Preconception Risk Factors and Preconception Care Practices in a Hospital Based Turkish Sample

Preconception Risk Factors and Preconception Care Practices in a Hospital Based Turkish Sample

Objective: The aim of the study was to evaluate the preconception risk factors that may adversely affect pregnancy outcomes, and preconception care practices. Methods: A descriptive study was completed with 359 women. The data were collected with a questionnaire that was drawn up by the researchers. Results: Findings demonstrated that preconception risk factors were advanced age (20.6%), smoking (23.1%), existence of a chronic illness (23.6%) and being overweight (26.7%). Applied to a health institution to receive preconception care was 12.3 %. The most common preconception care practices were the use of folic acid (45.4%) and applying to the doctor for reorganization of the treatment for chronic illness (41.2%). Conclusion: The data showed that women had preconceptional risk factors and did not receive adequate preconceptional care. Women need to be provided with awareness on preconception risk factors. Policies should be developed to increase the frequency of women receiving preconception care.

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  • [1] American College of Obstetrians and Gynecologists. The importance of preconception care in the continuum of women’s health care. ACOG Committee Opinion No. 313. Obstet Gynecol. 2005;106:665-666.
  • [2] Johnson K, Posner SF, Biermann J, Cordero J F, 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 healthcare-United States. A Report of the CDC/ATSDR preconception care network group and the select panel on preconception care, MMWR. 2006; 21 (55) (RR-6): 1-23. Available from: https:// www.cdc.gov/mmwr/preview/mmwrhtml/rr5506a1.Update June 4.
  • [3] World Health Organization. Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity: World Health Organization Headquarters, Geneva, 6–7 February 2012: meeting report; 2013. Available from: https://apps.who.int/ iris/bitstream/handle/10665/78067/9789241505000_eng. pdf?sequence=1&isAllowed=y .
  • [4] Atrash H, Jack B. Preconception Care to Improve Pregnancy Outcomes: The Science. J Hum Growth Dev 2020; 30 (3): 334- 341.
  • [5] Dorney E, Black KI. Preconception care. AJGP 2018; 47 (7): 424-428.
  • [6] Durualp E, Bektaș G, Ergin D, Karaca E, Topçu E. A Study on the relationship between cigarette smoking of the mothers and the newborn’s weight, height, and head circumference measurements. Ankara University Journal Database 2011; 64 (3): 119-126.
  • [7] Ekin A, Gezer C, Taner CE, Solmaz U, Özeren M. Effect of body mass index before pregnancy on perinatal outcomes. Medical Journal of Bakırköy 2017; 13 (1): 20-25.
  • [8] Topçuoğlu S, Erçin S, Arman D, Gürsoy T, Karatekin G, Ovalı F. Is Adolescentor Advanced Maternal Age Risky for Newborn? Retrospective Results of a Single Center. Medical Bulletin of Zeynep Kamil 2014; 45:131-35.
  • [9] Baykan Z, Öztürk A, Poyrazoğlu S, Gün I. Awareness, knowledge, and use of folic acid among women: a study from Turkey. Arch Gynecol Obstet 2011; 283 (6):1249-53.
  • [10] Hemsing N, Greaves L, Poole N. Preconception health care interventions: A scoping review. Sexual & Reproductive Healthcare 2017; 14: 24–32.
  • [11] Ayalew Y, Mulat A, Dile M, Simegn A. Women’s knowledge and associated factors in preconception care in adet, west gojjam, northwest Ethiopia: a community based cross sectional study. Reproductive Health 2017; 14:15.
  • [12] Mastroiacovo P, Nilsen RM, Leoncini E, Gastaldi P, Allegri V, Boiani A, Faravelli F, Ferrazzoli F, Guala A, Madrigali V, Scarano G. Prevalence of maternal preconception risk factors: an Italian multicenter survey. Ital J Pediatr 2014; 40 (91): 1-8.
  • [13] 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): e103085.
  • [14] Luton D, Forestier A, Courau S, Ceccaldi PF. Preconception care in France. Int J Gynaecol Obstet 2014; 125: 144–145.
  • [15] Harelick L, Viola D, Tahara D. Preconception Health of Low Socioeconomic Status Women: Assessing Knowledge and Behaviors. Women’s Health Issues 2011; 21 (4): 272–276.
  • [16] Hacettepe University Institute of Population Studies (HUIPS). “Turkey Demographic and Health Survey – 2013”. Hacettepe University Institute of Population Studies, RT. Ministry of Development and TÜBİTAK; 2014. Available from: http:// www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ ana_rapor.pdf.
  • [17] Agricola E, Pandolfi E, Gonfiantini M V, Gesualdo F, Romano M, Carloni E, Mastroiacovo P, Tozzi AE. A cohort study of a tailored web intervention for preconception care. BMC Med Inform Decis Mak 2014; 14 (33):1-10.
  • [18] Karabulut A, Özkan S, Bozkurt AL, Karahan T, Kayan S. Perinatal outcomes and risk factors in adolescent and advanced age pregnancies: Comparison with normal reproductive age women. J Obstet Gynaecol 2013; 33 (4): 346-350.
  • [19] Çakmak BD, Türker ÜA, Öztaş S, Arık M, Üstünyurt E. The effect of first trimester hemoglobin levels on pregnancy outcomes. Turk J Obstet Gynecol 2018; 15:165-70.
  • [20] Ignaszak-Kaus N, Ozegowska K, Piekarski P, Pawelczyk L, Jedrzejczak P. Planning and preparation for pregnancy among women with and without a history of infertility. Ginekologia Polska 2018; 89 (2): 74–79.
  • [21] Centers for Disease Control and Prevention. (2018). Planning for pregnancy. Available from: https://www.cdc.gov/ preconception/planning.html .
  • [22] Boggess KA, Edelstein BL. Oral Health in Women during Preconception and Pregnancy: Implications for Birth Outcomes and Infant Oral Health. Matern Child Health J 2006; 10: S169–S174.
  • [23] Anderson J E, Ebrahim S, Floyd L, Atrash H. Prevalence of Risk Factors for Adverse Pregnancy Outcomes during Pregnancy and the Preconception Period—United States, 2002–2004. Matern Child Health J 2006; 10: S101–S106.
  • [24] Endocrinology and Metabolism Association of Turkey. Obesity diagnosis and treatment guide. Miki Pres, Ankara; 2018. Available from: http://www.temd.org.tr/admin/uploads/tbl_ gruplar/20180525144116-2018-05-25tbl_gruplar144108.pdf
  • [25] Ramoniene G, Maleckiene L, Nadisauskiene RJ, Bartuseviciene E, Railaite DR, Maciuleviciene R. Maternal obesity and obstetric outcomes in a tertiary referral center. Medicina (Kaunas) 2017; 53 (2):109-113.
  • [26] Nkrumah I, North M, Kothe GE, Lin CT, Stephanie P, Siew L, Briony H. The Relationship Between Pregnancy Intentions and Diet or Physical Activity Behaviors in the Preconception and Antenatal Periods: A Systematic Review and Meta-Analysis. J Midwifery Womens Health 2020; 65 (5): 660-680.
  • [27] Arluck J C. Mayhew AC. Preconception Care for the General Ob/Gyn. Clin Obstet Gynecol 2018; 61 (1): 62–71.
  • [28] [28] Turkish Statistical Insititute. Global Adult Tobacco Survey. NO:13142; 2012. Available from: https://www.who.int/ tobacco/surveillance/survey/gats/report_tur_2012.pdf?ua=1
  • [29] De-Regil LM, Fernandez-Gaxiola AC, Dowswell T, Peña-Rosas JP. Effects and safety of periconceptional folate supplementation for preventing birth defects. Cochrane Database Syst Rev 2010; (10): CD007950.
  • [30] Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines; 2015. Available from: https://www.cdc.gov/mmwr/preview/mmwrhtml/ rr6403a1.htm
  • [31] Beckmann MM, Widmer T, Bolton E. Does preconception care work? Aust N Z J Obstet Gynaecol 2014; 54: 510–514.