Zinat Jourabchi1, Sazlina Sharif2, Munn Sann Lye3, Asefzadeh Saeed4, Geok Lin Khor5, Syed Hassan Syed Tajuddin6. 1. 1 Department of Midwifery, Faculty of Nursing and Midwifery, Qazvin University of Medical and Health Sciences, Qazvin, Iran. 2. 2 Department of Family Medicine, Faculty of Medicine and Health Sciences, University Putra Malaysia, Seri Kembangan, Malaysia. 3. 3 Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Seri Kembangan, Malaysia. 4. 4 Department of Health Administration, Qazvin University of Medical and Health Sciences, Qazvin, Iran. 5. 5 Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, University Putra Malaysia, Seri Kembangan, Malaysia. 6. 6 Department of Nursing, Faculty of Medicine and Health Sciences, University Putra Malaysia, Seri Kembangan, Malaysia.
Abstract
PURPOSE: To evaluate the association between preconception care and the risk of adverse birth outcomes. DESIGN: A quasi-experimental study comparing 2 groups: (1) integrated maternal health care (MHC) program (with preconception care) and (2) standard MHC program (without preconception care). SETTING: Maternal health-care clinics in Alvand and Qazvin cities in Qazvin Province, Iran. PARTICIPANTS: A total of 152 and 247 Iranian women aged 16 to 35 years were enrolled in the integrated MHC and standard MHC program, respectively. MEASURES: The birth outcomes measured included low birth weight, preterm birth, maternal and neonatal complications, and mode of delivery (normal vaginal delivery and cesarean delivery). ANALYSIS: Multiple logistic regression was performed to determine the impact of preconception care and risk of adverse birth outcomes with adjusted odds ratios (ORs) as effect sizes. RESULTS: One hundred forty-seven women in integrated MHC and 218 women in standard MHC completed this study. Preconception care was associated with reduced risk of preterm birth (OR = 0.298; 95% confidence interval [CI] = 0.120-0.743; P = .009), low birth weight (OR = 0.406; 95% CI = 0.169-0.971; P = .043), maternal complication (OR = 0.399; 95% CI = 0.241-0.663; P < .001), and neonatal complications (OR = 0.460; 95% CI = 0.275-0.771; P = .003). CONCLUSION: The findings of the present study revealed advantages of preconception care with reduced adverse birth outcomes.
PURPOSE: To evaluate the association between preconception care and the risk of adverse birth outcomes. DESIGN: A quasi-experimental study comparing 2 groups: (1) integrated maternal health care (MHC) program (with preconception care) and (2) standard MHC program (without preconception care). SETTING: Maternal health-care clinics in Alvand and Qazvin cities in Qazvin Province, Iran. PARTICIPANTS: A total of 152 and 247 Iranian women aged 16 to 35 years were enrolled in the integrated MHC and standard MHC program, respectively. MEASURES: The birth outcomes measured included low birth weight, preterm birth, maternal and neonatal complications, and mode of delivery (normal vaginal delivery and cesarean delivery). ANALYSIS: Multiple logistic regression was performed to determine the impact of preconception care and risk of adverse birth outcomes with adjusted odds ratios (ORs) as effect sizes. RESULTS: One hundred forty-seven women in integrated MHC and 218 women in standard MHC completed this study. Preconception care was associated with reduced risk of preterm birth (OR = 0.298; 95% confidence interval [CI] = 0.120-0.743; P = .009), low birth weight (OR = 0.406; 95% CI = 0.169-0.971; P = .043), maternal complication (OR = 0.399; 95% CI = 0.241-0.663; P < .001), and neonatal complications (OR = 0.460; 95% CI = 0.275-0.771; P = .003). CONCLUSION: The findings of the present study revealed advantages of preconception care with reduced adverse birth outcomes.
Entities:
Keywords:
maternal care patterns; maternal child health centers; maternal health; maternal health services; preconception care; prenatal care
Authors: Veronique Y F Maas; Marjolein Poels; Marije Lamain-de Ruiter; Anneke Kwee; Mireille N Bekker; Arie Franx; Maria P H Koster Journal: BMC Pregnancy Childbirth Date: 2021-07-07 Impact factor: 3.007