Influencing of Perception of Pregnancy Risk, Knowledge, and Attitude on Preconception Health Behaviors among Pregnant Women

Main Article Content

ศิรินภา แก้วพวง
วรรณี เดียวอิศเรศ
วรรณทนา ศุภสีมานนท์



The objectives of this research were to examine preconception health behaviors and determine influencing of perception of pregnancy risk, knowledge and attitude toward Preconception care (PCC) on preconception health behaviors among pregnant women.

A simple random sampling technique was used to recruit 109 pregnant women who visited  antenatal care clinic at Si SaKet hospital from July to September, 2017. Self-report questionnaires of perception of pregnancy risk, knowledge and attitude toward PCC, and preconception health behaviors were used to collect data. Their reliability ranged from .76-.89. Data were analysed by using descriptive statistics and standard multiple regression analysis.

The results showed that the overall preconception health behaviors were at a low level ( = 6.7, SD = 2.5, total score = 16). Preconception health behavior that mostly practiced was no substance abused (91.7%), and the behavior that was least practiced were folic acid intake (3.7%). Perception of pregnancy risk, knowledge and attitude toward PCC accounted for 17.8% of variance prediction (Adjusted R2= .155, F2,108 = 7.58, p< .001).   Perceived risk of pregnancy had the greatest influence (β = .292, p< .01), and followed by knowledge toward PCC (β = .263, p< .05). These Findings suggest that health care providers should campaign to promote women's perception of pregnancy risk, knowledge toward PCC, and organize activities to increase the practice of preconception health behavior among women.


Download data is not yet available.

Article Details



Agricola, E., Pandolfi, M. V., Gonfiantini, F., Gesualdo, M., Romano, E., Carloni, E., & Tozzi, A.
(2014). A cohort study of a tailored web intervention for preconception
care. Biological Medicine Central Journal, 14(33), 1-10.
Auriel, E., Biderman, A., Belmaker, I., Freud, T., & Peleg, R. (2011). Knowledge, attitudes, and
practice among women and doctors concerning the use of folic acid. ISRN Obstetrics and Gynecology, 1-5.
Benjamin, B., Levichek, Z., Moretti, M. E., Mah, C., Andreou, S., & Koren, G. (2004). Pregnancy
outcome following rubella vaccination: A prospective controlled study. American Journal of Medical Genetics,130A, 52–54.
Bureau of Reproductive Health. (2011). Reproductive health services. Bangkok: WVO officer of
printing mill. [in Thai]
Centers for Disease Control and Prevention (CDC). (2006). Recommendations to improve
preconception health and health care: United states. Retrieved from
Coonrod, D. V., Bruce, N. C., Malcolm, T. D., Drachman, D., & Frey, K. A. (2009). Knowledge
and attitudes regarding preconception care in a predominantly low-income Mexican American population. American Journal of Obstetrics and Gynecology, 200(6), 686.e681-686.e687.
Heaman, M. I., & Guptun, A. L. (2009). Psychometric testing of the perception of pregnancy
risk questionnaire. Research in Nursing & Health, 32, 493-503.
Ibrahim, N. K. R., Al-Bar, H., Al-Fakeeh, A., Al-Ahmadi, J., Qadi,, M., Al-Bar, A., & Milaat, W.
(2011). An educational program about premarital screening for unmarried female
students in King Abdul-Aziz University, Jeddah. Journal of Infection and Pubic
Health, 4, 30-40.
Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health
Education Quarterly, 11(1), 1-47.
Jittrapirom, A., Chareonsanti, J., & Sriarporn, P. (2014). Pregnancy risk perception, uncertainty,
and stress among gestational diabetic women. Nursing Journal, 41(1), 51-61. [In Thai]
Loadee, N., Sriareporn, P., & Parisunyakul, S. (2010a). Preconception health care for women
of reproductive age. The Journal of Faculty of Nursing Burapha University, 18(2),
51-64. [In Thai]
Loadee, N., Sriareporn, P., & Parisunyakul, S. (2010b). Perceived benefits and barriers of
preconception health care among reproductive females. The Journal of Faculty of
Nursing Burapha University, 18(3), 1-16. [In Thai]
Mazz, D., & Chapman, A. (2010). Improving the uptake of preconception care and
periconceptional folate supplementation: What do women think. Biological
Medicine Central Public Health, 10, 1-6.
Panichkul, P. (2006). Attitudes and behaviors towards preconceptional care of pregnant
women with underlying diseases at Phramongkutklao hospital. Master of Business Administration, major field: Business Administration, Kasetsart university. [in Thai]
Rofail, D., Colligs, A., Abetz, L., Lindemann, M., & Maguire, L. (2011). Factors contributing
to the success of folic acid public health campaigns. Journal of Public Health, 34(1),
Seeharuttanapatum, B., & Wimonmala, K. (2013). Knowledge, attitude and premarital health
Check-up behaviour of the couple formation stage in the women health promotion
and family planning unit at BMA medical college and Vajira hospital. Journal of Public Health Nursing, 27(1),46-60. [In Thai]
Strategy and planning division. (2016). Public health statistics 2015. Retrieved from [In Thai]
Tough, S., Tofflemire, K., Clarke, M., & Newburn-Cook, C. (2006). Do women change their
drinking behaviors while trying to conceive? An opportunity for preconception
counseling. Clinical Medicine & Research, 4(2), 97-105.
World Health Organization (WHO). (2013). Preconception care: Maximizing the gains for
maternal and child health. Retrieved from
You, X., Tan, H., Hu, S., Wu, J., Jiang, H., Peng, A., Dai, Y., Wang, L., Guo, S., & Qian, X. (2015).
Effects of preconception counseling on maternal health care of migrant women in
China: A community-based, cross-sectional survey. Biological Medicine Central Pregnancy and Childbirth, 15(55), 1-10.