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Journal of Women's Health (2002) Oct 2013Preconception health and health care (PCHHC) has gained increasing popularity as a key prevention strategy for improving outcomes for women and infants, both... (Review)
Review
Preconception health and health care (PCHHC) has gained increasing popularity as a key prevention strategy for improving outcomes for women and infants, both domestically and internationally. The Action Plan for the National Initiative on Preconception Health and Health Care: A Report of the PCHHC Steering Committee (2012-2014) provides a model that states, communities, public, and private organizations can use to help guide strategic planning for promoting preconception care projects. Since 2005, a national public-private PCHHC initiative has worked to create and implement recommendations on this topic. Leadership and funding from the Centers for Disease Control and Prevention combined with the commitment of maternal and child health leaders across the country brought together key partners from the public and private sector to provide expertise and technical assistance to develop an updated national action plan for the PCHHC Initiative. Key activities for this process included the identification of goals, objectives, strategies, actions, and anticipated timelines for the five workgroups that were established as part of the original PCHHC Initiative. These are further described in the action plan. To assist other groups doing similar work, this article discusses the approach members of the PCHHC Initiative took to convene local, state, and national leaders to enhance the implementation of preconception care nationally through accomplishments, lessons learned, and projections for future directions.
Topics: Delivery of Health Care; Female; Health Planning; Health Promotion; Humans; National Health Programs; Preconception Care; Pregnancy; United States
PubMed: 23944970
DOI: 10.1089/jwh.2013.4505 -
Journal of Gynecology Obstetrics and... Sep 2017Determine the frequency of preconception care use in France and factors impacting preconception visit.
OBJECTIVE
Determine the frequency of preconception care use in France and factors impacting preconception visit.
MATERIALS AND METHODS
An epidemiological study was conducted from September 2015 to October 2015 in 5 maternity hospitals within the "Alpes-Isère" perinatal network, comprising of French-speaking women, with uncomplicated pregnancies, who delivered a healthy term baby (≥37 weeks of gestational age). Two groups were compared: patients with and without preconception care. Descriptive, univariate and multivariate analyses were performed for the sociodemographic, the environmental characteristics and the gynecologic obstetric history.
RESULTS
Among the 392 patients included in this study, only 62 (15.8% [12.0-20.0]) had used preconception care before their pregnancy. Multivariate analysis showed that the primiparous women (adjusted OR 2.47 [1.37-4.46]) and the women with a high socio-professional category (adjusted OR 2.32 [1.13-4.77]) were more likely to used preconception care.
CONCLUSION
Despite the positive effects on mother and baby's health, preconception care is insufficiently used in France. Every effort must be made to improve awareness of preconception care among health workers and patients.
Topics: Adult; Community Networks; Female; France; Health Behavior; Humans; Maternal-Child Health Services; Mothers; Patient Participation; Preconception Care; Pregnancy; Pregnancy Outcome; Prenatal Care; Socioeconomic Factors; Surveys and Questionnaires; Young Adult
PubMed: 28526520
DOI: 10.1016/j.jogoh.2017.05.002 -
Southern Medical Journal Jun 1994Many pregnancies are predisposed to complications by events that occur in the first weeks of gestation. In fact, these complications may occur prior to the time that a... (Review)
Review
Many pregnancies are predisposed to complications by events that occur in the first weeks of gestation. In fact, these complications may occur prior to the time that a woman knows she has become pregnant. Preconception care offers patients the opportunity to address these conditions before conception; the potential for a satisfactory pregnancy outcome is thereby increased. In the following report, I summarize current understandings in preconception care. Recent advances in preconception care have expanded the opportunities for preventing adverse reproductive outcome. Although the study of preconception care is a relatively new innovation, recent studies have shown the value of preconception intervention.
Topics: Female; Humans; Male; Preconception Care; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Prenatal Care; Risk Factors
PubMed: 8202776
DOI: 10.1097/00007611-199406000-00013 -
Scientific Reports May 2021Preconception care (PCC) increases the chance of couple's being healthy and having a healthier baby. It is an important strategy to prevent maternal and perinatal... (Meta-Analysis)
Meta-Analysis
Preconception care (PCC) increases the chance of couple's being healthy and having a healthier baby. It is an important strategy to prevent maternal and perinatal complications. The level of knowledge on preconception care increases its uptake. It is also considered as an input for further intervention of reduction in maternal and neonatal mortality enabling progress towards sustainable development goals (SDGs). Therefore, this systematic review and meta-analysis aimed to estimate the pooled knowledge level of PCC and its association with family planning usage among women in Ethiopia. All observational studies regardless of publication status were retrieved. Important search terms were used to search articles in Google scholar, African Journals Online, CINHAL, HINARI, Science Direct, Cochrane Library, EMBASE, and PubMed/Medline. Independent critical appraisal of retrieved studies was done using the Newcastle-Ottawa assessment checklist. The meta-analysis was conducted using STATA version 14 software. The I statistics were used to test heterogeneity, whereas publication bias was assessed by Begg's and Egger's tests. The results of the meta-analysis were explained in the Odds ratio (OR) with a 95% confidence interval (CI) and presented using forest plots. A total of seven articles were included in the current systematic review and meta-analysis. Based on the data retrieved from the articles, 35.7% of women in Ethiopia had good knowledge about preconception care. The subgroup analysis based on region revealed the lowest (22.34%) and highest (45.06%) percentage of good knowledge on preconception care among women who were living in Amhara and Oromia regions, respectively. Moreover, women who utilized family planning services were three and more times (OR 3.65 (95% CI 2.11, 6.31)) more likely to have a good level of knowledge about preconception care. One-third of Ethiopian women had good knowledge about preconception care. Family planning utilization had a positive impact on women's knowledge of preconception care.
Topics: Ethiopia; Family Planning Services; Female; Health Knowledge, Attitudes, Practice; Humans; Odds Ratio; Preconception Care
PubMed: 34035339
DOI: 10.1038/s41598-021-89819-8 -
Nederlands Tijdschrift Voor Geneeskunde Jun 2006Despite the modernisation of antenatal care in the Western world, the incidence of a number of adverse pregnancy outcomes, such as birth defects, low birth weight and... (Review)
Review
Despite the modernisation of antenatal care in the Western world, the incidence of a number of adverse pregnancy outcomes, such as birth defects, low birth weight and preterm birth, has not decreased over the past few decades. Since its inception at the beginning of the last century, the concept of antenatal care has not changed. The first antenatal visit typically starts at the end of the first trimester. By this stage of pregnancy organogenesis and early placentation have been completed making it almost impossible to reverse any unfavourable exposure on the foetus. Preconception care addresses risk factors that are present prior to pregnancy. By either eliminating or altering risk factors during this period, pregnancy outcome may improve. The goal of preconception care is to optimise the quality of foetal, newborn and infant life through primary prevention. With regard to genetic conditions the aims of preconception care are more nuanced. The principle components of preconception care include (a) risk assessment, (b) information and advice on health promotion, (c) specific counselling and (d) intervention. The effectiveness of preconception care has been demonstrated in women who are at increased risk of adverse pregnancy outcome. In women at low-risk, however, the usefulness of preconception care has yet to be established. The concept of preconception care is relatively simple, logical and promises much. For preconception care to be a success, it is crucial to make this form of preventive care available to all prospective parents. The Internet could play a major part in the dissemination of information that is relevant to a successful outcome of pregnancy.
Topics: Female; Health Promotion; Humans; Netherlands; Preconception Care; Pregnancy; Pregnancy Outcome; Primary Prevention; Risk Assessment; Risk Factors
PubMed: 16808362
DOI: No ID Found -
Maternal and Child Health Journal Sep 2006Policy and finance barriers reduce access to preconception care and, reportedly, limit professional practice changes that would improve the availability of needed... (Review)
Review
Policy and finance barriers reduce access to preconception care and, reportedly, limit professional practice changes that would improve the availability of needed services. Millions of women of childbearing age (15-44) lack adequate health coverage (i.e., uninsured or underinsured), and others live in medically underserved areas. Service delivery fragmentation and lack of professional guidelines are additional barriers. This paper reviews barriers and opportunities for financing preconception care, based on a review and analysis of state and federal policies. We describe states' experiences with and opportunities to improve health coverage, through public programs such as Medicaid, Medicaid waivers, and the State Children's Health Insurance Program (SCHIP). The potential role of Title V and of community health centers in providing primary and preventive care to women also is discussed. In these and other public health and health coverage programs, opportunities exist to finance preconception care for low-income women. Three major policy directions are discussed. To increase access to preconception care among women of childbearing age, the federal and state governments have opportunities to: (1) improve health care coverage, (2) increase the supply of publicly subsidized health clinics, and (3) direct delivery of preconception screening and interventions in the context of public health programs.
Topics: Adolescent; Adult; Centers for Medicare and Medicaid Services, U.S.; Family Planning Services; Female; Financing, Government; Health Policy; Health Services Accessibility; Humans; Infant; Infant Welfare; Infant, Newborn; Maternal Welfare; Poverty; Preconception Care; Pregnancy; Prenatal Care; Time Factors; United States
PubMed: 16802188
DOI: 10.1007/s10995-006-0125-8 -
American Journal of Obstetrics and... Dec 2008Little attention has been given to men's preconception health and health care. This paper reviews the key elements of an approach to optimizing the preconception health...
Little attention has been given to men's preconception health and health care. This paper reviews the key elements of an approach to optimizing the preconception health status of men. Preconception care for men is important for improving family planning and pregnancy outcomes, enhancing the reproductive health and health behaviors of their female partners, and preparing men for fatherhood. Most importantly, preconception care offers an opportunity, similar to the opportunity it presents for women, for disease prevention and health promotion in men. Currently, no consensus exists on service delivery of preconception care for men--who should provide preconception care to whom, where, when, and how, and there are significant barriers to this care including the organization, financing, training, and demand. Finally, much more research on the content and how to effectively market and implement preconception care for men is needed.
Topics: Female; Humans; Male; Men's Health; Preconception Care; Pregnancy; Pregnancy Outcome
PubMed: 19081435
DOI: 10.1016/j.ajog.2008.10.024 -
Primary Care Mar 2012The preconception counseling visit is an ideal time to evaluate the patient and her future expectations regarding pregnancy. In fact at every patient encounter, whether... (Review)
Review
The preconception counseling visit is an ideal time to evaluate the patient and her future expectations regarding pregnancy. In fact at every patient encounter, whether for acute or chronic care, consideration should be given to any woman who, although not pregnant, may become pregnant, and what effect each ordered procedure, laboratory examination, or medication prescription might have on her or her fetus. If the primary reason for the office visit is preconception counseling there are a few specific components that should be discussed besides a complete history and physical examination.
Topics: Antihypertensive Agents; Diabetes, Gestational; Directive Counseling; Female; Humans; Hypertension; Maternal Welfare; Obesity; Preconception Care; Pregnancy; Prenatal Care; Reproductive History; Risk Assessment
PubMed: 22309578
DOI: 10.1016/j.pop.2011.11.001 -
Journal of the American Pharmacists... 2019
Topics: Contraception; Female; Humans; Pharmacists; Preconception Care; Pregnancy; Women's Health
PubMed: 31422025
DOI: 10.1016/j.japh.2019.07.018 -
PloS One 2021As the studies show, in every minute in the world, 380 women become pregnant and 190 face unplanned or unwanted pregnancies; 110 experience pregnancy-related... (Meta-Analysis)
Meta-Analysis
BACKGROUND
As the studies show, in every minute in the world, 380 women become pregnant and 190 face unplanned or unwanted pregnancies; 110 experience pregnancy-related complications, and one woman dies from a pregnancy-related cause. Preconception care is one of the proven strategies for the reduction in mortality and decreases the risk of adverse health effects for the woman, fetus, and neonate by optimizing maternal health services and improves woman's health. Therefore, this study aimed to estimate the pooled prevalence of utilization of preconception of care and associated factors in Africa.
METHODS
Systematic search of published studies done on PubMed, EMBASE, MEDLINE, Cochrane, Scopus, Web of Science CINAHL, and manually on Google Scholar. This meta-analysis follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The quality of studies was assessed by the modified Newcastle-Ottawa Scale (NOS). Meta-analysis was carried out using a random-effects method using the STATA™ Version 14 software.
RESULT
From 249,301 obtained studies, 28 studies from 3 African regions involving 13067 women included in this Meta-analysis. The overall pooled prevalence of utilization of preconception care among pregnant women in Africa was found to be 18.72% (95% CI: 14.44, 23.00). Knowledge of preconception care (P = <0.001), preexisting medical condition (P = 0.045), and pregnancy intention (P = 0.016) were significantly associated with the utilization of preconception care.
CONCLUSION
The results of this meta-analysis indicated, as one of best approaches to improve birth outcomes, the utilization of preconception care is significantly low among mothers in Africa. Therefore, health care organizations should work on strategies to improve preconception care utilization.
Topics: Africa; Facilities and Services Utilization; Female; Humans; Mothers; Preconception Care; Pregnancy; Pregnant Women; Quality of Health Care
PubMed: 34297760
DOI: 10.1371/journal.pone.0254935