Preconception care: a 2008 update
Abstract
PURPOSE OF REVIEW: This study reviews what we know about preconception care, its definition, goals, and content; the science behind the recommended interventions; opportunities for implementing preconception care; and the challenges facing its implementation. RECENT FINDINGS: There is solid scientific evidence that many interventions will improve pregnancy outcomes if delivered before pregnancy or early in pregnancy. Experts continue to explore the most effective means for implementing preconception care, taking into consideration issues related to policy, finance, public health practice, research/surveillance, and consumer and provider education. SUMMARY: Over the past 4 years, there has been renewed interest and a great emphasis on preconception health and healthcare as alternative and additional approaches to counter the persistent increasing incidence in adverse pregnancy outcomes in the United States. Following the publication of the 'Recommendations to Improve Preconception Health and Healthcare' in 2006, many state and local health departments initiated programs to implement the recommendations. Several countries such as Canada, Belgium, and the Netherlands have also started to implement preconception care programs. There are many opportunities for promoting preconception health and providing preconception care; however, making preconception care a standard practice continues to face many barriers.
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Addressing risk factors before pregnancy can lead to healthier pregnancies and lower chances of adverse birth outcomes.
“By identifying and intervening on risk factors, women can have a healthier pregnancy and a decreased risk for adverse birth outcomes.1,2”
From Reaching Women through Health Information Technology: The Gabby Preconception Care System (2013) · cites this paper as [2]
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- Authors
- Atrash, H., Jack, B. W., & Johnson, K.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Boston University (US)
- Corresponding author
- Atrash, Hani
- Venue
- Current Opinion in Obstetrics & Gynecology
- Published
- 2008-12
- Volume
- 20
- Issue
- 6
- Pages
- 581-589
- ISSN
- 1040-872X (ISSN-L)
- OpenAlex
- W1995831360
- Cited by
- 58
- References
- 48
- Citations by year
- 2025: 1 · 2022: 2 · 2021: 2 · 2020: 8 · 2018: 3 · 2017: 3 · 2016: 7 · 2015: 6 · 2014: 6 · 2013: 8 · 2012: 5
- FWCI
- 0.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- preconception care, preconception health, adverse pregnancy outcomes, health policy, health care financing, public health practice, provider education, consumer education, pregnancy surveillance, state and local health departments
- MeSH terms
- Adult, Female, Health Promotion, Humans, Infant, Newborn, Obstetrics, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Public Health, Preconception Care, Perinatal Care
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