Preconception lifestyle changes in women with planned pregnancies.
Identifieur interne : 000A04 ( Main/Corpus ); précédent : 000A03; suivant : 000A05Preconception lifestyle changes in women with planned pregnancies.
Auteurs : Joline Goossens ; Dimitri Beeckman ; Ann Van Hecke ; Ilse Delbaere ; Sofie VerhaegheSource :
- Midwifery [ 1532-3099 ] ; 2018.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Alcohol Drinking (adverse effects), Alcohol Drinking (psychology), Belgium (MeSH), Cross-Sectional Studies (MeSH), Family Planning Services (methods), Female (MeSH), Health Behavior (MeSH), Humans (MeSH), Middle Aged (MeSH), Preconception Care (methods), Pregnancy (MeSH), Pregnancy Outcome (psychology), Risk Reduction Behavior (MeSH), Smoking (adverse effects), Smoking (psychology).
- MESH :
- adverse effects : Alcohol Drinking, Smoking.
- methods : Family Planning Services, Preconception Care.
- psychology : Alcohol Drinking, Pregnancy Outcome, Smoking.
- Adolescent, Adult, Belgium, Cross-Sectional Studies, Female, Health Behavior, Humans, Middle Aged, Pregnancy, Risk Reduction Behavior.
Abstract
OBJECTIVES
(1) to study preconception lifestyle changes and associated factors in women with planned pregnancies; (2) to assess the prevalence of risk factors for adverse pregnancy outcomes in women not reporting any preconception lifestyle changes; and (3) to explore the need for and use of preconception-related advice.
DESIGN
secondary data analysis of a cross-sectional study about pregnancy planning.
SETTING
six Flemish Hospitals (Belgium).
PARTICIPANTS
four hundred and thirty women with a planned pregnancy ending in birth.
MEASUREMENTS
preconception lifestyle changes were measured during the first 5 days postpartum using the validated London Measure of Unplanned Pregnancy. The following changes were assessed: folic acid or multivitamin intake, smoking reduction or cessation, alcohol reduction or cessation, caffeine reduction or cessation, eating more healthily, achieving a healthier weight, obtaining medical or health advice, or another self-reported preconception lifestyle change.
FINDINGS
most women (83%) that planned their pregnancy reported ≥1 lifestyle change in preparation for pregnancy. Overall, nulliparous women (OR 2.18, 95% CI 1.23-3.87) and women with a previous miscarriage (OR 2.44, 95% CI 1.14-5.21) were more likely to prepare for pregnancy, while experiencing financial difficulties (OR 0.20, 95% CI 0.04-0.97) or having a lower educational level (OR 0.56, 95% CI 0.32-0.99) decreased the likelihood of preparing for pregnancy. Half of the women (48%) obtained advice about preconception health, and 86% of these women received their advice from a professional caregiver. Three-quarters (77%) of the women who did not improve their lifestyle before conceiving reported one or more risk factors for adverse pregnancy outcomes.
KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE
multiparous women and women of lower socio-economic status were less likely to change their lifestyle before conception. Strategies to promote preconception health in these women need to be tailored to their needs and characteristics to overcome barriers to change. It may be advantageous to reach these women through non-medical channels, such as schools or other community organizations.
DOI: 10.1016/j.midw.2017.10.004
PubMed: 29096279
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pubmed:29096279Le document en format XML
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Electronic address: Dimitri.Beeckman@UGent.be.</nlm:affiliation></affiliation></author><author><name sortKey="Van Hecke, Ann" sort="Van Hecke, Ann" uniqKey="Van Hecke A" first="Ann" last="Van Hecke">Ann Van Hecke</name><affiliation><nlm:affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium; Nursing Science, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Ann.Vanhecke@UGent.be.</nlm:affiliation></affiliation></author><author><name sortKey="Delbaere, Ilse" sort="Delbaere, Ilse" uniqKey="Delbaere I" first="Ilse" last="Delbaere">Ilse Delbaere</name><affiliation><nlm:affiliation>VIVES University College, Doorniksesteenweg 145, 8500 Kortrijk, Belgium. Electronic address: Ilse.Delbaere@Vives.be.</nlm:affiliation></affiliation></author><author><name sortKey="Verhaeghe, Sofie" sort="Verhaeghe, Sofie" uniqKey="Verhaeghe S" first="Sofie" last="Verhaeghe">Sofie Verhaeghe</name><affiliation><nlm:affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Sofie.Verhaeghe@UGent.be.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:29096279</idno><idno type="pmid">29096279</idno><idno type="doi">10.1016/j.midw.2017.10.004</idno><idno type="wicri:Area/Main/Corpus">000A04</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000A04</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Preconception lifestyle changes in women with planned pregnancies.</title><author><name sortKey="Goossens, Joline" sort="Goossens, Joline" uniqKey="Goossens J" first="Joline" last="Goossens">Joline Goossens</name><affiliation><nlm:affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Jolgooss.Goossens@UGent.be.</nlm:affiliation></affiliation></author><author><name sortKey="Beeckman, Dimitri" sort="Beeckman, Dimitri" uniqKey="Beeckman D" first="Dimitri" last="Beeckman">Dimitri Beeckman</name><affiliation><nlm:affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Dimitri.Beeckman@UGent.be.</nlm:affiliation></affiliation></author><author><name sortKey="Van Hecke, Ann" sort="Van Hecke, Ann" uniqKey="Van Hecke A" first="Ann" last="Van Hecke">Ann Van Hecke</name><affiliation><nlm:affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium; Nursing Science, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Ann.Vanhecke@UGent.be.</nlm:affiliation></affiliation></author><author><name sortKey="Delbaere, Ilse" sort="Delbaere, Ilse" uniqKey="Delbaere I" first="Ilse" last="Delbaere">Ilse Delbaere</name><affiliation><nlm:affiliation>VIVES University College, Doorniksesteenweg 145, 8500 Kortrijk, Belgium. Electronic address: Ilse.Delbaere@Vives.be.</nlm:affiliation></affiliation></author><author><name sortKey="Verhaeghe, Sofie" sort="Verhaeghe, Sofie" uniqKey="Verhaeghe S" first="Sofie" last="Verhaeghe">Sofie Verhaeghe</name><affiliation><nlm:affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Sofie.Verhaeghe@UGent.be.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Midwifery</title><idno type="eISSN">1532-3099</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Alcohol Drinking (adverse effects)</term><term>Alcohol Drinking (psychology)</term><term>Belgium (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Family Planning Services (methods)</term><term>Female (MeSH)</term><term>Health Behavior (MeSH)</term><term>Humans (MeSH)</term><term>Middle Aged (MeSH)</term><term>Preconception Care (methods)</term><term>Pregnancy (MeSH)</term><term>Pregnancy Outcome (psychology)</term><term>Risk Reduction Behavior (MeSH)</term><term>Smoking (adverse effects)</term><term>Smoking (psychology)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Alcohol Drinking</term><term>Smoking</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Family Planning Services</term><term>Preconception Care</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Alcohol Drinking</term><term>Pregnancy Outcome</term><term>Smoking</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Belgium</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Behavior</term><term>Humans</term><term>Middle Aged</term><term>Pregnancy</term><term>Risk Reduction Behavior</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>(1) to study preconception lifestyle changes and associated factors in women with planned pregnancies; (2) to assess the prevalence of risk factors for adverse pregnancy outcomes in women not reporting any preconception lifestyle changes; and (3) to explore the need for and use of preconception-related advice.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>secondary data analysis of a cross-sectional study about pregnancy planning.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>six Flemish Hospitals (Belgium).</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>four hundred and thirty women with a planned pregnancy ending in birth.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS</b></p><p>preconception lifestyle changes were measured during the first 5 days postpartum using the validated London Measure of Unplanned Pregnancy. The following changes were assessed: folic acid or multivitamin intake, smoking reduction or cessation, alcohol reduction or cessation, caffeine reduction or cessation, eating more healthily, achieving a healthier weight, obtaining medical or health advice, or another self-reported preconception lifestyle change.</p></div><div type="abstract" xml:lang="en"><p><b>FINDINGS</b></p><p>most women (83%) that planned their pregnancy reported ≥1 lifestyle change in preparation for pregnancy. Overall, nulliparous women (OR 2.18, 95% CI 1.23-3.87) and women with a previous miscarriage (OR 2.44, 95% CI 1.14-5.21) were more likely to prepare for pregnancy, while experiencing financial difficulties (OR 0.20, 95% CI 0.04-0.97) or having a lower educational level (OR 0.56, 95% CI 0.32-0.99) decreased the likelihood of preparing for pregnancy. Half of the women (48%) obtained advice about preconception health, and 86% of these women received their advice from a professional caregiver. Three-quarters (77%) of the women who did not improve their lifestyle before conceiving reported one or more risk factors for adverse pregnancy outcomes.</p></div><div type="abstract" xml:lang="en"><p><b>KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE</b></p><p>multiparous women and women of lower socio-economic status were less likely to change their lifestyle before conception. Strategies to promote preconception health in these women need to be tailored to their needs and characteristics to overcome barriers to change. It may be advantageous to reach these women through non-medical channels, such as schools or other community organizations.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29096279</PMID><DateCompleted><Year>2018</Year><Month>09</Month><Day>10</Day></DateCompleted><DateRevised><Year>2018</Year><Month>09</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-3099</ISSN><JournalIssue CitedMedium="Internet"><Volume>56</Volume><PubDate><Year>2018</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Midwifery</Title><ISOAbbreviation>Midwifery</ISOAbbreviation></Journal><ArticleTitle>Preconception lifestyle changes in women with planned pregnancies.</ArticleTitle><Pagination><MedlinePgn>112-120</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0266-6138(17)30261-9</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.midw.2017.10.004</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">(1) to study preconception lifestyle changes and associated factors in women with planned pregnancies; (2) to assess the prevalence of risk factors for adverse pregnancy outcomes in women not reporting any preconception lifestyle changes; and (3) to explore the need for and use of preconception-related advice.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">secondary data analysis of a cross-sectional study about pregnancy planning.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">six Flemish Hospitals (Belgium).</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">four hundred and thirty women with a planned pregnancy ending in birth.</AbstractText><AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">preconception lifestyle changes were measured during the first 5 days postpartum using the validated London Measure of Unplanned Pregnancy. The following changes were assessed: folic acid or multivitamin intake, smoking reduction or cessation, alcohol reduction or cessation, caffeine reduction or cessation, eating more healthily, achieving a healthier weight, obtaining medical or health advice, or another self-reported preconception lifestyle change.</AbstractText><AbstractText Label="FINDINGS" NlmCategory="RESULTS">most women (83%) that planned their pregnancy reported ≥1 lifestyle change in preparation for pregnancy. Overall, nulliparous women (OR 2.18, 95% CI 1.23-3.87) and women with a previous miscarriage (OR 2.44, 95% CI 1.14-5.21) were more likely to prepare for pregnancy, while experiencing financial difficulties (OR 0.20, 95% CI 0.04-0.97) or having a lower educational level (OR 0.56, 95% CI 0.32-0.99) decreased the likelihood of preparing for pregnancy. Half of the women (48%) obtained advice about preconception health, and 86% of these women received their advice from a professional caregiver. Three-quarters (77%) of the women who did not improve their lifestyle before conceiving reported one or more risk factors for adverse pregnancy outcomes.</AbstractText><AbstractText Label="KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE" NlmCategory="CONCLUSIONS">multiparous women and women of lower socio-economic status were less likely to change their lifestyle before conception. Strategies to promote preconception health in these women need to be tailored to their needs and characteristics to overcome barriers to change. It may be advantageous to reach these women through non-medical channels, such as schools or other community organizations.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Goossens</LastName><ForeName>Joline</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Jolgooss.Goossens@UGent.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beeckman</LastName><ForeName>Dimitri</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Dimitri.Beeckman@UGent.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Hecke</LastName><ForeName>Ann</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium; Nursing Science, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Ann.Vanhecke@UGent.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delbaere</LastName><ForeName>Ilse</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>VIVES University College, Doorniksesteenweg 145, 8500 Kortrijk, Belgium. Electronic address: Ilse.Delbaere@Vives.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Verhaeghe</LastName><ForeName>Sofie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>University Centre for Nursing&Midwifery, Department of Public Health, Ghent University, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Sofie.Verhaeghe@UGent.be.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>10</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>Scotland</Country><MedlineTA>Midwifery</MedlineTA><NlmUniqueID>8510930</NlmUniqueID><ISSNLinking>0266-6138</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000428" MajorTopicYN="N">Alcohol Drinking</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N">Belgium</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005193" MajorTopicYN="N">Family Planning Services</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015438" MajorTopicYN="N">Health Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016742" MajorTopicYN="N">Preconception Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011256" MajorTopicYN="N">Pregnancy Outcome</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D040242" MajorTopicYN="Y">Risk Reduction Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012907" MajorTopicYN="N">Smoking</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Preconception care</Keyword><Keyword MajorTopicYN="N">Preconception health</Keyword><Keyword MajorTopicYN="N">Preconception lifestyle</Keyword><Keyword MajorTopicYN="N">Reproductive behavior</Keyword><Keyword MajorTopicYN="N">Reproductive health</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>04</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>09</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>10</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>11</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>9</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>11</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29096279</ArticleId><ArticleId IdType="pii">S0266-6138(17)30261-9</ArticleId><ArticleId IdType="doi">10.1016/j.midw.2017.10.004</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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