Effectiveness of Health Awareness Module on Pregnant Women’s Perception on and Experience of Constipation at Saad Abu Alela – University Hospital, 2017
Abstract
Background: Pregnancy predisposes women to developing constipation, and
hormonal and mechanical factors, sedentary lifestyle, and alteration of diet augments
the condition, leading to discomforts experienced by pregnant women. However,
this can be controlled through proper education and lifestyle modification. The
present study aims to check the effect of health awareness education module on
the reduction of constipation among pregnant women.
Methods: A quasi-experimental study design was used. One hundred and twentyfive pregnant women were randomly selected from Saad Abu Alela Hospital between
January and March 2017), and based on the ROME II criteria, 59 of them were found to
have constipation. After obtaining consent from the women, health awareness module
(information about constipation, dietary measures, increased fluid intake, and exercise)
was offered to them. Data were collected by structured close-ended questionnaire for
the knowledge, pre- and post-intervention, and checklists for the practice and follow-up
of the weekly outcome over two months. Data were analyzed, and suitable statistical
methods was used. P < 0.05 was considered as statistically significant.
Results: The overall prevalence of constipation was 47.2% with a prevalence of 4%,
6.4%, and 36.8% in the first, second, and third trimesters of pregnancy, respectively.
Pregnant women’s knowledge about constipation increased significantly from 16.9%
pre- to 92.9 post-intervention with P = 0.000. The fiber diet intake, fluid intake, and
exercise by pregnant women increased from 37.3%, 39%, and 13.6% pre- to 72.9%,
88.1%, and 49.1% post-intervention, respectively) with P = 0.001. Moreover, 46 (78%)
women were relieved of constipation post-intervention.
Conclusion: The health awareness module was very effective and significantly
increased the level of knowledge, practice, and outcomes with respect to constipation
in pregnant women.
References
Best Practice & Research. Clinical Gastroenterology, 21(5), 807–
818. https://doi.org/10.1016/j.bpg.2007.05.005
[2] Pourhoseingholi, M. A., Kaboli, S. A., Pourhoseingholi, A., Moghimi-Dehkordi, B.,
Safaee, A., Mansoori, B. K., Habibi, M., & Zali, M. R. (2009). Obesity and functional
constipation; a community-based study in Iran. Journal of Gastrointestinal and Liver
Diseases, 18(2), 151–155.
[3] Vazquez, J. C. (2010, August). Constipation, haemorrhoids, and heartburn in
pregnancy. Clinical Evidence, 2010, 1–17.
[4] Longo, S. A., Moore, R. C., Canzoneri, B. J., & Robichaux, A. (2010). Gastrointestinal
conditions during pregnancy. Clinics in Colon and Rectal Surgery, 23(2), 80–
89. https://doi.org/10.1055/s-0030-1254294
[5] Thukral, C., & Wolf, J. L. (2006, May). Therapy insight: Drugs for gastrointestinal
disorders in pregnant women. Nature Clinical Practice. Gastroenterology &
Hepatology, 3(5), 256–266. https://doi.org/10.1038/ncpgasthep0452
[6] Bradley CS1, Kennedy CM, Turcea AM, Rao SS, & Nygaard IE. (2007). Constipation
in pregnancy: Prevalence, symptoms, and risk factors. Obstetrics & Gynecology,
110(6):1351–7. https://doi.org/10.1097/MEG.0b013e3281108058
[7] Trottier, M., Erebara, A., & Bozzo, P. (2012). Treating constipation during
pregnancy. Medecin de Famille Canadien [Canadian Family Physician], 58(8), 836–
838.
[8] Wald, A. (2003). Constipation, diarrhea, and symptomatic hemorrhoids during pregnancy. Gastroenterology Clinics of North America, 32(1): .322–309
https://doi.org/10.1016/S0889-8553(02)00069-9
[9] WHO. (2014). Handbook for guideline development, 2???????? ed. Geneva: World Health
Organization. http://www.who.int/kms/handbook_pdf
[10] Derbyshire, E. (2007). The importance of adequate fluid and
fibre intake during pregnancy. Nursing Standard, 21(24), 40–
43. https://doi.org/10.7748/ns2007.02.21.24.40.c4522
[11] Jewell, D. J., & Young, G. (2001). Interventions for treating constipation in pregnancy.
[Google Scholar]. Cochrane Database of Systematic Reviews, (2), CD001142.
Advance online publication. https://doi.org/10.1002/14651858.CD001142
[12] Portalatin, M., & Winstead, N. (2012). Medical management of constipation. Clinics in
Colon and Rectal Surgery, 25(01): .019–012 https://doi.org/10.1055/s-0032-1301754
[13] Shobeiri, F., & Begum, K. (2005). Morbidity profile of Indian women duringpregnancy
- A prospective study. Journal of Postgraduate Medical Institute, 19(4): 356–359.
https://www.scopus.com/inward/record.uri?eid=2-s2
[14] Derbyshire, E., Davies, J., Costarelli, V., & Dettmar, P. (2006, July). Diet,
physical inactivity and the prevalence of constipation throughout and after
pregnancy. Maternal and Child Nutrition, 2(3), 127–134. https://doi.org/10.1111/j.1740-
8709.2006.00061.x
[15] Carolyn, L. G., Varney, H., & Kriebs, J. M. (2005). Varney’s midwifery (pp. 591–599).
4
????ℎ ed. All India Publishers and Distributors Reg. Medical Book Publisher.
[16] Rungsiprakarn, P., Laopaiboon, M., Sangkomkamhang, U. S., Lumbiganon, P., &
Pratt, J. J. (2015). Interventions for treating constipation in pregnancy. Cochrane
Database of Systematic Reviews, 2015(9), CD011448. Advance online publication. https://doi.org/10.1002/14651858.CD011448.pub2
[17] Jin, J. J., & Pan, L. L. (2009). Efficacy of wheat cellulose treatment on 40 cases of
women with functional constipation. China Practical Medical, 4(35), 106–108.
[18] Bimba, K., Patil, G. L., Shridevi, A. S., Praveena, S. N., Asha, B., Mandava, S., Reddy,
H. (2017). Prevalence of constipation in pregnancy - A prospective study at a tertiary
care hospital. Journal of Gynecology, 1(2), 1–11.
[19] Ponce, J., Martínez, B., Fernández, A., Ponce, M., Bastida, G., Plá, E., Garrigues, V., &
Ortiz, V. (2008, January). Constipation during pregnancy: A longitudinal survey based
on self-reported symptoms and the Rome II criteria. European Journal of Gastroenterology & Hepatology, 20(1), 56–61. https://doi.org/10.1097/MEG.0b013e3281108058
[20] Derbyshire, E., Davies, J., Costarelli, V., & Dettmar, P. (2006, July). Diet,
physical inactivity and the prevalence of constipation throughout and after
pregnancy. Maternal and Child Nutrition, 2(3), 127–134. https://doi.org/10.1111/j.1740-
8709.2006.00061.x
[21] de Milliano, I., Tabbers, M. M., van der Post, J. A., & Benninga, M. A. (2012). Is a
multispecies probiotic mixture effective in constipation during pregnancy? ‘A pilot
study’. Nutrition Journal, 11, 80. https://doi.org/10.1186/1475-2891-11-80
[22] Shi, W., Xu, X., Zhang, Y., Guo, S., Wang, J., & Wang, J. (2015). Epidemiology
and risk factors of functional constipation inpregnant women. PLoS One, 10(7),
e01335215. www.ncbi.nlm.nih.gov https://doi.org/10.1371/journal.pone.0133521
[23] Vazquez, J. C. (2008). Constipation, haemorrhoids and heartburn in pregnancy. BMJ
Clinical Evidence, 142(3): 127–134.
