090.032), having good knowledge on preconception care (AOR\u2009=\u20093.5, 95%CI\u2009=\u20091.92, 6.53, P\u2009&lt;\u20090.000), having unintended pregnancy (AOR\u2009=\u20090.1, 95%CI\u2009=\u20090.03, 0.42, P\u2009&lt;\u20090.001), history of family planning use before conception (AOR\u2009=\u20093.9, 95%CI\u2009=\u20091.20, 12.60, P\u2009&lt;\u20090.023), having pre-existing medical disease(s) (AOR\u2009=\u20098.4, 95%CI\u2009=\u20092.83, 24.74, P\u2009&lt;\u20090.002), and having adverse pregnancy outcome(s) in previous pregnancies (AOR\u2009=\u20093.2, 95%CI\u2009=\u20091.55, 6.50, P\u2009&lt;\u20090.000) were significantly associated with preconception care utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study found out that the utilization of preconception care in the private MCH hospitals is still low i.e., only 40%. Occupation, level of knowledge, having unintended pregnancy, history of family planning use before conception, having adverse pregnancy outcome(s) in previous pregnancy and having pre-existing medical disease(s) were independently associated with preconception care utilization. Lack of awareness about the availability of the services and having an unintended pregnancy were the main reasons for not utilizing preconception care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12884-023-05955-1","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T03:02:27Z","timestamp":1694142147000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Utilization of preconception care and associated factors among pregnant women attending ANC in private MCH Hospitals in Addis Ababa, Ethiopia"],"prefix":"10.1186","volume":"23","author":[{"given":"Addisu","family":"Girma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abera","family":"Bedada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solomon","family":"Kumbi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,9,8]]},"reference":[{"key":"5955_CR1","unstructured":"Center for Desease Control and Prevention. Morbidity and Mortality Weekly Report Recommendations and Reports Recommendations to Improve Preconception Health and Health Care-United States A Report of the CDC\/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care Centers for. 2006;55."},{"key":"5955_CR2","doi-asserted-by":"crossref","unstructured":"Shawe J, Steegers EAP. Preconception Health and Care: A Life Course Approach. Preconception Health and Care: A Life Course Approach. 2020.","DOI":"10.1007\/978-3-030-31753-9"},{"issue":"September","key":"5955_CR3","first-page":"1","volume":"035","author":"USAID","year":"2019","unstructured":"USAID. Ethiopia Fact sheet maternal and Child Health. Nurs Midwifery Board Aust. 2019;035(September):1\u20133.","journal-title":"Nurs Midwifery Board Aust"},{"key":"5955_CR4","unstructured":"Why Maternal Mortality Is So. High in Sub-Saharan Africa. [cited 2023 Apr 7]. 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Before participating in the study, the purpose of the study was explained to the study participants and written informed consent was obtained. The collected information was kept confidential through coding. All methods were carried out in accordance with relevant international and local ethical guidelines for research.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"649"}}