Acceptability and Potential Impact of Brief Preconception Health Risk Assessment and Counseling in the WIC Setting

Dunlop, Anne L.; Dretler, Alexandra W.; Badal, Hannah; Logue, Kristi M.

doi:10.4278/ajhp.120109-qual-7

Cited by 13 publications

(11 citation statements)

References 10 publications

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“…Nine studies examined the effects of interventions on preconception education [ 29 , 39 , 56 , 57 , 58 , 59 , 60 , 61 , 62 ]. Changes in knowledge of preconception health, self-efficacy on behavioral change and actual behavioral change were evaluated in response to varied intervention approaches: individualized education interventions [ 37 , 39 , 56 , 57 , 58 , 60 , 61 , 62 ], group interventions [ 59 ] and eHealth interventions [ 37 , 61 ]. Despite the acknowledgement of obesity’s risk on having a healthy pregnancy, some studies did not include obesity-related measures as preconception intervention outcomes [ 39 , 57 , 61 ].…”

Section: Resultsmentioning

confidence: 99%

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Preconception Care to Reduce the Risks of Overweight and Obesity in Women of Reproductive Age: An Integrative Review

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Braxter

et al. 2021

IJERPH

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Despite adverse pregnancy outcomes for women with overweight or obesity, preconception guidelines for achieving optimal wellness for women contemplating pregnancy regarding the risks of overweight or obesity are varied based upon national affiliation. The aim of this study was to synthesize the best evidence related to preconception counseling and care focused on overweight or obesity provided to women of reproductive age. An integrative review of original studies was conducted. PubMed, Cumulative Index in Nursing and Allied Health Literature, Ovid, Scopus, Web of Science, and Embase were included. Full-text, data-based articles were searched from 2009 to 2018, with reviews and synthesis completed in 2019 and 2020. Of 8703 initial articles, 31 articles remained in the review. Quality assessment and level of evidence were evaluated based upon criteria from the Joanna Briggs Institute and the Johns Hopkins Nursing Evidence-Based Practice Quality Guide. The level of evidence for the majority of studies was non-experimental but they were of good quality with appropriate methods, samples and relevant results. Limited attention and interest in preconception counseling regarding risks of overweight or obesity by health care professionals were noted, which may contribute to women’s unawareness of these risks on preconception health.

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Section: Resultsmentioning

confidence: 99%

“…Most interventions were focused on general preconception education such as taking folic acid supplementation and alcohol cessation [ 37 , 39 , 57 , 58 , 59 , 61 ]. Approximately half of the studies were focused on the reduction of obesity risks to have a healthy pregnancy [ 37 , 56 , 60 , 61 ].…”

Section: Resultsmentioning

confidence: 99%

Preconception Care to Reduce the Risks of Overweight and Obesity in Women of Reproductive Age: An Integrative Review

Cha

Smart

Braxter

et al. 2021

IJERPH

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“…In light of these developments, and the higher prevalence of important risk behaviours in sub-groups including women with lower socio-economic status [ 21 , 23 ] and teenagers [ 24 ], attempts have been made to inform women of childbearing age and modify preconception health behaviours through the development of health policy and guidelines alongside the implementation of preconception care programs within the community [ 25 - 29 ].…”

Section: Introductionmentioning

confidence: 99%

The prevalence and nature of the use of preconception services by women with chronic health conditions: an integrative review

2015

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BackgroundThere is growing evidence that preconception care may have an important role in preventing short and long term adverse health consequences for women and their offspring. This is particularly the case for women with chronic health conditions due to the rising prevalence of chronic disease in global populations. With this in mind, this paper presents an integrative systematic review of contemporary research outlining the use of preconception services and practices by women with chronic health conditions.MethodsA search was conducted through PubMed, CINAHL, AMED, and Maternity and Infant Care databases which identified 672 papers examining preconception care and preconception services for women with chronic health conditions. Fourteen papers which were written in English, presented original research, and reported on the prevalence or nature of use of preconception care by women with chronic health conditions were included in the review. Critical appraisal of study quality and thematic categorical grouping of identified papers was undertaken.ResultsCurrent research evidence, as identified through this review, examines three major topic areas: the prevalence of preconception care practices, use of services and characteristics of users; knowledge of the value and impact of preconception care and availability of preconception services for women with chronic health conditions; and women’s attitudes, approaches and experiences of preconception care and preconception services. Prevalence estimates of engagement with preconception care range between 18.1% and 45%, with most studies focusing on women with type 1 or 2 diabetes. Significant gaps in women’s knowledge of preconception care for women with chronic health conditions were also identified. Women with chronic health conditions reported experiencing emotional distress as a result of their engagement with preconception care services. They also commonly described feeling a need to employ discipline to comply with preconception care programs, and experiencing a fear of pregnancy complications.ConclusionFuture research requires a broad and sophisticated approach to research design and analysis, improved consideration of temporal changes to women’s health behaviour, representative samples to more effectively inform health policy, and a deeper understanding of women’s motivations, attitudes and perceptions of preconception care to assist in the development of tailored preconception health services.

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“…24,25 To date, the literature examining optimal strategies to provide patient-centered PCC counseling and care is limited. Evidence from small qualitative studies suggests that many women value discussions about preconception health; [26][27][28][29] however, attitudes toward preconception counseling vary based on a woman's current feelings or intentions regarding future pregnancy. For example, women not seeking to be pregnant or who are uncertain about their pregnancy goals may feel that PCC is irrelevant at the time of a clinical visit.…”

Section: Preconception Care Backgroundmentioning

confidence: 99%

Preconception Care in the Veterans Health Administration

et al. 2018

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Preconception care (PCC), defined as a set of interventions to help women optimize their health and well-being prior to pregnancy, can improve pregnancy outcomes and is recommended by national organizations including the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists. Women Veterans who use the Department of Veterans Affairs (VA) health care system may face elevated risks of adverse pregnancy and birth outcomes due to a high prevalence of chronic medical and mental health conditions as well as psychosocial stressors including sexual trauma history and intimate partner violence. Many women Veterans of childbearing age experience poverty and homelessness, which are key social determinants of poor reproductive health outcomes. Furthermore, racial/ethnic disparities in maternal and neonatal outcomes are well documented, and nearly half of women Veterans of reproductive age are minority race/ethnicity. High-quality, equitable, patient-centered PCC services to address modifiable risks in this population are therefore a priority for VA. In this article, we provide a brief background of PCC, discuss the health risks of Veterans associated with adverse pregnancy outcomes, and highlight VA initiatives related to PCC. Lastly, we discuss implications and future directions for PCC research and policy within VA and across other health systems.

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Acceptability and Potential Impact of Brief Preconception Health Risk Assessment and Counseling in the WIC Setting

Abstract: WIC constitutes a suitable location for identifying low-income African-American women in need of preconception and reproductive health services and at risk for poor reproductive health outcomes.

Cited by 13 publications

References 10 publications

Preconception Care to Reduce the Risks of Overweight and Obesity in Women of Reproductive Age: An Integrative Review

Preconception Care to Reduce the Risks of Overweight and Obesity in Women of Reproductive Age: An Integrative Review

The prevalence and nature of the use of preconception services by women with chronic health conditions: an integrative review

Preconception Care in the Veterans Health Administration

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