Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/97555
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Type: Journal article
Title: Preconception care: closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health
Author: Dean, S.
Lassi, Z.
Imam, A.
Bhutta, Z.
Citation: Reproductive Health, 2014; 11(Suppl. 3):S1-1-S1-8
Publisher: BioMed Central
Issue Date: 2014
ISSN: 1742-4755
1742-4755
Statement of
Responsibility: 
Sohni V Dean, Zohra S Lassi, Ayesha M Imam, Zulfiqar A Bhutta
Abstract: INTRODUCTION: Preconception care includes any intervention to optimize a woman's health before pregnancy with the aim to improve maternal, newborn and child health (MNCH) outcomes. Preconception care bridges the gap in the continuum of care, and addresses pre-pregnancy health risks and health problems that could have negative maternal and fetal consequences. It therefore has potential to further reduce global maternal and child mortality and morbidity, especially in low-income countries where the highest burden of pregnancy-related deaths and disability occurs. METHODS: A systematic review and meta-analysis of the evidence was conducted to ascertain the possible impact of preconception care for adolescents, women and couples of reproductive age on MNCH outcomes. A comprehensive strategy was used to search electronic reference libraries, and both observational and clinical controlled trials were included. Cross-referencing and a separate search strategy for each preconception risk and intervention ensured wider study capture. RESULTS: Women who received preconception care in either a healthcare center or the community showed improved outcomes, such as smoking cessation; increased use of folic acid; breastfeeding; greater odds of obtaining antenatal care; and lower rates of neonatal mortality. CONCLUSION: Preconception care is effective in improving pregnancy outcomes. Further studies are needed to evaluate consistency and magnitude of effect in different contexts; develop and assess new preconception interventions; and to establish guidelines for the provision of preconception care.
Keywords: Humans
Pregnancy Outcome
Preconception Care
Evidence-Based Medicine
Pregnancy
Child Welfare
Child
Infant, Newborn
Women's Health
Continuity of Patient Care
Female
Rights: © 2014 Dean et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
DOI: 10.1186/1742-4755-11-S3-S1
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