| Title |
Preconception Healthcare Delivery at a Population Level: Construction of Public Health Models of Preconception Care
|
|---|---|
| Published in |
Maternal and Child Health Journal, November 2013
|
| DOI | 10.1007/s10995-013-1393-8 |
| Pubmed ID | |
| Authors |
Geordan D. Shannon, Corinna Alberg, Luis Nacul, Nora Pashayan |
| Abstract |
A key challenge of preconception healthcare is identifying how it can best be delivered at a population level. To review current strategies of preconception healthcare, explore methods of preconception healthcare delivery, and develop public health models which reflect different preconception healthcare pathways. Preconception care strategies, programmes and evaluations were identified through a review of Medline and Embase databases. Search terms included: preconception, pre-pregnancy, intervention, primary care, healthcare, model, delivery, program, prevention, trial, effectiveness, congenital disorders OR abnormalities, evaluation, assessment, impact. Inclusion criteria for review articles were: (1) English, (2) human subjects, (3) women of childbearing age, (4) 1980-current data, (5) all countries, (6) both high risk and universal approaches, (7) guidelines or recommendations, (8) opinion articles, (9) experimental studies. Exclusion criteria were: (1) non-human subjects, (2) non-English, (3) outside of the specified timeframe, (4) articles on male healthcare. The results of the literature review were synthesised into public health models of care: (1) primary care; (2) hospital-based and inter-conception care; (3) specific preconception care clinics; and, (4) community outreach. Fifteen evaluations of preconception care were identified. Community programmes demonstrated a significant impact on substance use, folic acid supplementation, diabetes optimization, and hyperphenylalaninemia. An ideal preconception visits entail risk screening, education, and intervention if indicated. Subsequently, four public health models were developed synthesizing preconception-care delivery at a population level. Heterogeneity of risk factors, health systems and strategies of care reflect the lack of consensus about the best way to deliver preconception care. The proposed models aim to reflect differing aspects of preconception healthcare delivery. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 50% |
| Unknown | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 165 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 1 | <1% |
| Turkey | 1 | <1% |
| Philippines | 1 | <1% |
| United States | 1 | <1% |
| Unknown | 161 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 25 | 15% |
| Student > Master | 18 | 11% |
| Student > Ph. D. Student | 17 | 10% |
| Student > Bachelor | 17 | 10% |
| Student > Postgraduate | 11 | 7% |
| Other | 44 | 27% |
| Unknown | 33 | 20% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 46 | 28% |
| Nursing and Health Professions | 32 | 19% |
| Social Sciences | 17 | 10% |
| Agricultural and Biological Sciences | 6 | 4% |
| Psychology | 3 | 2% |
| Other | 16 | 10% |
| Unknown | 45 | 27% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 December 2013.
All research outputs
#16,223,992
of 23,906,448 outputs
Outputs from Maternal and Child Health Journal
#1,433
of 2,039 outputs
Outputs of similar age
#133,867
of 216,296 outputs
Outputs of similar age from Maternal and Child Health Journal
#25
of 37 outputs
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