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The effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: A systematic review

Background Reproductive health and pregnancy outcomes may be improved if reproductive risk assessment is moved from antenatal to preconception period. Primary care has been highlighted as an ideal setting to offer preconception assessment, yet the effectiveness in this setting is still unclear....

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Main Authors: Hussein, N., Qureshi, N., Kai, J.
Format: Conference or Workshop Item
Language:English
Published: 2017
Subjects:
R Medicine
RG Gynecology and obstetrics
Online Access:http://eprints.um.edu.my/18116/1/Abstract_preconception_intervention.pdf
http://eprints.um.edu.my/18116/
https://www.cmecde.com/2nd-international-conference-on-general-practice-primary-care-september-18-19-2017-zurich-switzerland/
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spelling my.um.eprints.181162017-11-16T01:44:12Z http://eprints.um.edu.my/18116/ The effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: A systematic review Hussein, N. Qureshi, N. Kai, J. R Medicine RG Gynecology and obstetrics Background Reproductive health and pregnancy outcomes may be improved if reproductive risk assessment is moved from antenatal to preconception period. Primary care has been highlighted as an ideal setting to offer preconception assessment, yet the effectiveness in this setting is still unclear. Objective To evaluate the effectiveness of preconception interventions on improving reproductive health and pregnancy outcomes in primary care. Method MEDLINE, CINAHL, EMBASE and PsycINFO databases were searched from July 1999 to end of July 2015. Only interventional studies with a comparator were included. Results Eight randomised controlled trials were eligible. Preconception interventions involved multifactorial or single reproductive health risk assessment, education and counselling and the intensity ranged from brief involving a single session within a day to intensive involving more than one session over several weeks. Five studies recruited women planning pregnancy. Four studies involved multifactorial risks interventions; two were brief and the others were intensive. Four studies involved single risk intervention, addressing folate or alcohol. There was some evidence that both multifactorial and single risk interventions improved maternal knowledge; self-efficacy and health locus of control; and risk behaviour, irrespective of whether brief or intensive. There was no evidence to support reduced adverse pregnancy outcomes. One study reported no undue anxiety. The quality of the studies was moderate to poor. Conclusion The evidence from eligible studies is limited to inform future practice in primary care. Nevertheless, this review has highlighted that women who received preconception education and counselling were more likely to have improved knowledge, self-efficacy and health locus of control and risk behaviour. More studies are needed to evaluate the effects on adverse pregnancy outcomes. 2017 Conference or Workshop Item PeerReviewed application/pdf en http://eprints.um.edu.my/18116/1/Abstract_preconception_intervention.pdf Hussein, N. and Qureshi, N. and Kai, J. (2017) The effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: A systematic review. In: 2nd International Conference in General Practice & Primary Care 2017, 18-19 September 2017, Hilton Zurich, Zurich, Switzerland. (Unpublished) https://www.cmecde.com/2nd-international-conference-on-general-practice-primary-care-september-18-19-2017-zurich-switzerland/
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
language English
topic R Medicine
RG Gynecology and obstetrics
spellingShingle R Medicine
RG Gynecology and obstetrics
Hussein, N.
Qureshi, N.
Kai, J.
The effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: A systematic review
description Background Reproductive health and pregnancy outcomes may be improved if reproductive risk assessment is moved from antenatal to preconception period. Primary care has been highlighted as an ideal setting to offer preconception assessment, yet the effectiveness in this setting is still unclear. Objective To evaluate the effectiveness of preconception interventions on improving reproductive health and pregnancy outcomes in primary care. Method MEDLINE, CINAHL, EMBASE and PsycINFO databases were searched from July 1999 to end of July 2015. Only interventional studies with a comparator were included. Results Eight randomised controlled trials were eligible. Preconception interventions involved multifactorial or single reproductive health risk assessment, education and counselling and the intensity ranged from brief involving a single session within a day to intensive involving more than one session over several weeks. Five studies recruited women planning pregnancy. Four studies involved multifactorial risks interventions; two were brief and the others were intensive. Four studies involved single risk intervention, addressing folate or alcohol. There was some evidence that both multifactorial and single risk interventions improved maternal knowledge; self-efficacy and health locus of control; and risk behaviour, irrespective of whether brief or intensive. There was no evidence to support reduced adverse pregnancy outcomes. One study reported no undue anxiety. The quality of the studies was moderate to poor. Conclusion The evidence from eligible studies is limited to inform future practice in primary care. Nevertheless, this review has highlighted that women who received preconception education and counselling were more likely to have improved knowledge, self-efficacy and health locus of control and risk behaviour. More studies are needed to evaluate the effects on adverse pregnancy outcomes.
format Conference or Workshop Item
author Hussein, N.
Qureshi, N.
Kai, J.
author_facet Hussein, N.
Qureshi, N.
Kai, J.
author_sort Hussein, N.
title The effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: A systematic review
title_short The effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: A systematic review
title_full The effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: A systematic review
title_fullStr The effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: A systematic review
title_full_unstemmed The effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: A systematic review
title_sort effects of preconception interventions on improving reproductive health and pregnancy outcomes in primary care: a systematic review
publishDate 2017
url http://eprints.um.edu.my/18116/1/Abstract_preconception_intervention.pdf
http://eprints.um.edu.my/18116/
https://www.cmecde.com/2nd-international-conference-on-general-practice-primary-care-september-18-19-2017-zurich-switzerland/
_version_ 1643690613675130880
score 13.211869

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