Preconception care: Practice and beliefs of primary care workers

Abstract

The practitioners who responded to this survey agreed to a large extent about the importance of the subject, and about the content and effectiveness of PCC. Factors hindering the delivery of this service include resource constraints, lack of training and practice policies and procedures, and difficulty in targeting couples planning conception. Further research is needed into ways to increase the provision and uptake of PCC.

Preconception care for women with type 2 diabetes mellitus: A mixed-methods study of provider knowledge and practice

“…These findings concur with previous reports of high proportions of unplanned pregnancy (>50%) generally in Australia [38], and limited presentation for preconception care despite primary health care practitioners seeing this setting as ideal to provide preconception care [26] [27].…”

“…Firstly, a broad group of health practitioners recognised the feasibility of preconception care and identified appropriate guidelines for its delivery, with a strong focus on smoking, weight loss advice, peri-conception medication changes and glycaemic targets. While there are a number of studies examining general preconception care from the practitioner perspective both internationally [26] and within Australia [27], these do not focus on care for women with pre-existing type 2 diabetes or Aboriginal women. Consistent with our findings of low rates of preconception care among Aboriginal women, existing evidence has identified that uptake of preconception care among women with T2DM was less likely in women from minority ethnicities and socioeconomic deprivation [28][29][30].…”

“…Practitioners noted that a checklist within the routine medical software would not only offer a cognitive aid to instigate preconception care but would aid in its efficiency and quality. Other studies have also cited the use of checklists and software reminders, in addition to patient brochures, handouts and waiting room posters as practical systems developments to support preconception care [26,27,42]. Consultations for other reasons, such as attendance for infertility, were described as common opportunities for the provision of preconception care.…”

Current practice of preconception care by primary caregivers in the Netherlands

“…[20][21][22][23] Again, PCC in these studies seems to be limited to provision of one or more single pieces of advice rather than a standardised, dedicated and systematic consultation. PCC should be seen in light of countries' policies.…”

Preconception Counselling Needs Among Reproductive age Women

“…Bunun en büyük nedenleri çoğunlukla kadın doğum uzmanına başvurunun gebe kaldıktan sonra gerçekleşmesi, yeterli vakit ayrılamaması veya başvurularda sıklıkla yalnızca güncel soruna odaklanılmasıdır (19,20) . Pratisyenler ve aile hekimleri başta olmak üzere birinci basamak sağlık çalışanlarının gebelik öncesi bakımda önemli rolleri bulunmaktadır (14,15,19) . Ancak genellikle personelin konu hakkındaki bilgisi veya motivasyonları yetersizdir (14,19) .…”