Effect of Health Education Program on Knowledge, Genital Hygiene Behaviors and Marital Quality of Life among Pregnant Adolescents with Bacterial Vaginosis

A. Eiz–Elregal, Fatma; Allah Wagdy Farag, Ayiat; Mohammad Ahmad  Mohammad, Asmaa; Mostafa Ahmed Gamel, Wafaa

doi:10.21608/ejhc.2023.449686

Effect of Health Education Program on Knowledge, Genital Hygiene Behaviors and Marital Quality of Life among Pregnant Adolescents with Bacterial Vaginosis

Document Type : Original Article

Authors

¹ Assistant prof., Community Health Nursing, Faculty of Nursing (for girls), Al-Azhar University, Egypt.

² Lecturer of Community Health Nursing, Faculty of Nursing, Modern University for Technology and Information (MTI), Egypt

³ Lecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, Egypt.

⁴ Assisstant prof., Maternal Health Nursing and Newborn, Faculty of Nursing, Damietta University, Egypt

10.21608/ejhc.2023.449686

Abstract

Background: Bacterial vaginosis (BV) is the most frequent vaginal infection affecting women of reproductive age (15-41 years) worldwide. It is associated with significant adverse healthcare outcomes, especially during pregnancy. Aim: of this study was to evaluate effect of health education program on knowledge, genital hygiene behaviors and marital quality of life among adolescent pregnant women with bacterial vaginosis. Design: A quasi-experimental pretest and post-test one-groups (pre/posttest) design was used. Setting: The study was conducted at the Obstetrics and Gynecology Outpatient Clinic at Fayoum University Hospital. Sample: A purposive sample of (70) pregnant adolescents and taken from the above-mentioned setting. Three tools of data collection were used; 1) Pre structured self-administrated questionnaire. It includes socio-demographic data, Obstetrics data, History of vaginal infection and knowledge assessment.2) Genital hygiene behaviors inventory (GHBI):to assess genital hygiene behavior.3) Marital Quality of life Scale (MQLS): to assess quality of marital life. Results: Less than three quarters of pregnant adolescents had deficit in essential knowledge regarding bacterial vaginosis, more than quarter had unsatisfactory genital hygiene behaviors and more than one fifth had poor marital quality in the pretest. Meanwhile, there were a significant positive correlation between the total score of genital hygiene behaviors and total score of knowledge as well as, total score of marital quality (P<0.001). Conclusions: Applying the health education program has a significant effect on improving knowledge, genital hygiene behavior, and marital quality regarding bacterial vaginosis. Recommendation: Implementing screening for all pregnant women during antenatal follow-up for bacterial vaginosis for early detection and to prevent adverse outcomes for mothers and the fetus.

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