جستجوی مقالات مرتبط با کلیدواژه "preconception care" در نشریات گروه "پزشکی"

Men’s engagement in maternal and child health care in the preconception health forum is essential because it allows primary prevention of maternal and infant mortality and morbidity. This review aimed to identify strategies to engage men in preconception health.

This scoping review was conducted from August to September 2022. The database searches included PubMed, EBSCO, and ProQuest from 2012 to 2022, related to men’s involvement in reproductive health, preconception health, family planning, maternity, and infant care; articles written in English; national (Indonesia) and international articles; and appropriate thesis. The searched keywords were man/male role, premarital, preconception, reproductive health, and fertility.

The electronic searches turned to 1969 articles, 16 of which met the inclusion criteria and were selected for study analysis. This review identified three themes: identifying programs that are sensitive to the limitations of men; developing community outreach strategies; and engaging management principles, policy, and legislation.

Efforts to engage men in preconception health can be complicated, but several strategic programs have demonstrated some success. Subsequent programs that require men’s participation in preconception health services must be sensitive to the identified barriers.

The significance of men’s health before embarking on pregnancy has been acknowledged in the past decade. Identifying and mitigating risk factors to ensure successful fertility and favorable pregnancy outcomes is crucial. In Iran, preconception care primarily targets women. There is limited knowledge about men’s preconception health. This study was undertaken to assess the health status of men before pregnancy in couples in Ahvaz health centers.

In this descriptive study, 384 married men were chosen from couples registered at health centers in Ahvaz, Iran, between 2019 and 2020. Inclusion criteria included the intention for pregnancy within the next three months or having a pregnant woman in her first trimester. Data were collected using a demographic information form and the General Health Questionnaire, and the obtained data were analyzed using SPSS 22 software.

Based on the results, 72.9% of men exhibited at least one pre-pregnancy male risk factor: abnormal body mass index (33.9%), hypertension (10%), borderline or abnormal blood glucose levels (20.8%), a condition impacting reproductive health (17.18%), significant mental health issues (37.2%), drug use (14.3%), substance abuse (38%), and exposure to environmental and occupational hazards (51.3%).

The majority of men have at least one risk factor associated with unfavorable pregnancy or fertility outcomes.

Obesity is one of the most important health problems for mothers and has been increasing in recent years. It has been showed that cognitive-behavioral counseling is an effective method to increase women’s physical activity. The present study was conducted to determine the effect of cognitive-behavioral counseling on physical activity before pregnancy in women with high BMI.

This randomized control trial was carried out on 60 married women who referred to pre-conception clinic in Gonabad, Iran in 2020. Sampling was done by two-stage cluster random method and subjects were randomly assigned to two groups. The intervention group underwent six two-hour sessions of cognitive-behavioral counseling as three face-to-face and three virtual sessions. The control group only received the routine care. International Physical Activity Questionnaire (IPAQ), Depression Anxiety Stress Scale 21(DASS-21) and Silhouette Figure Rating Scale (SFRS) was used to collect data, which were completed before, immediately, after, and one month following intervention. The data was analyzed using Chi square, Fisher Exact test and T-test.

There was no statisticallysignificant difference in terms of average physical activity score between the intervention and control group before intervention. However, a significant difference was seen between intervention and control group in terms of physical activity immediately after the intervention and one month later (P < 0.001).

Considering that cognitive-behavioral counseling increases physical activity before pregnancy in women with high BMI, it is recommended to provide such  counseling programs for these women in preconception clinics to improve their health before pregnancy.

Preconception reduces unplanned pregnancies and plays an important role in reducing maternal and infant mortality. Considering the importance of these care services, this study was conducted to determine the status of preconception care (PCC) model with Structural Equation Modeling (SEM).

This cross-sectional descriptive study was conducted on 394 pregnant women referring to Gorgan’s health centers. Samples were selected by multi‑stage stratified sampling method. The instrument used in this research was a researcher-made questionnaire by Bayrami. Data were analyzed using R software version 4.1.4. Structural equation modeling (SEM) with weighted least square mean and variance method was used to fit the conceptual model and the significance level of the tests was considered 0.05.

The results showed that PCC model was deemed appropriate as optimum conditions indicators of goodness of fit; knowledge with a coefficient of 0.182 leads to self‑efficacy (SE), and SE affects the accessibility of facilities with a coefficient of 0.465 and the expected outcome with a coefficient of 0.500. After facility structure with a coefficient of 0.500, SE construct with a coefficient of 0.215 had the most effect on performing PCC behavior.

Facilities and SE as a key element of empowerment have an important role in promoting PCC. Identifying the factors associated with this care appears to help health policymakers to planning for these caregivers more precise and sensitive.

Male reproductive health is a necessary pillar of childbearing. If a reproductive health assessment is conducted in the preconception period, the chance of a healthy pregnancy can increase. This qualitative study aimed to explore men’s reproductive health needs before conception in Iran.

This research was a qualitative study conducted in Bushehr city, Iran to explore men’s reproductive health needs from April 2021 to November 2021. 30 semistructured interviews were conducted with married men, women, healthcare providers, and specialists individually in the health centers. The sampling method used in this study was purpose‑based with maximum variety. All interviews were digitally recorded and transcribed verbatim in Persian and analyzed using directional content analysis. MAXQDA software version 12 was used to facilitate data analysis.

From the data analysis, 2 themes, 15 categories, and 38 subcategories emerged. The themes included evaluation and health promotion recommendations. It consisted of 10 categories: reproductive life plan evaluation, medical history evaluation, family and genetic history evaluation, social history evaluation, sexual health evaluation, medication evaluation, laboratory evaluation, physical examination, lifestyle evaluation, and mental health evaluation. Health promotion recommendations included five categories: nutritional recommendations, stress management, avoiding harmful behaviors, protective measures against harmful exposure, and need for education.

Our results showed that men need a comprehensive evaluation of reproductive health and recommendations to improve their health in the preconception period. Our study findings can inform healthcare providers to increase men’s participation in reproductive health.

Preconception care is defined as a set of interventions that aim to identify and modify biomedical, behavioral, and social risks to a woman’s health or pregnancy outcome through risk assessment, health promotion, and medical and psychosocial interventions. This study aimed to review the status, policies, and programs of preconception risk assessment in Iran.

We searched scientific databases including Medline, PubMed, Web of Science, Scopus, CINAHL, Magiran, Iran Medex, SID, Iran Doc, Science Direct, and Google Scholar using key words such as "preconception care", "pre-pregnancy care", "instruction", "guideline", "risk assessment", "program", "policy", "Iran" and their combinations. No time limit was considered in searching the databases and all studies were published until February 1, 2020. Our search strategy resulted in the retrieval of 66 articles and guidelines, of which nine articles met the inclusion criteria and entered the study.

Multiple guidelines have been designed to assess the general health of women and men of childbearing age, with pay little attention to the reproductive health assessment in Iran. Assessment of reproductive health is specific to the integrated maternal health care program, which the reproductive health risk assessment from pre-pregnancy to postpartum period. The preconception care is a component of integrated maternal health care program that is faced in its content and faces challenges in implementation.

Several strategies have been developed in the field of risk assessment for general health in Iran, but risk assessment in pre-pregnancy period is only exclusive to preconception care program that is moderate in performance.

Recognizing the needs of women with heart disease in the field of reproductive health and meeting them can reduce the related complications. The aim of this study was to identify the sexual and reproductive health needs of these women.

The present study was conducted with qualitative approach (Content analysis). Ten married women of reproductive age with heart disease and 20 providers and managers in, Isfahan, Iran, were selected by using purposive and snowball methods (in 2020). The research setting included heart disease clinics, offices of health team, comprehensive health centers, and the Isfahan Maternal Health Department. Data were collected by semi‑structured individual face‑to‑face interviews in the clinic or other appropriate locations. Some interviews were conducted virtually. Analysis was performed by Qualitative contentment analysis / Conventional content analysis.

Sexual and reproductive health needs of women with heart disease were emerged in five main categories, “planned childbearing,” “ssociocultural support,” “Early reproductive health care of girls,” “health team attention to sexual health,” and “health system revision.”

Providing comprehensive reproductive health services before and during pregnancy, family planning, and sexual health for women with heart disease is necessary. It seems that using a multidisciplinary team approach could improve their reproductive health.

Nowadays, for various reasons, the prevalence of heart diseases has increased in women during reproductive age. These diseases can lead to serious reproductive and sexual‑related complications in the affected women. This study will conduct to develop a reproductive health promotion program for women with heart diseases.

This is an exploratory sequential mixed methods study that will be conducted in four phases. The first phase is a qualitative research that is done using content analysis method and semi‑structured individual interviews. The experiences of women with heart disease and health providers’ team in educational hospitals, health centers, and private offices of physicians about reproductive health need will be explored. Purposive sampling will be continued until data saturation is reached and the conventional content analysis method will be used. In the second phase, the studies published from 2000 to 2020 will be reviewed by the matrix method and then will be analyzed by using thematic analysis. Integrating the results of these two stages, the draft of the program will be designed. In the third phase, the validation of the program will be checked by using the two‑round modified Delphi method. In the fourth phase, the program will be implemented by the health system and its process will be monitored.

A life cycle reproductive health program for women with heart disease can help improve their preconception health, fertility planning, and sexual health and promote the well‑being of these women in the long run.

Antenatal care (ANC) is low in developing countries, with an estimated 20% of Indonesian women not initiating ANC during the first trimester. The present study sought to determine the impact of a mentoring program on the timing of the first ANC visit.

This cluster randomized controlled trial was conducted in 3 subdistricts of the Bantul District, divided into 61 clusters per treatment arm, with a final sample size of 205 confirmed pregnant women. The mentoring program consisted of (1) health education, (2) monitoring, and (3) text-message reminders. The primary outcome was the timing of first ANC visit. A multilevel mixed-effect logistic regression model was used to measure the effect of the program on the likelihood of having an earlier first ANC visit, with statistical significance at α=0.05.

At the individual-level, the intervention group had a mean time of first ANC visit±2 days earlier than the control group (P<0.05). After adjusted for cluster and other covariates, the odds of starting the first ANC visit early (<39 days of gestation) was higher in the intervention group (adjusted odds ratio [AOR] 3.00; 95% confidence interval [CI] 1.17-7.72).

Maternal mentoring can improve the timing of the first ANC visit. This program has the potential to be adopted by health care systems in settings where there is little education on the importance of ANC. Future research could extend the length of mentorship until delivery in order to better understand the relationship between mentorship and early ANC on pregnancy outcomes.

The preconception period is largely neglected, whereas it represents an opportunity to identify and modify clinical and behavioral risks, particularly in infertile women characterized by an unfavorable vascular burden. The present study was performed to strengthen previous findings and to increase the awareness of clinicians who should envision a broader preconception approach in infertile women, beyond their reproductive health.

In this cross-sectional study, we investigated 1003 Caucasian women, referred to the Internal Medicine Clinic at the Assisted Reproductive Technologies Center, Florence.

A high prevalence of dyslipidemia (57.4%), overweight/obesity (29.1%) and, smoking habit (26.6%) were found. We provided evidence of unhealthy lifestyle habits, represented by a closer adherence to the Mediterranean diet in the 9.5% only and by a sedentary behavior in 73%. A significant correlation between the Mediterranean Diet score and both anthropometric and metabolic parameters was found. We also observed a lower score adherence with both metabolic syndrome and diabetes (for both p=0.02), but not with hypertension.

Before infertility treatment, the correction and the management of modifiable and
non-modifiable cardiovascular risk factors are mandatory and represent the main goal for a safe pregnancy, and lifetime women’s health.

It has been more than four decades since preconception care was recognized as an important part of women’s healthcare. However, most women do not seek preconception care. Therefore, the present study aimed to assess the predictors of receiving preconception care.

This cross-sectional descriptive study was conducted on 1,019 pregnant women who referred to Mashhad teaching hospitals in 2019. The convenience sampling method was used for sample selection and the required data were collected through a questionnaire. Furthermore, the data were analyzed in SPSS software (version 16).

This study showed 33% of the women had utilized preconception care. Number of children (AOR: 0.47; 95% CI: 0.38, 0.6) , housing status (AOR: 0.45; 95% CI: 0.23,0.91) , folic acid consumption (AOR: 14.54; 95% CI: 8.75,24.16), Received information regarding PCC (AOR: 8.67; 95% CI: 5.27,14.26) were significantly associated with preconception care service utilization.

According to the results, a different strategy should be adopted from what has been adopted so far to raise public awareness of the importance of pre-pregnancy care. Since a significant relationship has been reported between obtaining information on pre-pregnancy care and receiving this care, modifying information methods to promote public awareness seems necessary.

Effective preconception care requires childbearing women's knowledge and attitude to improve maternal and neonatal health by the early recognition of risk factors related to pregnancy. The aim of this study was to investigate knowledge and attitude of Iranian women regarding preconception health based on the health belief model.

This cross sectional study was conducted on 110 married women aged 15-49 years in Mashhad, Iran, during 2016. Sampling was carried out through a multi-stage process. Data collected using questionnaires on demographic and obstetric data, knowledge and preconception risk assessment as well as health belief model questionnaire encompassing four constructs of perceived barriers, sensitivity, severity, and benefits, which considered as attitude. Data analysis was performed in SPSS using Pearson’s correlation, Mann-Whitney U test, and Kruskal-Wallis test.

The knowledge of preconception care was poor in 36.4% of cases and moderate in 63.6% of participants. The score of attitude were neutral and good among 79.1% and 20.9% of participants, respectively. The scores of constructs of sensitiv

The majority of women had moderate knowledge and neutral attitude regarding preconception care. Therefore, educational intervention based on a health belief model is recommended to improve the knowledge and attitude of women and develop preconception care behaviors in these individuals.ity (80%), severity (77.3%) and perceived barriers (67.9%) were neutral, and only the construct of perceived benefit was at a good level among most women (63.3%). The scores of the all constructs had a significant correlation with scores of knowledge and attitude (P<0.05).

Preconception care (PCC) is the provision of biomedical, behavioral, and social health interventions for women and couples before conception occurs. Although it serves to close the gap of poor maternal health through promoting good behavior, risk assessment and management of chronic medical conditions, treatment of infections, and vaccinations, but it is still a challenge to most women of the childbearing age worldwide. The present study was performed to investigate the perceptions of women of the childbearing age regarding PCC.

A descriptivequalitative design was used on a purposive sample of eight pregnant women within the age range of 15-49 years attending Masvingo general hospital, Zimbabwe for antenatal care. The sample size was determined by data saturation. The data were collected within March 2018 to April 2018 through in-depth interviews, which were conducted in private rooms while detailed notes were taken. Thematic analysis was manually performed to analyse the data. Issues of trustworthiness was considered.

Major themes identified were inadequate knowledge of PCC, recognition of the importance of PCC, barriers to PCC, and facilitators of PCC.

Women acknowledged the importance of PCC. However, there was a number of barriers to the full utilization of PCC, and it was a neglected aspect of maternal-child health. There is a need to promote the awareness of PCC to enable informed decision-making regarding the issues of fertility and pregnancy planning.

Preconception care is an opportunity to change unhealthy behaviors which in turn reduces unplanned pregnancy and plays an important role in reducing maternal and infant mortality. The aim of this study was to determine the level of preconception care and its related factors in pregnant women.

This cross-sectional study was conducted on 394 pregnant women referred to Gorgan health centers in 2017. Samples were selected by multi-stage stratified sampling method from Gorgan health centers in Golestan province. Data was gathered using self-report questionnaire. Data analysis was performed using chi-square test, Fisher's exact, and Kruskal-Wallis tests in SPSS-16. The P-value less than 0.05 were considered significant.

32.7%  of women were received complete preconception care and 17.8%  had no pre-pregnancy care. Only 44.2% of women used folic acid daily since the first trimester of pregnancy. Most of pregnant women (63.7%) performed triple screening laboratory test (FBS, CBC, TSH). Preconception care was more successful in mothers with higher level of education (p<0.001), having health insurance (p<0.001), history of disease (p=0.027), higher family income (p=0.044), and nulliparity (p= 0.049).

Preconception care coverage and acid folic consumption is not optimal. It seems necessary to plan more precisely on how such services need to be provided. The identification of factors associated with this care showed that far less attention was paid among low-income, without assurance coverage and low-educated people. Since these people do not have enough money to take care of mother and infant during pregnancy, health policymakers should provide the related services for free.

Gestational hypertension is the leading cause of maternal mortality. The most effective ways to prevent this complication are the prediction and prevention of the factors accounting for the incidence of this condition. Regarding this, the present study aimed to investigate the prevalence of gestational hypertension and its associated factors.

This comparative descriptive study was performed on 2,477 pregnant women referred to four secondary and tertiary care hospitals in Isfahan, Iran in 2016 using the census method. Out of 2,477 referral cases, 148 cases were found to be suffering from various types of gestational hypertensive disorders. 200 mothers who had no pregnancy complication were also randomly selected from the 2,477 referral cases. The demographic, clinical, and therapeutic data of these mothers were collected using self-structured questionnaires through making regular visits to the maternity and obstetrics wards of the hospitals under study. Data analysis was performed in SPSS (version 18) using inferential statistical methods, including Chi-square test and independent t-test.

The prevalence of hypertension was obtained as 6%, with preeclampsia as the most prevalent type (4.2%). The incidence of gestational hypertension showed a significant relationship with the mean number of prenatal care visits (P=0.01), type of care providers delivering preconception and prenatal care (P=0.01 and P<0.001), underlying diseases (P<0.001), and number of previous abortions (P=0.01). However, there was no significant relationship between the frequency of preconception care visits and this complication (P=0.42).

Despite the current policies targeted toward the promotion of maternal health, in the present study, the prevalence of gestational hypertension was notably higher than the rates reported in the literature. Therefore, it is highly recommended to plan for the standardization of referral hospitals and enhancement of care services to prevent this complication.

Individual barriers can affect the provision of preconception care (PCC). The aim of the present study was to determine the rank of importance of individual barriers (care recipients) in the provision of PCC among diabetic women from the viewpoints of care providers.
The present cross‑sectional study was conducted on 212 health managers, physicians, and midwives from December 2015 to March 2016. The data collection tool was a two‑part researcher‑made questionnaire consisting of a demographic characteristics and viewpoints scored on a five‑point Likert scale (range: 0–4). Data were analyzed in Statistical Package for the Social Sciences software.
The mean (SD) individual barriers score of physicians, midwives, and health managers were 57.33 (15.63), 61.53 (17.81), and 54.57 (16.95), respectively (range: 0–100). A significant difference was observed between the three groups in terms of the mean score of importance of individual barriers (F = 2.54, df = 2, p = 0.040). Insufficient understanding of the importance of PCC by diabetic women and their families obtained the highest mean rank of importance in all groups.
Although individual barriers had more importance in access to PCC by diabetic women in the view of midwives compared to the other groups, the viewpoints of the three groups were similar in most cases regarding the rank of importance of items. In order to improve the quality of PCC, the necessary measures must be taken by authorities and care providers to eliminate important barriers.