Preconception Care: Delivery Strategies and Packages for Care

Overview

Journal Reprod Health

Publisher Biomed Central

Specialty Reproductive Medicine

Date 2014 Nov 22

PMID 25415178

Citations 40

Authors

Zohra S Lassi

Sohni V Dean

Dania Mallick

Zulfiqar A Bhutta

Affiliations

Soon will be listed here.

Abstract

The notion of preconception care aims to target the existing risks before pregnancy, whereby resources may be used to improve reproductive health and optimize knowledge before conceiving. The preconception period provides an opportunity to intervene earlier to optimize the health of potential mothers (and fathers) and to prevent harmful exposures from affecting the developing fetus. These interventions include birth spacing and preventing teenage pregnancy, promotion of contraceptive use, optimization of weight and micronutrient status, prevention and management of infectious diseases, and screening for and managing chronic conditions. Given existing interventions and the need to organize services to optimize delivery of care in a logical and effective manner, interventions are frequently co-packaged or bundled together. This paper highlights packages of preconception interventions that can be combined and co-delivered to women through various delivery channels and provides a logical framework for development of such packages in varying contexts.

Citing Articles

Integrated multisectoral interventions to mitigate the risk of low birth weight in low- and middle-income country settings: Implementation considerations for programs from a WHO expert consultation.

J Glob Health. 2024; 14:03033.

PMID: 39268661 PMC: 11393790. DOI: 10.7189/jogh.14.03033.

Factors associated with the intention to practise family planning among antenatal women with risk of gestational diabetes mellitus in Klang Health District: A cross-sectional study.

Siti Athirah B, Mohd Hafiz S, Dong L, Lim P, Nasrinsa S, Nor Aliah M Malays Fam Physician. 2024; 19:38.

PMID: 39022789 PMC: 11253877. DOI: 10.51866/oa.487.

A Theoretical Exploration of Artificial Intelligence's Impact on Feto-Maternal Health from Conception to Delivery.

Yaseen I, Rather R Int J Womens Health. 2024; 16:903-915.

PMID: 38800118 PMC: 11128252. DOI: 10.2147/IJWH.S454127.

Preconception Care Interventions for Adolescents and Young Adults to Prevent Adverse Maternal and Child Health Outcomes: Protocol for an Evidence Gap Map.

Padhani Z, Tessema G, Avery J, Abdul Rahim K, Boyle J, Meherali S JMIR Res Protoc. 2024; 13:e56052.

PMID: 38788203 PMC: 11161710. DOI: 10.2196/56052.

Association between preconception care and family planning and previous adverse birth outcomes in Ethiopia: systematic review and meta-analysis.

Mekonnen B, Tsega S BMJ Open. 2024; 14(5):e078299.

PMID: 38719286 PMC: 11086204. DOI: 10.1136/bmjopen-2023-078299.

References

Dude A . Intimate partner violence and increased lifetime risk of sexually transmitted infection among women in Ukraine. Stud Fam Plann. 2007; 38(2):89-100. DOI: 10.1111/j.1728-4465.2007.00120.x. View

Metcalfe S, Jacques A, Archibald A, Burgess T, Collins V, Henry A . A model for offering carrier screening for fragile X syndrome to nonpregnant women: results from a pilot study. Genet Med. 2008; 10(7):525-35. DOI: 10.1097/gim.0b013e31817c036e. View

Guttler F, Lou H, Andresen J, Kok K, Mikkelsen I, NIELSEN K . Cognitive development in offspring of untreated and preconceptionally treated maternal phenylketonuria. J Inherit Metab Dis. 1990; 13(4):665-71. DOI: 10.1007/BF01799522. View

Leeners B, Rath W, Kuse S, Irawan C, Imthurn B, Neumaier-Wagner P . BMI: new aspects of a classical risk factor for hypertensive disorders in pregnancy. Clin Sci (Lond). 2006; 111(1):81-6. DOI: 10.1042/CS20060015. View

Alhamdan N, Almazrou Y, Alswaidi F, Choudhry A . Premarital screening for thalassemia and sickle cell disease in Saudi Arabia. Genet Med. 2007; 9(6):372-7. DOI: 10.1097/gim.0b013e318065a9e8. View

Martin S, Kilgallen B, Tsui A, Maitra K, Singh K, Kupper L . Sexual behaviors and reproductive health outcomes: associations with wife abuse in India. JAMA. 1999; 282(20):1967-72. DOI: 10.1001/jama.282.20.1967. View

Weller S, Davis K . Condom effectiveness in reducing heterosexual HIV transmission. Cochrane Database Syst Rev. 2002; (1):CD003255. DOI: 10.1002/14651858.CD003255. View

Saunders D . Feminist-cognitive-behavioral and process-psychodynamic treatments for men who batter: interaction of abuser traits and treatment models. Violence Vict. 1996; 11(4):393-414. View

Bhutta Z, Soofi S, Cousens S, Mohammad S, Memon Z, Ali I . Improvement of perinatal and newborn care in rural Pakistan through community-based strategies: a cluster-randomised effectiveness trial. Lancet. 2011; 377(9763):403-12. DOI: 10.1016/S0140-6736(10)62274-X. View

10.

Whitworth M, Dowswell T . Routine pre-pregnancy health promotion for improving pregnancy outcomes. Cochrane Database Syst Rev. 2009; (4):CD007536. PMC: 4164828. DOI: 10.1002/14651858.CD007536.pub2. View

11.

McCormack S, Ramjee G, Kamali A, Rees H, Crook A, Gafos M . PRO2000 vaginal gel for prevention of HIV-1 infection (Microbicides Development Programme 301): a phase 3, randomised, double-blind, parallel-group trial. Lancet. 2010; 376(9749):1329-37. PMC: 2956883. DOI: 10.1016/S0140-6736(10)61086-0. View

12.

Conde-Agudelo A, Belizan J, Breman R, Brockman S, Rosas-Bermudez A . Effect of the interpregnancy interval after an abortion on maternal and perinatal health in Latin America. Int J Gynaecol Obstet. 2005; 89 Suppl 1:S34-40. DOI: 10.1016/j.ijgo.2004.08.003. View

13.

McCauley J, Kern D, Kolodner K, Dill L, Schroeder A, DeChant H . The "battering syndrome": prevalence and clinical characteristics of domestic violence in primary care internal medicine practices. Ann Intern Med. 1995; 123(10):737-46. DOI: 10.7326/0003-4819-123-10-199511150-00001. View

14.

Klerman L, Cliver S, Goldenberg R . The impact of short interpregnancy intervals on pregnancy outcomes in a low-income population. Am J Public Health. 1998; 88(8):1182-5. PMC: 1508292. DOI: 10.2105/ajph.88.8.1182. View

15.

Decker M, Seage 3rd G, Hemenway D, Gupta J, Raj A, Silverman J . Intimate partner violence perpetration, standard and gendered STI/HIV risk behaviour, and STI/HIV diagnosis among a clinic-based sample of men. Sex Transm Infect. 2009; 85(7):555-60. PMC: 3623286. DOI: 10.1136/sti.2009.036368. View

16.

Heller S, Damm P, Mersebach H, Skjoth T, Kaaja R, Hod M . Hypoglycemia in type 1 diabetic pregnancy: role of preconception insulin aspart treatment in a randomized study. Diabetes Care. 2009; 33(3):473-7. PMC: 2827491. DOI: 10.2337/dc09-1605. View

17.

Peterson L, Taylor D, Roddy R, Belai G, Phillips P, Nanda K . Tenofovir disoproxil fumarate for prevention of HIV infection in women: a phase 2, double-blind, randomized, placebo-controlled trial. PLoS Clin Trials. 2007; 2(5):e27. PMC: 1876601. DOI: 10.1371/journal.pctr.0020027. View

18.

Wahabi H, Alzeidan R, Bawazeer G, Alansari L, Esmaeil S . Preconception care for diabetic women for improving maternal and fetal outcomes: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2010; 10:63. PMC: 2972233. DOI: 10.1186/1471-2393-10-63. View

19.

Bunnell R, Ekwaru J, Solberg P, Wamai N, Bikaako-Kajura W, Were W . Changes in sexual behavior and risk of HIV transmission after antiretroviral therapy and prevention interventions in rural Uganda. AIDS. 2005; 20(1):85-92. DOI: 10.1097/01.aids.0000196566.40702.28. View

20.

Arafa M, Alkhouly A, Youssef M . Influence of inter-pregnancy interval on preterm delivery. Paediatr Perinat Epidemiol. 2004; 18(4):248-52. DOI: 10.1111/j.1365-3016.2004.00564.x. View