Abstract
Preconception health is a simple yet comprehensive concept that provides a significant opportunity to prevent chronic disease, reduce the risks of maternal and infant mortality and morbidity, and improve the health of two generations. Given that well-being begins early in life and is important for all people to achieve their full potential, preconception interventions are just one part of a larger call for a life course approach to population health. The global inequitable distribution of access to medical and mental health care, housing, education, economic mobility, rights, safety, nutritious food, and other needed resources to achieve health and wellness presents a major challenge to this work. At the same time, the two-generational potential offered by focusing on the sensitive period of development that preconception health represents provides a unique forum for taking key steps forward in advancing preventive health and care. This chapter offers several potential directions for advancing preconception and preventive health for people of reproductive age.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Amrita Jesurasa AJ. Public Health England. Making the Case for Preconception. PHE Publications; 2018 July.
Boston University Medical Center Family Medicine. Project Preconception Care [Internet]. Boston University Medical Center Family Medicine. [cited 2020a Jan 18]. https://www.bu.edu/familymed/programs-and-research/project-preconception-care/
Boston University Medical Center Family Medicine. Gabe Men’s Health Promotion Program [Internet]. Boston University Medical Center Family Medicine. [cited 2020b Jan 19]. https://www.bu.edu/familymed/programs-and-research/gabes-mens-health-promotion-program/
van Dijk MR, Oostingh EC, Koster MPH, Willemsen SP, Laven JSE, Steegers-Theunissen RPM. The use of the mHealth program Smarter Pregnancy in preconception care: rationale, study design and data collection of a randomized controlled trial. BMC Pregnancy Childbirth. 2017;17(1):46.
Frayne DJ, Verbiest S, Chelmow D, Clarke H, Dunlop A, Hosmer J, et al. Health care system measures to advance preconception wellness: consensus recommendations of the clinical workgroup of the national preconception health and health care initiative. Obstet Gynecol. 2016;127(5):863–72.
Garbers S, Falletta KA, Srinivasulu S, Almonte Y, Baum R, Bermudez D, et al. If You don’t Ask, I’m Not Going to Tell You’: using community-based participatory research to inform pregnancy intention screening processes for black and Latina women in primary care. Womens Health Issues. 2020;30(1):25–34.
Harville E, Mishra G, Mumford S, Schisterman E, Jukic AM, Hatch E, et al. The Preconception Period analysis of Risks and Exposures Influencing health and Development (PrePARED) consortium. Paediatr Perinat Epidemiol. 2019;33(6):490–502.
Hill B, Skouteris H, Teede HJ, Baily C, Baxter JP, Bergmeir HJ, et al. Health in preconception, pregnancy and postpartum global alliance: International Network Preconception Research Priorities for the prevention of maternal obesity and related pregnancy and long-term complications. J Clin Med. 2019;8:2119.
Kroelinger CD, Okoroh EM, Boulet SL, Olson CK, Robbins CL. Making the case: the importance of using 10 key preconception indicators in understanding the health of women of reproductive age. J Womens Health (Larchmt). 2018;27(6):739–43.
Landkroon AP, de Weerd S, van Vliet-Lachotzki E, Steegers EAP. Validation of an internet questionnaire for risk assessment in preconception care. Public Health Genomics. 2010;13(2):89–94.
National Partnership for Women and Families. Listening to mothers reports and surveys [Internet]. National Partnership for Women and Families. [cited 2020 Jan 19]. https://www.nationalpartnership.org/our-work/health/maternity/listening-to-mothers.html
Preconception Health and Health Care Initiative. Preconception Health and Health Care Initiative May2019 newsletter: National Preconception Health + Health Care Initiative [Internet]. Preconception Health and Health Care Initiative. 2019 [cited 2020 Jan 18]. Available from: https://myemail-constantcontact-com.libproxy.lib.unc.edu/PCHHC-May-2019-Newsletter-.html?soid=1110472552145&aid=UUI7pc_pDpE
Preconception Health and Health Care Initiative. Preconception Health and Health Care Initiative June/July 2019 newsletter—Building Women’s Health Equity [Internet]. Preconception Health and Health Care Initiative. 2019 [cited 2020 Jan 17]. https://myemail-constantcontact-com.libproxy.lib.unc.edu/PCHHC-June%2D%2D-July-2019-Newsletter-.html?soid=1110472552145&aid=GKSD9rst4P4
Reproductive Justice—Sister Song [Internet]. [cited 2020 Jan 22]. https://www.sistersong.net/reproductive-justice
Sijpkens MK, van Voorst SF, de Jong-Potjer LC, Denktaş S, Verhoeff AP, Bertens LCM, et al. The effect of a preconception care outreach strategy: the Healthy Pregnancy 4 All study. BMC Health Serv Res. 2019;19(1):60.
Steegers EAP. Understanding preconception health for early life course medicine. Paediatr Perinat Epidemiol. 2019;33(6):503–5.
Stephenson J, Vogel C, Hall J, Hutchinson J, Mann S, Duncan H, et al. Preconception health in England: a proposal for annual reporting with core metrics. Lancet. 2019;393(10187):2262–71.
U.S. Department of Health and Human Services Health Resources and Services Administration. HRSA Maternal Mortality Summit: Promising Global Practices to Improve Maternal Health Outcomes. U.S. Department of Health and Human Services Health Resources and Services Administration; 2019 Feb.
Women’s Preventive Services Initiative—WPSI [Internet]. [cited 2020 Jan 22]. https://www.womenspreventivehealth.org/
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Verbiest, S., Shawe, J., Steegers, E.A.P. (2020). Advancing Preconception Health Globally: A Way Forward. In: Shawe, J., Steegers, E., Verbiest, S. (eds) Preconception Health and Care: A Life Course Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-31753-9_15
Download citation
DOI: https://doi.org/10.1007/978-3-030-31753-9_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-31752-2
Online ISBN: 978-3-030-31753-9
eBook Packages: MedicineMedicine (R0)