article · Japan Journal of Nursing Science
A quasi-experimental study carried out across two district hospitals in Tanzania evaluated the impact of a prenatal group education programme dedicated to preeclampsia and eclampsia. The participatory programme, facilitated by midwives, incorporated lectures, discussions, and review sessions. Ninety-five pregnant women were monitored, with forty-eight receiving the educational intervention and forty-seven receiving standard routine care. Outcomes assessed via questionnaires at baseline and one month post-intervention included knowledge, behavioural intentions, empowerment, satisfaction, and the clinical incidence of preeclampsia. Participants in the education programme achieved significantly higher knowledge scores and expressed greater satisfaction compared to the control group, with knowledge retention lasting for at least one month. However, the intervention produced no statistically significant changes in behavioural intentions, pregnancy-related empowerment scores, or the actual incidence of preeclampsia between the two groups.
Preeclampsia and eclampsia represent severe pregnancy complications that require timely awareness and intervention. This study shows that structured, midwife-led group education can effectively improve maternal health knowledge and care satisfaction in hospital settings. Demonstrating that health knowledge is retained over time helps healthcare facilities design better antenatal education strategies, even if changing behavioural intentions and health outcomes requires further approaches.
This research reflects an applied and tested healthcare delivery model suitable for maternity clinics, hospitals, and public health organisations. The midwife-led curriculum could be standardised into training packages or integrated into existing antenatal care protocols. Because it has already undergone facility-based trials in district hospitals, the intervention is relatively close to wider operational use, though the abstract does not describe a direct commercial pathway or proprietary product.
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AIM: This study examined the effects of a prenatal group education program in Tanzania which was focused on preeclampsia/eclampsia according to knowledge, behavioral intention, Pregnancy-Related Empowerment Scale, satisfaction, and the incidence of preeclampsia. METHODS: The study was conducted in two district hospitals in Tanzania and used a facility-based pre-post quasi-experimental design with concurrent control. The prenatal group education program was developed to focus on preeclampsia/eclampsia and consisted of lectures, discussions, and review sessions directed at participatory group education. The intervention group participated in a midwife-facilitated prenatal group education program, whereas the control group received routine care. Data were collected through questionnaires before the intervention and 1 month later. A descriptive analysis of the data was performed. RESULTS: The study analyzed 95 pregnant women within an intervention group (n = 48) and control group (n = 47). At the 1-month post-test, statistically significant differences were observed between the intervention and control groups in the knowledge score (mean = 3.8, SD = 3.6 vs. mean = -0.8, SD = 3.1, p < .001) and satisfaction score (mean = 4.9 vs. mean = 4.6, p = .032). Between the two groups, there were no significant differences in the scores of behavioral intention, Pregnancy-Related Empowerment Scale, and the incidence of preeclampsia. CONCLUSION: The prenatal group education program increased the knowledge level regarding preeclampsia and gave higher satisfaction among pregnant women. Knowledge was retained for at least 1 month. Continuity in implementation of this program is recommended.
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DOI: 10.1111/jjns.12652
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