Intervention during the Perinatal Period: Synthesis of the Clinical Practice Guidelines from the French National College of Midwives

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Introduction We are exposed to numerous pollutants inside our homes. The perinatal period represents a particular window of vulnerability during which these exposures can have negative health effects over a more or less long term. The objective of this article is to formulate guidelines for health care professionals and intended for parents to reduce exposure to chemical pollutants at home, based on the scientific literature and already existing guidelines. Methods We have followed the methodological procedures set forth by the French authority for health (HAS) to establish guidelines to limit exposure to pollutants in homes. This narrative review of the scientific literature was conducted with two principal objectives: (1) to identify priority substances emitted within homes and that have a reprotoxic potential and (2) to identify measures to limit exposure to these residential pollutants. The guidelines were developed from the data in the literature and from advice already made available by diverse institutions about environmental health during the perinatal period. Results Domestic pollutants are numerous and come from both common (that is, shared, eg, painting, cleaning, and maintenance work) and specific (use of household pesticides) sources. Numerous pollutants are suspected or known to produce developmental toxicity, that is, to be toxic to children during developmental stages. Removing some products from the home, protecting the vulnerable (ie, pregnant women and young children) from exposure, and airing the home are among the preventive measures proposed to limit exposure to these chemical substances. Conclusion Health care professionals can provide advice to parents during the perinatal period to diminish exposure to household pollutants. The lack of interventional studies nonetheless limits the level of evidence for most of these recommendations.

“…The recommendations issued are universal and are also applicable to homes even when no pregnancy is envisioned. A synthesis of these guideline are presented elesewhere 173 …”

Section: Discussionmentioning

confidence: 99%

Domestic Exposure to Chemicals in Household Products, Building Materials, Decoration, and Pesticides: Guidelines for Interventions During the Perinatal Period from the French National College of Midwives

Rousseau¹,

Rouzeau

Bainvel

et al. 2022

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“…The authors thank: the coordinators (Chloé Barasinski, Clermont‐Ferrand; Rémi Béranger, Rennes; Catherine Salinier, Gradignan; Cécile Zaros, Paris) and the experts in the working group (Julie Bercherie, Paris; Jonathan Bernard, Paris; Nathalie Boisseau, Clermont‐Ferrand; Aurore Camier, Paris; Corinne Chanal, Montpellier; Bérénice Doray, la Réunion; Romain Dugravier, Paris; Anne Evrard, Lyon; Anne‐Sophie Ficheux, Brest; Ronan Garlantézec, Rennes; Manik Kadawathagedara, Rennes; Anne Laurent‐Vannier, Saint‐Maurice; Marion Lecorguillé, Paris; Cécile Marie, Clermont‐Ferrand; Françoise Molénat, Montpellier; Fabienne Pelé, Rennes; Brune Pommeret de Villepin, Lille; Mélie Rousseau, Loos; Virginie Rigourd, Paris; Laurent Storme, Lille; Stéphanie Weiss, Chambéry), who contributed the discussions, as well as to the production and validation of this text. The authors also thank the members of the reading group who read all of the texts (complete list presented in the synthesis 117 ).…”

Section: Acknowledgmentsmentioning

confidence: 99%

Weight Changes, Nutritional Intake, Food Contaminants, and Supplements in Women of Childbearing Age, including Pregnant Women: Guidelines for Interventions during the Perinatal Period from the French National College of Midwives

Lecorguillé

Camier

Kadawathagedara

2022

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Adequate maternal nutrition is crucial for a healthy pregnancy and optimal fetal growth. Many women in France of childbearing age start their pregnancy in an unfavorable nutritional status. Recent studies highlight the value of paying attention to weight issues from the preconceptional period. It is important to call attention to the need for folate supplementation and to promote a varied and balanced diet throughout pregnancy to cover essential nutritional needs.

“…The authors thank: the coordinators (Chloé Barasinski Stéphanie Weiss, Chambéry), who contributed the discussions, as well as to the production and validation of this text. The authors also thank the members of the reading group who read all of the texts (complete list presented in the synthesis 78 ).…”

Section: Acknowledgmentsmentioning

confidence: 99%

Beneficial Effects of Maternal Physical Activity during Pregnancy on Fetal, Newborn, and Child Health: Guidelines for Interventions during the Perinatal Period from the French National College of Midwives

Guinhouya¹,

Duclos

Enéa

et al. 2022

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The objective of this work is to synthesize current knowledge about the effects of maternal physical activity during pregnancy on children's health. During the prenatal and postnatal periods, maternal physical activity has protective effects against the risks of macrosomia, obesity, and other associated cardiometabolic disorders. Even though longitudinal studies in humans are still necessary to validate them, these effects have been consistently observed in animal studies. A remarkable effect of maternal physical activity is its positive role on neurogenesis, language development, memory, and other cognitive functions related to learning.