Reducing maternal morbidity from a nursing perspective: Effect of cardiovascular disease awareness during pregnancy

Authors: Fatma Zaghloul Mahmoud ^{1, 2}, Mohammed Elsayed Zaky ^{3, 4,} *, Ebtesam Abdel Nabi Abdel Hamid ², Shereen Hussein Deep ⁵, Fatma Ali Oraby ⁶, Shimaa Magdy Farghaly ^{3, 4}, Afaf Mohamed Emam ⁷, Wafa Eid Alshatri ⁸, Naglaa Hassan AbuElZahab ¹, Omnya Mustafa Ali Mohamed ⁹, Mohammed Ali Pessa ¹⁰, Amira Abd El-Azeem Mohamed Yossif ⁸, Sabah Ahmed Ammar Mohamed ^{8, 11}, Wafaa Mohamed Amer Mahmoud ⁸, Basma Said Mahmoud Elgamasy ²

Affiliations:

 ¹Maternal and Child Health Department, College of Nursing, Majmaah University, Al-Majmaah, Saudi Arabia
 ²Maternal and Newborn Health Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt
 ³Medical Surgical Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt
 ⁴Medical Surgical Nursing Department, College of Nursing, Jouf University, Sakaka, Saudi Arabia
 ⁵Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia
 ⁶Faculty of Nursing, Misr University for Science and Technology, 6th October City, Egypt
 ⁷Faculty of Nursing, Benha University, Banha, Egypt
 ⁸Medical Surgical Nursing Department, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
 ⁹Maternity and Child Health Nursing, Faculty of Nursing, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
 ¹⁰Faculty of Nursing, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
 ¹¹Department of Nursing Administration, College of Nursing, Majmaah University, Al-Majmaah, Saudi Arabia

Abstract

Cardiovascular disease (CVD) is a leading cause of maternal morbidity and mortality worldwide, particularly in low-resource settings. This study evaluated the effect of a structured CVD awareness program on knowledge, attitudes, and practices (KAP) among pregnant women using a quasi-experimental pretest–posttest design. A purposive sample of 100 pregnant women attending the obstetrics and gynecology units at Benha University Hospital, Egypt, was divided into an intervention group (n = 50) and a comparison group (n = 50). The intervention group received a structured educational program on CVD prevention and management, while the comparison group received routine antenatal care. Data were collected using a modified KAP questionnaire before and after the intervention, and paired t-tests and chi-square tests were used for analysis. The intervention group showed significant improvements in knowledge, attitudes, and practices, with mean scores increasing from 69.1 to 83.9, 72.3 to 85.4, and 63.5 to 77.2, respectively (p < 0.001), while no significant changes were observed in the comparison group. These findings support integrating CVD education into antenatal care.

Keywords

Cardiovascular disease, Pregnancy, Maternal health, Awareness program, Knowledge-attitude-practice

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DOI

https://doi.org/10.21833/ijaas.2026.02.013

Citation (APA)

Mahmoud, F. Z., Zaky, M. E., Hamid, E. A. N. A., Deep, S. H., Oraby, F. A., Farghaly, S. M., Emam, A. M., Alshatri, W. E., AbuElZahab, N. H., Mohamed, O. M. A., Pessa, M. A., Yossif, A. A. E. M., Mohamed, S. A. A., Mahmoud, W. M. A., & Elgamasy, B. S. M. (2026). Reducing maternal morbidity from a nursing perspective: Effect of cardiovascular disease awareness during pregnancy. International Journal of Advanced and Applied Sciences, 13(2), 124–133. https://doi.org/10.21833/ijaas.2026.02.013