Pilot Randomized Controlled Trial of an Interconception Intervention Provided by Public Health Nurses

Ravindran, Saranyah; Yoganathan, Shaira; Cairncross, Zoe F; Dennis, Cindy‐Lee; Enders, Joanne; Graves, Lisa; Mill, Catriona; Telner, Deanna; Brown, Hilary K.

doi:10.1007/s10995-020-02980-w

Cited by 2 publications

(5 citation statements)

References 23 publications

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“…Six studies were identified, scoring high (1) to moderate (5) quality. Pilot studies focused on outcomes, including nutritional supplementation, mental health outcomes, interconception care provision, and contraception and process evaluation of the studies 25–31 . Interconception care interventions can include risk assessments leading to tailored care, complex interventions and educational components, including counselling, multivitamin supplementation, peer support groups, walking programmes, contraception, mental health and substance support, and dental care 25,26 .…”

Section: Resultsmentioning

confidence: 99%

“…Pilot studies focused on outcomes, including nutritional supplementation, mental health outcomes, interconception care provision, and contraception and process evaluation of the studies. [25][26][27][28][29][30][31] Interconception care interventions can include risk assessments leading to tailored care, complex interventions and educational components, including counselling, multivitamin supplementation, peer support groups, walking programmes, contraception, mental health and substance support, and dental care. 25,26 Although none of these interventions were followed up to assess infant outcomes, they have improved women's uptake of multivitamins supplements, mental health support, use of contraception, physical exercise and dental care.…”

Section: Findings From Pilot Studies On Interconception Care During T...mentioning

confidence: 99%

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A scoping review of nutritional interventions and policy guidelines in the interconception period for prevention of noncommunicable diseases

Watson

Jacob

Giles

et al. 2022

Repro Female Child Health

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Introduction The interconception period is considered a time when parents are likely to engage with health messages and are in frequent contact with healthcare professionals. Through this scoping review and policy analysis, we synthesized articles and guidelines on interconception care to provide recommendations to improve health outcomes for parents, infants and future generations. Methods Four databases were searched systematically, using Medical Subject Headings and free‐text terms based on ‘interconception’ and ‘postpartum.’ Selected articles included systematic reviews, pilot studies and guidelines on interconception and postpartum interventions published globally and in English by UK public health organizations and government agencies between 1 January 2010 and 12 January 2021. Thirty percent of titles, abstracts and full‐text papers were double‐screened. The description table of identified guidelines was used as a template to qualitatively generate key categories, which later developed into a framework of six domains. Findings are described using a narrative synthesis approach. Results We found 47 documents with guidelines, 29 systematic reviews and 6 pilot studies on interconception and postpartum care. Six domains were generated as follows: interconception care, nutrition‐specific, nutrition‐sensitive, personal‐centred care, health professional, and multistakeholder approach. Interconception care opportunities include the postpartum period, family planning, routine practice and risk assessments. Health and nonhealthcare professionals with roles to play in the interconception period include general pratitioners, health visitors, dieticians, nutritionists, health psychologists, community groups, local authorities and charities such as Tommy's and First Step Nutrition. Conclusions The interconception and postpartum periods offer crucial opportunities to intervene, to reduce possible long‐term effects of suboptimal nutrition. Although the policy analysis for this scoping review focused on the United Kingdom, the literature review had a global focus and the recommendations can have wider implications for other countries.

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Section: Resultsmentioning

confidence: 99%

Section: Findings From Pilot Studies On Interconception Care During T...mentioning

confidence: 99%

A scoping review of nutritional interventions and policy guidelines in the interconception period for prevention of noncommunicable diseases

Watson

Jacob

Giles

et al. 2022

Repro Female Child Health

View full text Add to dashboard Cite

show abstract

“…For example, the delivery of efficacious forms of contraception care, such as long-acting reversible contraception, often require a return appointment. 40 The integration of ICC into other appointments, such as for the child, is one solution proposed by international ICC experts, 16 , 17 , 19 , 20 , 41 provided that mechanisms supporting this care include adequate provider remuneration and guidelines. 16 …”

Section: Discussionmentioning

confidence: 99%

“…26,27 While existing international empirical primary health care literature recognises interconception as a distinct life stage, it primarily comprises of consumer and health professional surveys or inductively analysed data about ICC implementation enablers, barriers, feasibility and acceptability. [26][27][28][29][30][31][32] This study seeks to fill a gap in this research by interviewing Australian GPs about interconception care.…”

Section: **Table 1**mentioning

confidence: 99%

“…For example, the delivery of efficacious forms of contraception care, such as long-acting reversible contraception, often require a return appointment. 41 The integration of ICC into other appointments such as for the child is one solution proposed by international ICC experts, 28,29,31,32,42 provided that mechanisms supporting this care include adequate provider remuneration and guidelines. 28 A broader women's health agenda Health optimisation through the prevention and management of lifestyle risk, biomedical risk factors and adverse pregnancy outcomes were not discussed by participants unless there was concern about a recurrence of poor pregnancy outcome.…”

Section: Integrating Icc Into Practicementioning

confidence: 99%

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Interconception care in Australian general practice: a qualitative study

James,

Watson,

Bernard

et al. 2023

Br J Gen Pract

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Background: General practitioners (GPs) provide care for women across the lifespan. This care currently includes preconception and postpartum phases of a woman’s life. Interconception care (ICC) addresses women’s health issues between pregnancies that then have impact on maternal and infant outcomes, such as lifestyle and biomedical risks, interpregnancy intervals and contraception provision. However, ICC in general practice is not well established. Aim: To explore GP perspectives about ICC. Design and setting: Qualitative interviews were undertaken with GPs between May and July 2018. Methods: 18 GPs were purposively recruited from south-eastern Australia. Audio-recorded semi-structured interviews were transcribed verbatim and analysed thematically using the Framework Method. Results: Most participants were unfamiliar with the concept of interconception care. Delivery was mainly opportunistic, depending on the woman’s presenting need. Rather than a distinct and required intervention, participants conceptualised components of ICC as forming part of routine practice. GPs described many challenges including lack of clarity about recommended ICC content and timing, lack of engagement and perceived value from mothers and time constraints during consultations. Facilitators included care continuity and the availability of patient education material. Conclusion: Findings indicate that ICC is not a familiar concept for GPs who feel that they have limited capacity to deliver such care. Further research to evaluate patient perspectives and potential models of care is required before ICC improvements can be developed, trialled and evaluated. These models could include the co-location of multidisciplinary services and services in combination with well child visits.

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Pilot Randomized Controlled Trial of an Interconception Intervention Provided by Public Health Nurses

Cited by 2 publications

References 23 publications

A scoping review of nutritional interventions and policy guidelines in the interconception period for prevention of noncommunicable diseases

A scoping review of nutritional interventions and policy guidelines in the interconception period for prevention of noncommunicable diseases

Interconception care in Australian general practice: a qualitative study

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