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Pre-pregnancy Care: A review of preconception care policy, guidelines and recommendations across six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom

Shawe, JA, Delbaere, I, Ekstrand, M, Hegaard, HK, Larsson, M, Mastroiacovo, P, Stern, J, Steegers, E, Stephenson, J and Tyden, T (2015) Pre-pregnancy Care: A review of preconception care policy, guidelines and recommendations across six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom European Journal of Contraception and Reproductive Health Care, 20 (2). pp. 77-87.

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Abstract

Objectives Preconception care is important for the screening, prevention and management of risk factors that affect pregnancy outcomes. We aimed to investigate pre-pregnancy care policies, guidelines, recommendations and services in six European countries. Methods In 2013, an electronic search and investigation was undertaken of preconception policy, guidelines, recommendations and services available to healthcare professionals and the general public in six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom. Findings were compared within five categories: Governmental policy and legislation; Professional bodies and organisations; Healthcare providers; Charitable organisations; Web-based public information and internet sites. Results All countries had preconception recommendations for women with chronic diseases, such as diabetes and epilepsy. Recommendations for healthy women and men were fragmented and inconsistent. Preconception guidance was often included in antenatal and pregnancy guidelines. Differences between countries were seen with regard to nutritional and lifestyle advice particularly in relation to fish, caffeine and alcohol consumption, and vitamin supplementation. Conclusions Current guidelines are heterogeneous. Collaborative research across Europe is required in order to develop evidence-based guidelines for preconception health and care. There is a need to establish a clear strategy for promoting advice and guidance within the European childbearing population.

Item Type: Article
Subjects : Health Care
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
AuthorsEmailORCID
Shawe, JAUNSPECIFIEDUNSPECIFIED
Delbaere, IUNSPECIFIEDUNSPECIFIED
Ekstrand, MUNSPECIFIEDUNSPECIFIED
Hegaard, HKUNSPECIFIEDUNSPECIFIED
Larsson, MUNSPECIFIEDUNSPECIFIED
Mastroiacovo, PUNSPECIFIEDUNSPECIFIED
Stern, JUNSPECIFIEDUNSPECIFIED
Steegers, EUNSPECIFIEDUNSPECIFIED
Stephenson, JUNSPECIFIEDUNSPECIFIED
Tyden, TUNSPECIFIEDUNSPECIFIED
Date : April 2015
Identification Number : https://doi.org/10.3109/13625187.2014.990088
Depositing User : Symplectic Elements
Date Deposited : 16 Nov 2016 09:23
Last Modified : 16 Nov 2016 09:23
URI: http://epubs.surrey.ac.uk/id/eprint/812852

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