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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2017

Open Access 01-12-2017 | Research article

Parental perspectives on the awareness and delivery of preconception care

Authors: M. Poels, M. P. H. Koster, A. Franx, H. F. van Stel

Published in: BMC Pregnancy and Childbirth | Issue 1/2017

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Abstract

Background

The attention for Preconception Care (PCC) has grown substantially in recent years, yet the implementation of PCC appears challenging as uptake rates remain low. The objective of this study was to assess parental perspectives on how PCC should be provided.

Methods

Recruitment of participants took place among couples who received antenatal care at a Dutch community midwifery practice. Between June and September 2014, five focus group sessions were held with 29 women and one focus group session with 5 men. Thematic analysis was conducted using NVivo 10 software.

Results

Participants were generally unfamiliar with the concept of PCC. It was proposed to raise awareness by means of a promotional campaign, stipulating that PCC is suited for every couple with a (future) child wish. Suggestions were made to display marketing materials in both formal and informal (local community) settings. Addressing existing social networks and raising social dialogue was expected to be most efficient. It was recommended to make PCC more accessible by offering multiple forms and to involve male partners. Opportunistic offering PCC by healthcare providers was considered more acceptable when the subject was deliberately raised, for example while discussing contraceptives, lifestyle risks or drug prescriptions. GP’s or midwifes were regarded the most suitable PCC providers, however provider characteristics such as experience, empathy and communication skills were considered more important.

Conclusions

This study showed that from the parental perspective it is recommended to address every couple with a (future) child wish by means of enlarging the awareness and accessibility of PCC. In order to enlarge the awareness, it is recommended to address social networks, to raise the social dialogue and to conduct promotional campaigns regarding PCC. In order to improve the accessibility of PCC, it was suggested to simultaneously offer multiple forms: group sessions, individual consultations, walk-in-hours and online sessions, and to involve male partners.
Literature
1.
2.
Steegers-Theunissen RP, Twigt J, Pestinger V, Sinclair KD. The periconceptional period, reproduction and long-term health of offspring: the importance of one-carbon metabolism. Hum Reprod Update. 2013;19(6):640–55.CrossRefPubMed
3.
Jack BW, Atrash H, Coonrod DV, Moos MK, O'Donnell J, Johnson K. The clinical content of preconception care: an overview and preparation of this supplement. Am J Obstet Gynecol. 2008;199(6 Suppl 2):S266–79.CrossRefPubMed
4.
van der Pal-de Bruin KM, le Cessie S, Elsinga J, de Jong-Potjer LC, van Haeringen A, Neven AK, Verloove-Vanhorick SP, Assendelft P. Pre-conception counselling in primary care: prevalence of risk factors among couples contemplating pregnancy. Paediatr Perinat Epidemiol. 2008;22(3):280–7.CrossRefPubMed
5.
Jack BW, Culpepper L, Babcock J, Kogan MD, Weismiller D. Addressing preconception risks identified at the time of a negative pregnancy test. A randomized trial. J Fam Pract. 1998;47(1):33–8.PubMed
6.
Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, Parker CS, Boulet S, Curtis MG, CDC/ATSDR Preconception Care Work Group, Select Panel on Preconception Care: Recommendations to improve preconception health and health care--United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep. 2006;55(RR-6):1–23.PubMed
7.
Lu MC. Recommendations for preconception care. Am Fam Physician. 2007;76(3):397–400.PubMed
8.
Hosli EJ, Elsinga J, Buitendijk SE, Assendelft WJ, van der Pal-de Bruin KM. Women's motives for not participating in preconception counseling: qualitative study. Community Genet. 2008;11(3):166–70.PubMed
9.
de Weerd S, Steegers EA. The past and present practices and continuing controversies of preconception care. Community Genet. 2002;5(1):50–60.CrossRefPubMed
10.
Shannon GD, Alberg C, Nacul L, Pashayan N. Preconception healthcare delivery at a population level: construction of public health models of preconception care. Matern Child Health J. 2014;18(6):1512–31.CrossRefPubMed
11.
Biermann J, Dunlop AL, Brady C, Dubin C, Brann A Jr. Promising practices in preconception care for women at risk for poor health and pregnancy outcomes. Matern Child Health J. 2006;10(5 Suppl):S21–8.CrossRefPubMed
12.
13.
Elsinga J, de Jong-Potjer LC, van der Pal-de Bruin KM, le Cessie S, Assendelft WJ, Buitendijk SE. The effect of preconception counselling on lifestyle and other behaviour before and during pregnancy. Womens Health Issues. 2008;18(6 Suppl):S117–25.CrossRefPubMed
14.
Hammiche F, Laven JS, van Mil N, de Cock M, de Vries JH, Lindemans J, Steegers EA, Steegers-Theunissen RP. Tailored preconceptional dietary and lifestyle counselling in a tertiary outpatient clinic in The Netherlands. Hum Reprod. 2011;26(9):2432–41.CrossRefPubMed
15.
Williams L, Zapata LB, D'Angelo DV, Harrison L, Morrow B. Associations between preconception counseling and maternal behaviors before and during pregnancy. Matern Child Health J. 2012;16(9):1854–61.CrossRefPubMed
16.
Mazza D, Chapman A. Improving the uptake of preconception care and periconceptional folate supplementation: what do women think? BMC Public Health. 2010;10:786-2458-10-786.CrossRef
17.
Oza-Frank R, Gilson E, Keim SA, Lynch CD, Klebanoff MA. Trends and factors associated with self-reported receipt of preconception care: PRAMS, 2004-2010. Birth. 2014;41(4):367–73.CrossRefPubMed
18.
Stephenson J, Patel D, Barrett G, Howden B, Copas A, Ojukwu O, Pandya P, Shawe J. How Do Women Prepare for Pregnancy? Preconception Experiences of Women Attending Antenatal Services and Views of Health Professionals. PLoS One. 2014;9(7) doi:10.​1371/​journal.​pone.​0103085.
19.
20.
van der Zee B, de Beaufort ID, Steegers EA, Denktas S. Perceptions of preconception counselling among women planning a pregnancy: a qualitative study. Fam Pract. 2013;30(3):341–6.CrossRefPubMed
21.
Poels M, Koster MPH, Boeije HR, Franx A, van Stel HF. Why don’t women use preconception care? A systematic review on barriers and facilitators. Obstet Gynecol Surv. 2016;71(10):603–12.CrossRefPubMed
22.
Lewis MA, Mitchell EW, Levis DM, Isenberg K, Kish-Doto J. Couples' notions about preconception health: implications for framing social marketing plans. Am J Health Promot. 2013;27(3 Suppl):S20–7.CrossRefPubMedPubMedCentral
23.
Frey KA, Engle R, Noble B. Preconception healthcare: what do men know and believe? J Men's Health. 2012;9(1):25–35.CrossRef
24.
Braun V, Clark V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
25.
O'Higgins S, McGuire BE, Mustafa E, Dunne F. Barriers and facilitators to attending pre-pregnancy care services: the ATLANTIC-DIP experience. Diabet Med. 2014;31(3):366–74.CrossRefPubMed
26.
Mitchell EW, Levis DM, Prue CE. Preconception health: awareness, planning, and communication among a sample of US men and women. Matern Child Health J. 2012;16(1):31–9.CrossRefPubMed
27.
Murphy HR, Temple RC, Ball VE, Roland JM, Steel S, Zill-E-Huma R, Simmons D, Royce LR, Skinner TC. East Anglia Study group for Improving Pregnancy Outcomes in women with Diabetes (EASIPOD): Personal experiences of women with diabetes who do not attend pre-pregnancy care. Diabet Med. 2010;27(1):92–100.CrossRefPubMed
28.
Tuomainen H, Cross-Bardell L, Bhoday M, Qureshi N, Kai J. Opportunities and challenges for enhancing preconception health in primary care: qualitative study with women from ethnically diverse communities. BMJ Open. 2013;3:e002977.CrossRefPubMedPubMedCentral
29.
Canady RB, Tiedje LB, Lauber C. Preconception care & pregnancy planning: voices of African American women. MCN Am J Matern Child Nurs. 2008;33(2):90–7.CrossRefPubMed
30.
Temel S, Birnie E, Sonneveld HM, Voorham AJ, Bonsel GJ, Steegers EA, Denktas S. Determinants of the intention of preconception care use: lessons from a multi-ethnic urban population in the Netherlands. Int J Public Health. 2013;58(2):295–304.CrossRefPubMed
31.
Wilensky S, Proser M. Community approaches to women's health: delivering preconception care in a Community Health Center model. Womens Health Issues. 2008;18(6 Suppl):S52–60.CrossRefPubMed
32.
Bronstein JM, Felix HC, Bursac Z, Stewart MK, Foushee HR, Klapow J. Providing general and preconception health care to low income women in family planning settings: perception of providers and clients. Matern Child Health J. 2012;16(2):346–54.CrossRefPubMed
33.
Buttle FA. Word of mouth: understanding and managing referral marketing. J Strateg Mark. 1998;6(3):241–54.CrossRef
34.
McKenzie-Mohr D. Fostering Sustainable Behavior: An Introduction to Community-Based Social Marketing: 3th ed. Gabriola Island: New Society Publishers; 2011.
35.
Bertens MG, Eiling EM, van den Borne B, Schaalma HP. Uma Tori! Evaluation of an STI/HIV-prevention intervention for Afro-Caribbean women in the Netherlands. Patient Educ Couns. 2009;75(1):77–83.CrossRefPubMed
36.
Poels M, Koster MPH, Franx A, van Stel HF. Healthcare providers’ views on the delivery of preconception care in a local community setting in the Netherlands. BMC Health Serv Res. 2017:17(92). doi:10.​1186/​s12913-017-2051-4.
37.
Adams MM, Bruce FC, Shulman HB, Kendrick JS, Brogan DJ, The PRAMS Working Group. Pregnancy planning and pre-conception counseling. Obstet Gynecol. 1993;82(6):955–9.PubMed
38.
Gollenberg AL, Mumford SL, Cooney MA, Sundaram R, Louis GM. Validity of retrospectively reported behaviors during the periconception window. J Reprod Med. 2011;56(3–4):130–7.PubMedPubMedCentral
Metadata
Title
Parental perspectives on the awareness and delivery of preconception care
Authors
M. Poels
M. P. H. Koster
A. Franx
H. F. van Stel
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2017
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-017-1531-1

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