Impact of Teaching Interventions on Awareness and Complications During Pregnancy in Uterine Leiomyoma Patients

Abstract

Objective: To determine the impact of teaching interventions on awareness about uterine leiomyoma and on complication awareness and to measure the complications of uterine leiomyoma patients during pregnancy.

Study Design: A quasi-experimental study
Place and Duration of Study: This study was conducted at the Nishter Hospital and Medical University Multan and Khawaja Fareed Social Security Hospital Multan from March 2025 to June 2025.

Methods: A quasi-experimental single-group pre- and post-test design was employed and a total of 74 pregnant women with uterine leiomyomas were selected through convenience sampling. Data were collected using validated tools: a demographic questionnaire, awareness scale (17 items), complication awareness scale (12 items), and a complication checklist (15 items). Following ethical approval, participants completed a pre-test, received a structured teaching intervention comprising five sessions over ten weeks, and were re-assessed post-intervention. Data were analyzed using SPSS V25. Wilcoxon Sign Test and Fisher’s Exact Test were used to analyze the data

Results: The findings of study show that among 74 participants, most were aged 36–45 years (63.5%), nearly half had high school education (48.6%), and the majority were housewives (59.5%). Awareness scores significantly
improved after the teaching intervention, with median scores rising from 28 to 35 (p<0.001), and 97.3% showing improvement. The most frequent complications reported were cesarean delivery (74.3%), labor dystocia (64.9%), and preterm labor (41.9%), while less common complications included placenta previa (10.8%) and peripartum hysterectomy (9.5%). No significant associations were found between complications and demographic factors (p>0.05).

Conclusion: The study showed that awareness about uterine leiomyoma significantly improved after the teaching intervention, with 97.3% of participants gaining knowledge. Common complications included cesarean delivery, labor dystocia, and preterm labor, while no significant link was found between demographics and complication severity.