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How do women prepare for pregnancy? Preconception experiences of women attending antenatal services and views of health professionals.

Stephenson, J, Patel, D, Barrett, G, Howden, B, Copas, A, Ojukwu, O, Pandya, P and Shawe, J (2014) How do women prepare for pregnancy? Preconception experiences of women attending antenatal services and views of health professionals. PLoS One, 9 (7).

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Abstract

Main objective To determine the extent to which women plan and prepare for pregnancy. Methods Cross-sectional questionnaire survey of pregnant women attending three maternity services in London about knowledge and uptake of preconception care; including a robust measure of pregnancy planning, and phone interviews with a range of health care professionals. Main results We recruited 1173/1288 (90%) women, median age of 32 years. 73% had clearly planned their pregnancy, 24% were ambivalent and only 3% of pregnancies were unplanned. 51% of all women and 63% of those with a planned pregnancy took folic acid before pregnancy. 21% of all women reported smoking and 61% reported drinking alcohol in the 3 months before pregnancy; 48% of smokers and 41% of drinkers reduced or stopped before pregnancy. The 51% of all women who reported advice from a health professional before becoming pregnant were more likely to adopt healthier behaviours before pregnancy [adjusted odds ratios for greatest health professional input compared with none were 2.34 (95% confidence interval 1.54–3.54) for taking folic acid and 2.18 (95% CI 1.42–3.36) for adopting a healthier diet before pregnancy]. Interviews with 20 health professionals indicated low awareness of preconception health issues, missed opportunities and confusion about responsibility for delivery of preconception care. Significance of the findings Despite a high level of pregnancy planning, awareness of preconception health among women and health professionals is low, and responsibility for providing preconception care is unclear. However, many women are motivated to adopt healthier behaviours in the preconception period, as indicated by halving of reported smoking rates in this study. The link between health professional input and healthy behaviour change before pregnancy is a new finding that should invigorate strategies to improve awareness and uptake of pre-pregnancy health care, and bring wider benefits for public health.

Item Type: Article
Subjects : Health Care
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Stephenson, JUNSPECIFIEDUNSPECIFIED
Patel, DUNSPECIFIEDUNSPECIFIED
Barrett, GUNSPECIFIEDUNSPECIFIED
Howden, BUNSPECIFIEDUNSPECIFIED
Copas, AUNSPECIFIEDUNSPECIFIED
Ojukwu, OUNSPECIFIEDUNSPECIFIED
Pandya, PUNSPECIFIEDUNSPECIFIED
Shawe, JUNSPECIFIEDUNSPECIFIED
Date : 24 July 2014
Identification Number : 10.1371/journal.pone.0103085
Copyright Disclaimer : Copyright: © 2014 Stephenson et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 16 Sep 2016 15:17
Last Modified : 16 Sep 2016 15:17
URI: http://epubs.surrey.ac.uk/id/eprint/807207

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