Dutch community midwives’ views on preconception care

Heesch, P. N. A. C. M. van; Weerd, Sabina de; Kotey, Sandra; Steegers, Eric A.P.

doi:10.1016/j.midw.2005.06.003

Cited by 29 publications

(30 citation statements)

References 6 publications

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“…The results showed that GPs and midwives occasionally provided a recommendation about a single PCC risk. [14][15][16] The studies, however, do not provide data about the frequency of PCC activities and the extent to which PCC consultations were systematic. Therefore, we cannot reflect on whether delivery of standardised PCC consultations has changed over time.…”

Section: Differences In Results and Conclusion In Relation To Other mentioning

confidence: 99%

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Current practice of preconception care by primary caregivers in the Netherlands

Voorst

Plasschaert

Jong-Potjer

et al. 2016

The European Journal of Contraception & Reproductive Health

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Objectives: Over the past decade the value of preconception care (PCC) consultations has been acknowledged. Investments have been made to promote delivery and uptake of PCC consultations in the Dutch primary care setting. We assessed current activities, perceptions and prerequisites for delivery of PCC in primary care. Methods: A questionnaire was compiled and distributed by mail or e-mail among 1682 general practitioners (GPs) and 746 midwives in the Netherlands between 2013 and 2014. Results: The questionnaire was completed by 449 GPs and 250 midwives. While GPs and midwives were frequently asked about preconception risks, explicit requests by patients for a PCC consultation were less frequent. Although caregivers gave information on preconception risk factors, only a minority recommended PCC in the form of a dedicated consultation. Such consultations occurred infrequently. Risk factor assessment varied between GPs and midwives. Respondents' perceptions of PCC consultations, however, were generally positive. A small proportion believed that PCC medicalised pregnancy, and recognised barriers in actively raising the topic of patients' pregnancy wishes. More training, staff, promotion of PCC and adequate reimbursement were prerequisites for future delivery. GPs differed in their opinion of whether they or midwives were primarily responsible for PCC consultations. Midwives, however, saw themselves as responsible for providing PCC consultations. Conclusions: Primary care is underserving prospective parents with regards to PCC consultations. Targets to increase delivery of systematic PCC are: (1) promotion during routine care; (2) increased use of tools; (3) increased collaboration among primary caregivers; (4) reduction of caregivers' negative perceptions; and (5) tailoring PCC consultations to suit women's preferences. ARTICLE HISTORY

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Section: Differences In Results and Conclusion In Relation To Other mentioning

confidence: 99%

“…Despite the aforementioned developments, PCC consultations remain scarce. [14][15][16] No studies have, however, assessed what primary caregivers actually do with regard to PCC consultations. This study therefore aimed to establish to what extent Dutch GPs and midwives currently promoted and provided individual PCC consultations.…”

Section: Introductionmentioning

confidence: 99%

Current practice of preconception care by primary caregivers in the Netherlands

Voorst

Plasschaert

Jong-Potjer

et al. 2016

The European Journal of Contraception & Reproductive Health

View full text Add to dashboard Cite

show abstract

“…According to the study by van Heesch et al, provision of more training to health care workers is recommended to increase their knowledge and pre-pregnancy services (16). Increased knowledge and awareness are essential factors to improve practice.…”

Section: Discussionmentioning

confidence: 99%

“…The study by van Heesch et al in the Netherlands indicated that midwives mentioned that the accessible preconception care and its effects are important factors to achieve the goals of improving maternal health during pregnancy, however longer time is needed to improve practice and increase knowledge and awareness (16).…”

Section: Introductionmentioning

confidence: 99%

Socio-Demographic Predictors of Midwives’ Knowledge and Practice Regarding Preconception Care

Sattarzadeh¹,

Farshbaf‐Khalili²,

Khari³

2017

International Journal of Women’s Health and Reproduction Scienc

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“…Cross-sectional studies from The Netherlands (40)(41)(42) and one from the UK (43) indicated that most women, doctors and other relevant health professionals support the idea of preconception care, although in practice it happens rarely. Lack of time and possibly motivation and prioritisation among health professionals appear to be important barriers.…”

Section: Preconception Carementioning

confidence: 99%

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

Stockley

Lund

2008

Public Health Nutr.

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Objective: To provide a basis for making recommendations on the potential to improve use of folic acid supplements in the UK, particularly among low-income and young women. Design: Systematic reviews of relevant research from 1989 to May 2006 in Europe, the USA, Canada, Australia and New Zealand. Results: Twenty-six systematic reviews and/or meta-analyses were identified from the wider public health literature, and eighteen studies on the effectiveness of preconception interventions were included. Ninety studies were identified which were directly relevant to folic acid supplement intake. There were factors that are particularly associated with lower rates of use of folic acid supplements. One of the most important of these is the link with unintended pregnancy, followed by age, socio-economic and ethnic group. Integrated campaigns can increase the use of folic acid supplements to some extent. Research trials indicated that: (i) printed resources and the mass media used in isolation are not effective in the longer term; and (ii) health-care-based initiatives can be effective and are more likely to be successful if they include making supplements easily available. Conclusions: Campaigns and interventions have the potential to exacerbate socioeconomic inequalities in folic acid use. One way of addressing this is to include elements that specifically target vulnerable women. To achieve and maintain an effect, they need to be based on good health promotion practice and to be sustained over a long period. However, even high-quality campaigns that increase use result in under half of women in the target group taking supplements. Keywords Folate Folic acid Supplements Neural tube defects Public health policies/interventionsThe overall aim of the work described in the present paper was to use a systematic approach to carry out literature reviews of research that has been done on influencing low-income groups, particularly girls/young women, to change their behaviour in relation to health. The intention was to provide a basis for making evidencebased recommendations on the potential to improve use of folic acid supplements in the UK.This was achieved by carrying out three complementary reviews. The first two of these provided a basis for the main (third) review. They were intended to assess whether there are findings from the wider public health literature (rather than work focusing specifically on folic acid) that might inform the development of effective interventions to increase use of folic acid supplements. Review 1 identified published systematic reviews or meta-analyses of initiatives that required 'positive precautionary action' by women. Review 2 identified research relevant to the effectiveness of different approaches to preconception interventions on behaviour. Review 3 formed the main part of the work, and focused specifically on quantitative or qualitative research aimed at encouraging women, particularly girls/young women and those from low-income groups, to take folic acid in the periconceptional p...

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Dutch community midwives’ views on preconception care

Cited by 29 publications

References 6 publications

Current practice of preconception care by primary caregivers in the Netherlands

Current practice of preconception care by primary caregivers in the Netherlands

Socio-Demographic Predictors of Midwives’ Knowledge and Practice Regarding Preconception Care

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

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