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American Family Physician Jun 2014
Topics: Counseling; Female; Humans; Preconception Care; Primary Health Care
PubMed: 25077382
DOI: No ID Found -
Primary Care Mar 2012The provision of preconception and prenatal care is a critical and time-honored role for family physicians. It could even be termed the first preventive care a human... (Review)
Review
The provision of preconception and prenatal care is a critical and time-honored role for family physicians. It could even be termed the first preventive care a human being receives. It has been suggested by some studies that, because of the continuity of care that is considered a cornerstone of family practice, family physicians provide prenatal care that may improve birth outcome. Although prenatal care is acknowledged as important for a healthy pregnancy and delivery, there is debate regarding the true efficacy of prenatal care.
Topics: Directive Counseling; Female; Health Knowledge, Attitudes, Practice; Health Promotion; Humans; Maternal Welfare; Patient Education as Topic; Preconception Care; Pregnancy; Prenatal Care; Referral and Consultation; Ultrasonography, Prenatal
PubMed: 22309579
DOI: 10.1016/j.pop.2011.11.002 -
Clinical Gastroenterology and... Sep 2016Women with inflammatory bowel disease (IBD) may have incorrect beliefs about their disease and its medication in relation to pregnancy. We studied the effects of...
BACKGROUND & AIMS
Women with inflammatory bowel disease (IBD) may have incorrect beliefs about their disease and its medication in relation to pregnancy. We studied the effects of preconception care (PCC) on patients' behavior during pregnancy, disease relapse during pregnancy, and birth outcomes.
METHODS
In a prospective study, we followed up all women with IBD seen at the preconception outpatient clinic at Erasmus MC-University Medical Center in Rotterdam, The Netherlands (from 2008 through 2014). We compared patients who received PCC before they became pregnant (PCC group; n = 155) with patients who visited the clinic after they already were pregnant (no-PCC group; n = 162). We collected data on lifestyle, medication adherence, planning of conception, disease activity, and birth outcomes. We compared adherence to medical advice, rates of disease relapse during pregnancy, and birth outcomes.
RESULTS
The PCC group was on average younger than the no-PCC group (29.7 vs 31.4 y; P = .001), and a greater proportion were nulliparous (76.1% vs 51.2%; P = .0001). PCC was associated with adherence to IBD medication during pregnancy (adjusted odds ratio [aOR],5.69; 95% confidence interval [CI], 1.88-17.27), adequate folic acid intake (aOR, 5.26; 95% CI, 2.70-10.26), and smoking cessation (aOR, 4.63; 95% CI, 1.22-17.55). PCC reduced disease relapse during pregnancy independent of parity, disease duration, or disease activity before conception (aOR, 0.51; 95% CI, 0.28-0.95). The PCC group was less likely to deliver babies of low birth weight (aOR, 0.08; 95% CI, 0.01-0.48).
CONCLUSIONS
In a prospective study, we found that preconception care reduces IBD relapse during pregnancy by promoting adherence to medication and smoking cessation. Preconception also reduces risk for babies of low birth weight.
Topics: Adolescent; Adult; Female; Follow-Up Studies; Humans; Inflammatory Bowel Diseases; Medication Adherence; Netherlands; Preconception Care; Pregnancy; Prospective Studies; Secondary Prevention; Smoking Cessation; Young Adult
PubMed: 27001269
DOI: 10.1016/j.cgh.2016.03.018 -
Health Care For Women International 2021Implementation of preconception care interventions have been encouraged for improving maternal and child health outcomes; therefore, evidence on their cost-effectiveness...
Implementation of preconception care interventions have been encouraged for improving maternal and child health outcomes; therefore, evidence on their cost-effectiveness is needed. We conducted the systematic review to examine the efficiency of those interventions by collecting evidence from published economic evaluation studies. Out of 14 included studies, almost all (12/14) were in high-income countries. All studies were not cost-utility analysis with genetic disease screening and diabetes management were the common interventions for evaluating their efficiency during preconception period. Preconception care interventions are likely to be cost-effective, especially in low-income countries which incremental benefits had a greater return than developed nations.
Topics: Cost-Benefit Analysis; Female; Humans; Income; Infant, Newborn; Preconception Care; Pregnancy
PubMed: 32940580
DOI: 10.1080/07399332.2020.1817025 -
Hu Li Za Zhi the Journal of Nursing Dec 2008Healthy mothers and children are the hope and dream of every country. Evidence shows that promoting health in women and couples before pregnancy can promote the health...
Healthy mothers and children are the hope and dream of every country. Evidence shows that promoting health in women and couples before pregnancy can promote the health of their offspring. Hence, comprehensive healthcare for women should start before pregnancy (i.e., preconception care). Such represents an effective strategy to lessen adverse maternal and infant health outcomes. The Centers for Disease Control and Prevention (CDC) in the United States established in 2004 a working group to convene conferences addressing preconception care issues, which has since held two summit conferences (in 2005 and 2007) to develop recommendations and guidelines for improving preconception health and care. A new consensus on reproductive health promotion and protection as emerged. Preconception care, the primary preventive approach for women of reproductive age, works to identify and modify biomedical, behavioral, and social risks through preventive and management interventions. No national policy for preconception care currently exists in Taiwan. Hence, it is important to coordinate different resources related to preconception care available through schools, workplaces, outpatient service centers, families and the community in order to establish a uniform national policy and intervention programs that will further enhance the health of women and children in Taiwan.
Topics: Female; Humans; Preconception Care; Pregnancy; Women's Health
PubMed: 19051168
DOI: No ID Found -
Reproductive Health Jul 2019Preconception care refers to things women can do before and between pregnancies to increase the chance of having a healthy baby and being a healthy mother....
BACKGROUND
Preconception care refers to things women can do before and between pregnancies to increase the chance of having a healthy baby and being a healthy mother. Unfortunately, millions of women in the world do not have access to pre-pregnancy, pregnancy health services and childbirth with suitable quality. Therefore, addressing this significant gap and coming up with the necessary information is helpful to improve maternal and child health in our country. So, this study was aimed to assess the utilization of preconception care and associated factors among reproductive age group women in Debre Birhan Town, North Shewa, Ethiopia.
METHODS
A mixed method of community based cross-sectional study was employed from March 1st to 30; 2017. Systematic sampling technique was used to select a total of 424 reproductive age women. The data were collected using pre-tested and structured questionnaire and eight in-depth interviews were done using an interview guide. The collected data were coded and entered into Epi data 3.5.1 and exported to SPSS version 21 for cleaning and analysis. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05.
RESULT
A total of 410 subjects were participated with a response rate of 96.7%. The overall utilization of Preconception care was 13.4%. Woman's age, marital status, knowledge and availability of unit for preconception care were significantly associated with utilization of preconception care with (AOR: 3.567; 95% CI: 1.082, 11.758), (AOR: 0.062; 95% CI: 0.007, 0.585), (AOR = 6.263; 95% CI: 2.855, 13.739) and AOR: 13.938; 95% CI: 3.516, 55.251) respectively.
CONCLUSIONS
The finding of this study showed that women's utilization of preconception care is relatively low. A woman's age, marital status, educational status, knowledge about preconception care services and availability of unit for preconception care were factors affecting utilization of preconception care. Therefore, establishing preconception care strategies which can address all the components of the care will be essential when designing effective implementation strategies for improving the uptake of preconception care.
Topics: Adolescent; Adult; Cross-Sectional Studies; Ethiopia; Female; Health Facilities; Health Knowledge, Attitudes, Practice; Humans; Marital Status; Middle Aged; Patient Acceptance of Health Care; Preconception Care; Pregnancy; Surveys and Questionnaires; Young Adult
PubMed: 31277717
DOI: 10.1186/s12978-019-0758-x -
Obstetrics and Gynecology Clinics of... Sep 2019An investment in assuring the health of women, before pregnancy, can reap improved health for women, children, and their families. A paradigm shift of health must occur... (Review)
Review
An investment in assuring the health of women, before pregnancy, can reap improved health for women, children, and their families. A paradigm shift of health must occur if perinatal outcomes are to improve, moving beyond reactive care to preventive or preconception care. Preconception health is centered on an assumption a woman is planning on becoming pregnant. But for many women, pregnancy is unplanned and medical conditions may have a negative impact on the trajectory of pregnancy and health. A new paradigm focusing on prevention and wellness can prepare women for lifelong health and healthy perinatal outcomes.
Topics: Adolescent; Ethnicity; Female; Folic Acid; Humans; Infant; Mental Health; Preconception Care; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Socioeconomic Factors; United States; Women's Health; Young Adult
PubMed: 31378284
DOI: 10.1016/j.ogc.2019.04.001 -
International Journal of Environmental... Oct 2020Preconception care (PCC) aims to improve maternal and fetal health outcomes, however, its utilization remains low in developing countries. This pilot study assesses the...
Preconception care (PCC) aims to improve maternal and fetal health outcomes, however, its utilization remains low in developing countries. This pilot study assesses the level and determinants of PCC in an urban and a rural health facility in Kenya. Unselected pregnant women were recruited consecutively at the Mother and Child Health (MCH) clinics in Aga Khan University Hospital, Nairobi (AKUH, N-urban) and Maragua Level Four Hospital (MLFH-rural). The utilization of PCC was defined as contact with any health care provider before current pregnancy and addressing pregnancy planning and preparation. A cross-sectional approach was employed and data were analyzed using SPSS version 22. 194 participants were recruited (97 in each setting) of whom, 25.8% received PCC. Age, marital status, education, parity and occupation were significant determinants of PCC uptake. There was also a significant difference in PCC uptake between the rural (16.5%) and urban (35.1%) participants ( < 0.01), OR of 0.3 (0.19-0.72, 95% CI). The low level of PCC in Kenya revealed in this study is consistent with the low levels globally. However, this study was not powered to allow firm conclusions and analyze the true effects of PCC determinants. Therefore, further research in the field is recommended in order to inform strategies for increasing PCC utilization and awareness in Kenya.
Topics: Child; Female; Health Facilities; Humans; Infant, Newborn; Kenya; Pilot Projects; Preconception Care; Pregnancy; Pregnant Women; Premature Birth; Rural Health Services; Urban Health Services
PubMed: 33065989
DOI: 10.3390/ijerph17207430 -
International Journal of Environmental... Dec 2020The prevalence of inflammatory bowel disease in Korea is rapidly increasing. Women with inflammatory bowel disease have a higher risk of adverse birth outcomes than...
The prevalence of inflammatory bowel disease in Korea is rapidly increasing. Women with inflammatory bowel disease have a higher risk of adverse birth outcomes than healthy women, and the magnitude of this risk is related to the severity of the disease at the time of pregnancy. For a woman with inflammatory bowel disease to have a healthy pregnancy, interventions are needed to manage the disease before pregnancy-implying a need for pregnancy planning. In this study, the intervention mapping protocol was used to develop a program for this purpose. This protocol contains the following stages: needs assessment, setting of program outcomes and performance objectives, selection of methods and strategies based on theory, and development of the program and its materials. Through individual in-depth interviews and a literature review, individual and environmental determinants were assessed and six change objectives of the program were set. The methods and practical strategies were developed based on the information-motivation-behavioral skills model, self-efficacy theory, and social support theory. The final program, consisting of four sessions and the corresponding materials, was completed by making revisions based on a content validity assessment by experts and a pilot test. Follow-up studies on the implementation of this program will be conducted in the future.
Topics: Clinical Protocols; Female; Humans; Inflammatory Bowel Diseases; Motivation; Preconception Care; Program Development; Republic of Korea
PubMed: 33327583
DOI: 10.3390/ijerph17249365 -
Midwifery Feb 2016to assess women׳s interest in preconception care, their organisational preferences, and their preconception-related information and support needs.
OBJECTIVE
to assess women׳s interest in preconception care, their organisational preferences, and their preconception-related information and support needs.
DESIGN
cross-sectional study design.
SETTING
participants were recruited online through social media and discussion forums for issues relating to (in)fertility, pregnancy and parenting, and at the Women׳s Clinic of Ghent University Hospital.
PARTICIPANTS
242 reproductive-aged women with a desire to have (more) children.
FINDINGS
the majority of women (75%) wanted to receive preconception care in the future. Gynaecologists (93%) were the preferred source of preconception care, followed by midwives (73%) and general practitioners (63%). Most women wanted information about lifestyle, environmental exposures, working conditions and medical issues. Information needs were higher among women with (history of) mental illness [odds ratio (OR) 3.50, 95% confidence interval (CI) 1.08-11.36], (history of) eye and otolaryngological problems (OR 2.22, 95% CI 0.95-5.21) and overweight (OR 2.22, 95% CI 1.01-4.93). A few women indicated that they needed preconception-related support. Overweight women reported greater need for lifestyle-related support compared with women of healthy weight (p=0.001).
KEY CONCLUSIONS
reproductive-aged women are interested in preconception care, and would prefer to receive this care directly from a professional caregiver. Most women had high preconception-related information needs and lower support needs.
IMPLICATIONS FOR PRACTICE
although women reported that they would prefer to receive preconception care from gynaecologists, the results indicate that midwives can also play an important role in the provision of preconception care. They would need further training to improve their knowledge, skills and awareness regarding preconception care.
Topics: Adult; Belgium; Cross-Sectional Studies; Family Planning Services; Female; Humans; Maternal Health Services; Midwifery; Needs Assessment; Patient Acceptance of Health Care; Physician's Role; Preconception Care; Pregnancy; Women's Health; Young Adult
PubMed: 26564478
DOI: 10.1016/j.midw.2015.10.012