Health before and during pregnancy: Making the case for Preconception Care
PHE ePoster Library. Jesurasa A. 09/10/18; 221270; 75
Dr. Amrita Jesurasa
Dr. Amrita Jesurasa
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Abstract BackgroundWithin the Maternity Transformation Programme, PHE leads workstream 9, which supports every woman to be fit for and during pregnancy. To inform local systems and support them to prioritise preparation for pregnancy, key deliverables have been developed including: (1) a toolkit to explore data newly available through the Maternity Services Data Set (MSDS) and (2) a report 'making the case' for preconception care. MethodThe toolkit contains a national report on inequalities evident at the antenatal booking appointment, and an excel tool allowing commissioners and providers to see the distribution of demographic and risk factors for women attending local maternity services.To 'make the case for preconception care', literature review, data gathering, professional stakeholder consultation, user insights and case studies were combined to describe preconception health and how to approach preconception care. Results Analysis of the MSDS dataset found that at booking: over 20% of pregnant women under 25 years smoked, young women were least likely to be taking folic acid and although being overweight or obese is widely prevalent, the highest risk was in women over 40 years old, with over 40% overweight or obese.Preconception health encompasses both planning and fitness for pregnancy. 45% of pregnancies are unplanned or associated with ambivalence and relatively few who plan, modify behaviours pre-pregnancy. Preconception care requires a life-course approach across the early and reproductive years.ConclusionThe toolkit and 'making the case' document both highlight the impact of preconception health and provide strategies for local systems to address preconception care.
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