High Risk Pregnancy: CounselingProgram for Advanced Maternal Age's Mothers during Antepartum Period in Rural Areas

Abstract

Advanced maternal age was defined that, as any expectant mother who will have made her 35th birthday by the time she delivers. Because this begins a high-risk group with their own set of risk factors besides all of the other risks of pregnancy and delivery.Aim:This study was to evaluate the effect of counseling program foradvanced maternal age's mothersduring antepartum period in rural areas.Aquasi experimental design was conducted at antenatal care clinic for caring pregnant in Maternal and Child Health care center by El Sahal Al kably (from M. C. H. centers in health administration of Baltim). Sampling:This study composed of 84 pregnant women (advancement maternal age's mothers from 35years &more)at1st trimester and free from chronic diseases.Tools: For data collection two tools was used: 1) An interviewing questionnaire to assess: -Socio-demographic data - Advanced maternal age mothers'knowledge andpractices related to antepartum care. 2) Record review to collect data about antepartum care(first, second andthirdtrimester): a- Initial visit may include diagnosis of pregnancy. b- Subsequent antenatal visits monitoring. c- Outcome pregnancy monitoring.Results:The present study found that minority of total knowledge A.M.A.'s mothers had a good about anatomy &physiology of reproductive system,normal change & warningsigns,hygiene, nutrition of pregnancy, physicalexercises and immunizations in preprogram, increased to majorityafter taking counseling program, while decreased to more than three quarters in follow up. Also the results of complete total practices as stated find that the minority of A.M.A.'s mothers had a good about meals intake, physical exercises and care of dental, breast& perineum. High significant differences between pre& post-program and follow up about total knowledge and practices. Conclusion:The advanced maternal age mothers during antepartum period in rural area are need & continuous awareness counseling programs about A.M.A. and high risk pregnancy.Recommendation: Increase all women's awarenessabout preconception & appropriate health because preconception advice is often neglected. Preconception care for advanced maternal age mothers will prepare her for the role will soon under take in pregnancy or care prior to increasing use of contraception. _______________________