Keywords
preconception health
childbearing
needs
pregnancy
childbearing
needs
pregnancy
Abstract
Background
This systematic review summarizes the preconception health needs of women in childbearing age, necessary to be addressed to have an eventual safe and healthy pregnancy.
Methods
Web of Science, PubMed and Scopus were searched. We excluded studies involving women with reproductive system pathologies and referring to interconceptive or pregnancy period and non-empirical or only abstract studies. Two researchers independently performed the blind screening based on titles/abstracts and full-text and the quality assessment.
Results
Four major domains resulted from the thematical analysis: knowledge, behaviours and attitudes, health status and access to healthcare services. The most examined topics were knowledge and awareness on preconception health, folic acid assumption, tobacco and alcohol consumption, physical activity and healthy diet.
Conclusions
This review could assist healthcare professionals (physicians, nurses, midwives) in guiding tailored counselling to women to provide the adequate level of preconception care and act as a reference to policymakers.
References
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2. Moos MK, Dunlop AL, Jack BW, Nelson L, Coonrod DV, Long R, et al. Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age. Am J Obstet Gynecol. 2008 Dec;199(6 Suppl 2):S280-9. doi: 10.1016/j.ajog.2008.08.060. PMID: 19081422.
3. Xaverius PK, Tenkku LE, Salas J. Differences between women at higher and lower risk for an unintended pregnancy. Womens Health Issues. 2009 Sep-Oct;19(5):306-12. doi: 10.1016/j.whi.2009.06.002. PMID: 19733800.
4. Frey KA, Navarro SM, Kotelchuck M, Lu MC. The clinical content of preconception care: preconception care for men. Am J Obstet Gynecol. 2008 Dec;199(6 Suppl 2):S389-95. doi: 10.1016/j.ajog.2008.10.024. PMID: 19081435.
5. Hillemeier MM, Downs DS, Feinberg ME, Weisman CS, Chuang CH, Parrott R, et al. Improving women's preconceptional health: findings from a randomized trial of the Strong Healthy Women intervention in the Central Pennsylvania women's health study. Womens Health Issues. 2008 Nov-Dec;18(6 Suppl):S87-96. doi: 10.1016/j.whi.2008.07.008. PMID: 19059553; PMCID: PMC2744213.
6 . Delgado C. Pregnancy 101: a call for reproductive and prenatal health education in college. Matern Child Health J. 2013 Feb;17(2):240-7. doi: 10.1007/s10995-012-0967-1. PMID: 22359242.
7 . Frey KA, Files JA. Preconception healthcare: what women know and believe. Matern Child Health J. 2006 Sep;10(5 Suppl):S73-7. doi: 10.1007/s10995-006-0110-2. Epub 2006 Jun 8. PMID: 16775757; PMCID: PMC1592249.
8 . Bello JK, Adkins K, Stulberg DB, Rao G. Perceptions of a reproductive health self-assessment tool (RH-SAT) in an urban community health center. Patient Educ Couns. 2013 Dec;93(3):655-63. doi: 10.1016/j.pec.2013.09.004. Epub 2013 Sep 16. PMID: 24094839.
9. Naimi TS, Lipscomb LE, Brewer RD, Gilbert BC. Binge drinking in the preconception period and the risk of unintended pregnancy: implications for women and their children. Pediatrics. 2003 May;111(5 Pt 2):1136-41. PMID: 12728126.
10. Nilsen RM, Leoncini E, Gastaldi P, Allegri V, Agostino R, Faravelli F, et al. Prevalence and determinants of preconception folic acid use: an Italian multicenter survey. Ital J Pediatr. 2016 Jul 13;42(1):65. doi: 10.1186/s13052-016-0278-z. PMID: 27411491; PMCID: PMC4944255.
11. Głąbska D, Książek A, Guzek D. Development and Validation of the Brief Folate-Specific Food Frequency Questionnaire for Young Women's Diet Assessment. Int J Environ Res Public Health. 2017 Dec 14;14(12):1574. doi: 10.3390/ijerph14121574. PMID: 29240683; PMCID: PMC5750992.
12. Schoenaker DA, Soedamah-Muthu SS, Callaway LK, Mishra GD. Pre-pregnancy dietary patterns and risk of gestational diabetes mellitus: results from an Australian population-based prospective cohort study. Diabetologia. 2015 Dec;58(12):2726-35. doi: 10.1007/s00125-015-3742-1. Epub 2015 Sep 10. PMID: 26358582.
13 Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009 Jul 21;6(7):e1000097. doi: 10.1371/journal.pmed.1000097. Epub 2009 Jul 21. PMID: 19621072; PMCID: PMC2707599.
14. Sterne JA, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016 Oct 12;355:i4919. doi: 10.1136/bmj.i4919. PMID: 27733354; PMCID: PMC5062054.
15. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996 Feb;17(1):1-12. doi: 10.1016/0197-2456(95)00134-4. PMID: 8721797.
16. Wells GA, Shea B, O'Connell D, et al. The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-analyses. Ottawa: Ottawa Hospital Research Institute. Available at http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp accessed 24 sep 2021
17. Herzog R, Álvarez-Pasquin MJ, Díaz C, Del Barrio JL, Estrada JM, Gil Á. Are healthcare workers' intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health. 2013 Feb 19;13:154. doi: 10.1186/1471-2458-13-154. PMID: 23421987; PMCID: PMC3602084.
18. Walker R, Kandel P, Hill B, Hills S, Dunbar J, Skouteris H. Practice nurses and providing preconception care to women in Australia: a qualitative study. Aust J Prim Health. 2021 Feb;27(1):13-21. doi: 10.1071/PY20072. PMID: 32895115. 19. Margerison 2020
20 . Ekstrand Ragnar M, Grandahl M, Stern J, Mattebo M. Important but far away: adolescents' beliefs, awareness and experiences of fertility and preconception health. Eur J Contracept Reprod Health Care. 2018 Aug;23(4):265-273. doi: 10.1080/13625187.2018.1481942. Epub 2018 Jul 16. PMID: 30010448.
21 . Richards J, Mousseau A. Community-based participatory research to improve preconception health among Northern Plains American Indian adolescent women. Am Indian Alsk Native Ment Health Res. 2012;19(1):154-85. doi: 10.5820/aian.1901.2012.154. PMID: 22569730.
22 . Harelick L, Viola D, Tahara D. Preconception health of low socioeconomic status women: assessing knowledge and behaviors. Womens Health Issues. 2011 Jul-Aug;21(4):272-6. doi: 10.1016/j.whi.2011.03.006. Epub 2011 May 24. PMID: 21602055.
23 . Dunlop AL, Dretler AW, Badal HJ, Logue KM. Acceptability and potential impact of brief preconception health risk assessment and counseling in the WIC setting. Am J Health Promot. 2013 Jan-Feb;27(3 Suppl):S58-65. doi: 10.4278/ajhp.120109-QUAL-7. PMID: 23286665.
24. Hillemeier MM, Weisman CS, Chase GA, Dyer AM, Shaffer ML. Women's preconceptional health and use of health services: implications for preconception care. Health Serv Res. 2008 Feb;43(1 Pt 1):54-75. doi: 10.1111/j.1475-6773.2007.00741.x. PMID: 18211518; PMCID: PMC2323151.
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