Preconception health and lifestyle behaviours of women planning a pregnancy: a cross-sectional study

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Authors
Chivers, Bonnie R.
Boyle, Jacqueline A.
Lang, Adina Y.
Teede, Helena J.
Moran, Lisa J.
Harrison, Cheryce L.
Issue Date
2020-06-02
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Article
Language
en_US
Keywords
Preconception , Health Behaviours , Pregnancy Planning , Women’s Health , Clinical Care Guidelines
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Abstract
Preconception care and lifestyle behaviours significantly influence health outcomes of women and future generations. A cross-sectional survey of Australian women in preconception, stratified by pregnancy planning stage (active planners (currently trying to conceive) vs. non-active planners (pregnancy planned within 1–5 years)), assessed health behaviours and their alignment to preconception care guidelines. Overall, 294 women with a mean (SD) age of 30.7 (4.3) years were recruited and 38.9% were overweight or obese. Approximately half of women (54.4%) reported weight gain within the previous 12 months, of which 69.5% gained ≥ 3kg. The vast majority of women (90.2%) were unaware of reproductive life plans, and 16.8% over the age of 25 had not undertaken cervical screening. Of active planners (n = 121), 47.1% had sought medical/health advice in preparation for pregnancy and 81.0% had commenced supplementation with folic acid, iodine or a preconception multivitamin. High-risk lifestyle behaviours including cigarette smoking (7.3%), consumption of alcohol (85.3%) and excessive alcohol consumption within three months (56.3%), were frequently reported in women who were actively trying to conceive. Results indicate that women who are actively planning a pregnancy require support to optimise health and lifestyle in preparation for pregnancy to improve alignment with current preconception care recommendations.
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Chivers, B. R., Boyle, J. A., Lang, A. Y., Teede, H. J., Moran, L. J., & Harrison, C. L. (2020). Preconception Health and Lifestyle Behaviours of Women Planning a Pregnancy: A Cross-Sectional Study. Journal of clinical medicine, 9(6), 1701. https://doi.org/10.3390/jcm9061701
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Journal of Clinical Medicine
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