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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
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The effectiveness of group counseling on prenatal care knowledge and performance of pregnant adolescents in a Kurdish region of Iran

Farzaneh Soltani
  • Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran (Islamic Republic of)
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/ Shahla shafaati
  • Hamadan University of Medical Sciences, Student Research Center, Hamadan, Iran (Islamic Republic of)
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/ Soodabeh Aghababaei
  • Corresponding author
  • Mother and Child Care Research Center, Hamadan University of Medical Sciences, Fahmideh Ave, Hamadan, Iran (Islamic Republic of)
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/ Vida Samiei
  • Hamadan University of Medical Sciences, Deputy of Education, Hamadan, Iran (Islamic Republic of)
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/ Ghodratollah Roshanaei
  • Hamadan University of Medical Sciences, Modeling of Noncommunicable Diseases Research Center, Hamadan, Iran (Islamic Republic of)
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Published Online: 2018-12-04 | DOI: https://doi.org/10.1515/ijamh-2018-0108



Prenatal care in adolescents is one of the most important challenges worldwide, especially in the regions with a specific culture and traditions. The purpose of this study was to investigate the effectiveness of group counseling on knowledge and performance of pregnant adolescents in prenatal care in a Kurdish region in Iran.


This quasi-experimental study was conducted on pregnant adolescents attending in the health centers of Mahabad, a Kurdish city in Iran. Using a multi-stage cluster sampling method, after random selection of four health centers as the intervention and the control, primigravida adolescents with gestational age of 16–20 weeks filled out the demographic and midwifery characteristics questionnaire, as well as a prenatal care knowledge and performance of pregnant adolescents’ questionnaire. Then 102 pregnant adolescents (51 people in the control centers and 51 people in the intervention centers), who responded correctly to <50% of the questionnaire items were included in the study. Six sessions of group counseling about prenatal care were held for the intervention group. The control group received the routine prenatal care. Knowledge and performance of pregnant adolescents about prenatal care were compared inter and intra two groups 1 month after the end of the sessions through descriptive-analytic tests including chi-square, independent T and paired T tests.


In contrast to the control group, the mean scores of adolescents’ knowledge about prenatal care increased after the intervention (from 17.51 ± 5.93 to 24.67 ± 5.79) and showed significant difference to the control group (p < 0.05). In addition, the mean scores of adolescent care performance in the intervention group increased (from 5.80 ± 2.19 to 10.33 ± 2.55) and showed significant difference to the control group (p < 0.05).


The results of the present study show the positive effects of prenatal care counseling on increasing knowledge and improving the performance of pregnant adolescents.

Keywords: knowledge; performance; pregnant adolescents; prenatal care


  • [1]

    Parvizi S, Ahmadi F, Nikbakht A. Golden Triangle of family, health and adolescent. J Psychol. 2006;10(2):156–68.Google Scholar

  • [2]

    Health club protocol and counseling adolescents and young adults. Center for Communicable Diseases Management, Ministry of Health and Medical Education, Spring; 2016.Google Scholar

  • [3]

    A Pregnancy. 2014 [updated 2016 19 December]. Available from: www.who.int.

  • [4]

    Aliyu MH, Luke S, Kristensen S, Alio AP. Joint effect of obesity and teenage pregnancy on the risk of preeclampsia: a population-based study. J Adolesc Health. 2010;46(1):777–82.Web of ScienceGoogle Scholar

  • [5]

    Hosseinzadeh M, Naderifar M. Adolescent mothers experiences of pregnancy and early motherhood: a qualitative content analysis. J Urmia Nurs Midwifery Fac. 2014;12(10):890–98.Google Scholar

  • [6]

    Mangeli M, Rayyani M, Cheraghi MA, Tirgari B. Iranian mothers’ experiences of the outcomes of early motherhood: a qualitative study. Soc Work Public Health. 2018;33(3):163–72.Web of ScienceCrossrefPubMedGoogle Scholar

  • [7]

    Udo A, Ekott M, Ekanem E. Teenage pregnancy and adverse birth outcomes in Calabar Nigeria. Internet J Gynecol Obstet. 2013;17(2):3210–8.Google Scholar

  • [8]

    Kalhor M, Alipour M, Eghdam Poor F. Comparison of pregnancy and delivery outcomes in teenage mothers and primiparas referring to Kowsar Teaching Hospital in Qazvin in 2012–2013. Razi J Med Sci. 2015;21(129):27–38.Google Scholar

  • [9]

    Prianka Mukhopadhyay R, Chaudhuri Bhaskar P. Hospital-based perinatal outcomes and complications in teenage pregnancy in India. Health Popul Nutr. 2010;28(5):494–500.Google Scholar

  • [10]

    Conde-Agudelo A, Belizan JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: cross-sectional study. Am J Obstet Gynecol. 2005;192(2):342–9.PubMedCrossrefGoogle Scholar

  • [11]

    Rezavand N, Zangane M, Malek Khosravi S, Rezaee M. A comparative study of pregnancy results in adolescents and young mother referred to the Motazedi Hospital in Kermanshah. J Urmia Nurs Midwifery Fac. 2009;3(10):11–2.Google Scholar

  • [12]

    WHO G. Position paper on mainstreaming adolescent pregnancy in efforts to make pregnancy safer. Department of Making Pregnancy Safer; 2010.Google Scholar

  • [13]

    Johnson F, Lay P. Teenage pregnancy: issues, interventions, and directions. J Natl Med Assoc. 1988;80(2):145–52.Google Scholar

  • [14]

    UNFPA. Child marriage fact sheet 2009 [updated 2016 26 August]. Available from: www.unfpa.org/swp/2005/presskit/facts.

  • [15]

    Tsai YF, Wong TK. Strategies for resolving aboriginal adolescent pregnancy in eastern Taiwan. J Adv Nurs. 2033;41(4):351–7.Google Scholar

  • [16]

    Harden A, Bruton G, Flectcher A. Teenage pregnancy and social disadvantage: systematic review integrating controlled trials and qualitative studies. Br Med J. 2009;339(b4):254.Web of ScienceGoogle Scholar

  • [17]

    Lowdermilk DL, Perry SE, Bobak IM. Maternity & women’s health care, 7th ed. New York: Mosby; 2000.Google Scholar

  • [18]

    Vonderheid SC, Norr KF, Handler AS. Prenatal health promotion content and health behaviors. West J Nurs Res. 2007;29(3):258–76.Web of ScienceCrossrefPubMedGoogle Scholar

  • [19]

    Enriquez M. Pregnancy, poverty, and HIV. J Nurse Praction. 2007;3(10):687–93.CrossrefGoogle Scholar

  • [20]

    Nichols MR, Roux GM, Harris NR. Primigravid and multigravid women: prenatal perspectives. J Perinat Educ. 2007;16(2):21–32.CrossrefPubMedGoogle Scholar

  • [21]

    Baheiraei A, Soltani F, Ebadi A, Foroushani AR, Cheraghi MA. Risk and protective profile of tobacco and alcohol use among Iranian adolescents: a population-based study. Int J Adolesc Med Health. 2017;29(3):20150089.Google Scholar

  • [22]

    Baheiraei A, Soltani F, Ebadi A, Cheraghi MA, Foroushani AR. Psychometric properties of the Iranian version of ‘Communities That Care Youth Survey’. Health Promot Int. 2016;31(1):59–72.Web of SciencePubMedGoogle Scholar

  • [23]

    Mohammadpoorasl A, Nedjat S, Fakhari A. Smoking Stages in an Iranian Adolescent Population. Acta Medica Iranica. (2012);50:746–54.Google Scholar

  • [24]

    Shahhosseini Z, Hamzehgardeshi Z. Female adolescents’ perspective about reproductive health education needs: a mixed methods study with explanatory sequential design. Int J Adolesc Med Health. 2015;27(1):57–63.Google Scholar

  • [25]

    Baheiraei A, Soltani F, Ebadi A, Cheraghi MA, Rahimi Foroushani A. Family and peer risk factors as predictors of lifetime tobacco use among Iranian adolescents: gender similarities and differences. Glob J Health Sci. 2014;6(4):63–75.PubMedGoogle Scholar

  • [26]

    Abbasi-Shavazi MJ, Hosseini H. Ethnic fertility differentials in Iran: trends and correlates. Paper presented at the European Population Conference (EPC) 2008. Barcelona; 2008.Google Scholar

  • [27]

    Soltani F, Maleki A, Shobeiri F, Shamsaei F, Ahmadi F, Roshanaei G. The limbo of motherhood: women’s experiences of major challenges to cope with the first pregnancy. Midwifery. 2017;55:38–44.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [28]

    Hosseini H, Askari Nodoushan A, Moradi N. A Comparative study of childbearing desires of Shia and Sunni Kurdish women in rural areas of Kamyaran. J Woman Fam Stud. 2016;4(1):63–84.Google Scholar

  • [29]

    Bahri N, Ilyati HR, Bahri N, Sajjadi M, Blochi T. The effect of oral health program on knowledge, attitude and short term performance of pregnant women. JIDAI. 2012;1(36):1–12.Google Scholar

  • [30]

    Fadaei B, Movahedi M, Akbari M, Ghasemi M, Jalalvand A, Fadaei B, et al. Effect of maternal age on pregnancy outcome. J Isfahan Med Sch. 2010;29(145):855–60.Google Scholar

  • [31]

    Hodgkinson SC, Colantuoni E, Roberts D, Berg-Cross L, Belcher HME. Depressive symptoms and birth outcomes among pregnant teenager. J Pediatr Adolesc Gynecol. 2010;23(1):16–22.PubMedCrossrefGoogle Scholar

  • [32]

    Parsa N, Redzuan M, Yaacob SN, Parsa P. Parental attachment, inter-parental conflict and late adolescent’s self-efficacy. Asian Soc Sci. 2014;10(8):123–31.Google Scholar

  • [33]

    Ramesh D, Khan GM, Kadir A, Binaya S, Deepa D. Impacts of counseling on knowledge, attitude and practice of medication use during pregnancy. BMC Pregnancy Childbirth. 2017;17(1):131.Web of ScienceCrossrefPubMedGoogle Scholar

  • [34]

    Mohammadi N, Montazeri S, Alaghband Rad J, Ardabili HE, Gharacheh M. Iranian pregnant teenage women tell the story of “fast development”: a phenomenological study. Women Birth. 2016;29(4):303–9.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [35]

    Baheiraei A, Khoori E, Foroushani AR, Ahmadi F, Ybarra ML. What sources do adolescents turn to for information about their health concerns? Int J Adolesc Med Health. 2014;26(1):61–68.PubMedGoogle Scholar

  • [36]

    Mersal FA, Esmat OM, Khalil G. Effect of prenatal counselling on compliance and outcomes of teenage pregnancy. East Mediterr Health J. 2013;19(1):10–7.CrossrefPubMedGoogle Scholar

About the article

Received: 2018-05-30

Accepted: 2018-07-12

Published Online: 2018-12-04

Funding Source: Hamadan University of Medical Sciences

Award identifier / Grant number: IR.UMSHA.REC.1396.523

The authors sincerely appreciated the financial support given by the Research Deputy of Hamadan University of Medical Sciences (IR.UMSHA.REC.1396.523).

Citation Information: International Journal of Adolescent Medicine and Health, 20180108, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2018-0108.

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