Article
Endocrinology & Metabolism
R. Scott, N. Oliver, M. Thomas, R. Agha-Jaffar
Summary: The study found that many women of reproductive age with diabetes are poorly prepared for pregnancy, and are also using less effective contraceptive methods. It is suggested that an evidence-based structured education course should be developed to address these issues.
DIABETES RESEARCH AND CLINICAL PRACTICE
(2021)
Article
Humanities, Multidisciplinary
Yumiko Tateoka, Fuyuki Itani
Summary: This study used text mining analysis to examine the effect of sexual education incorporating preconception care. The findings revealed that more than half of the students who received sexual education from midwives reported changes in their sexual awareness and thoughts. On the other hand, students who did not experience any changes in their sexual awareness and thinking were found to have received similar sexual education content in junior high school. The results suggest that sexual education that includes instruction on preconception care can raise students' awareness and contribute to better reproductive health.
HUMANITIES & SOCIAL SCIENCES COMMUNICATIONS
(2022)
Article
Nutrition & Dietetics
Zainab Akhter, Judith Rankin, Alice Shackford-Alizart, Roger Ackroyd, Roland Devlieger, Nicola Heslehurst
Summary: Preconception and pregnancy-specific nutritional support for women undergoing bariatric surgery in the UK is lacking. Healthcare professionals face barriers such as lack of resources, poor communication, and inadequate information and guidance. Multidisciplinary care and training are needed to provide optimal nutritional support.
Review
Public, Environmental & Occupational Health
Jinghui Xu, Xiaotian Li, Qiongjie Zhou
Summary: Preconception care is an emerging field in maternal and child healthcare worldwide. China launched a nationwide preconception care program in 2010, which has gained international attention and been published in the literature. This review summarizes the history, implementation, and evaluation of preconception care services in China, providing knowledge for policymakers and clinicians in other countries.
FRONTIERS IN PUBLIC HEALTH
(2022)
Editorial Material
Medicine, General & Internal
Nandini Raghuraman, Methodius G. Tuuli
Summary: This article discusses the reduction of pregnancy-related morbidity and mortality by identifying modifiable risk factors and providing targeted interventions and education prior to conception.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Review
Endocrinology & Metabolism
Elizabeth O. Buschur, Sarit Polsky
Summary: Women with T1DM can achieve healthy and safe pregnancies through preconception planning, optimal glycemic control, and multidisciplinary care during reproductive age.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2021)
Article
Endocrinology & Metabolism
Ho Yeon Kim, Jinsil Kim, Eunjin Noh, Ki Hoon Ahn, Geum Joon Cho, Soon-Cheol Hong, Min-Jeong Oh, Hai-Joong Kim
Summary: The study found an association between high prepregnancy hemoglobin levels and the risk of developing gestational diabetes mellitus.
DIABETES RESEARCH AND CLINICAL PRACTICE
(2021)
Article
Endocrinology & Metabolism
Ananta Addala, Stephanie L. Filipp, Lauren E. Figg, Claudia Anez-Zabala, Rayhan A. Lal, Matthew J. Gurka, Michael J. Haller, David M. Maahs, Ashby F. Walker
Summary: Through the tele-education model Project ECHO Diabetes, primary care providers have reported improved confidence and ability in managing diabetes, particularly in prescribing and managing diabetes technology.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Nutrition & Dietetics
Mengru Li, Xiaotian Chen, Yi Zhang, Hongyan Chen, Dingmei Wang, Chao Cao, Yuan Jiang, Xiangyuan Huang, Yalan Dou, Yin Wang, Xiaojing Ma, Wei Sheng, Weili Yan, Guoying Huang
Summary: The study found that most pregnancy-preparing couples failed to achieve the optimal RBC folate status recommended by the WHO, calling for attention to the insufficiency status of folate.
JOURNAL OF NUTRITION
(2022)
Article
Public, Environmental & Occupational Health
Wei Xia, Ho Cheung William Li, Tingna Liang, Yuanhui Luo, Laurie Long Kwan Ho, Ankie Tan Cheung, Peige Song
Summary: This study measures the impact of a structured online training program on improving the knowledge, attitude, confidence, and skills of university students to provide peer-led addiction counseling to young drug abusers.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Multidisciplinary Sciences
Laura Maniscalco, Salvatore Barretta, Giuseppe Pizzo, Domenica Matranga
Summary: The study examined nurses' attitudes, belief, and knowledge of smoking cessation counselling, as well as knowledge of the health risks associated with smoking. Results showed variations in attitude and knowledge levels towards smoking cessation counselling among nurses from different units.
Review
Medicine, General & Internal
Melanie Nana, Madeleine Trowsdale Stannard, Catherine Nelson-Piercy, Catherine Williamson
Summary: This study systematically reviewed the literature to evaluate the impact of pre-conception counseling (PCC) on maternal and fetal outcomes in women with chronic medical conditions other than diabetes mellitus. The results showed that PCC had favorable effects on disease activity and pregnancy outcomes in these women.
EUROPEAN JOURNAL OF INTERNAL MEDICINE
(2023)
Article
Obstetrics & Gynecology
Teresa Harper, Wendy Kuohung, Lauren Sayres, Mary D. Willis, Lauren A. Wise
Summary: There is growing evidence that optimal preconception health is associated with better reproductive, perinatal, and pediatric outcomes. Preconception care is recommended for all individuals planning pregnancy, providing an opportunity for medical providers and public health practitioners to improve health outcomes. Understanding the determinants of preconception health is important for all healthcare professionals and policymakers, and further research is needed to identify factors associated with positive health outcomes and ensure timely interventions. This article primarily focuses on clinical care, but recognizes the importance of population-health interventions considering larger social systems, structures, and policies in optimizing preconception health for individuals at risk of pregnancy.
FERTILITY AND STERILITY
(2023)
Article
Public, Environmental & Occupational Health
Cassondra J. Marshall, Zille Huma, Julianna Deardorff, Laura E. Britton
Summary: The research found that pregnant women with hypertension or diabetes had insufficient receipt of preconception counseling. Women with hypertension alone were more likely to receive each counseling outcome, while women with only diabetes were more likely to receive counseling on improving health. These results highlight the need for better preconception counseling services for pregnant women with diabetes and hypertension.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2021)
Article
Obstetrics & Gynecology
Gianna Wilkie, Heidi K. Leftwich
Summary: As cases of diabetes in children and adolescents rise, more patients will be entering reproductive age and pregnancy with diagnoses of obesity, prediabetes, type 2 diabetes. Early interventions of diet modification and exercise to maintain healthy weights can delay or even prevent these complications. It is critical for health care providers to emphasize the importance of preconception counseling in this high-risk patient population to reduce the morbidities associated with obesity and diabetes in pregnancy.
CLINICAL OBSTETRICS AND GYNECOLOGY
(2021)
Article
Clinical Neurology
S. E. Harrison, S. Ayers, M. A. Quigley, A. Stein, F. Alderdice
Summary: This study found that the prevalence of childbirth-related PTS and other stressors-related PTS in postpartum women were 2.5% and 6.8% respectively. Factors associated with PTS-C included higher level of deprivation, baby being admitted for neonatal intensive care, and not having a health professional to talk to about sensitive issues during pregnancy. Factors associated with PTS-O included younger age, depression during pregnancy, and pregnancy affected by long-term health problems.
JOURNAL OF AFFECTIVE DISORDERS
(2021)
Review
Psychiatry
Gracia Fellmeth, Sian Harrison, Charles Opondo, Manisha Nair, Jennifer J. Kurinczuk, Fiona Alderdice
Summary: Validation studies in India have shown that the Edinburgh Postnatal Depression Scale (EPDS) is effective in identifying perinatal depression. Its use in diverse Indian settings could improve detection rates for perinatal depression, but further research is needed to validate screening tools for other perinatal common mental disorders.
Article
Endocrinology & Metabolism
Goher Ayman, James A. Strachan, Niamh McLennan, Reem Malouf, Jack Lowe-Zinola, Fida Magdi, Nia Roberts, Fiona Alderdice, Iuliana Berneantu, Niki Breslin, Caroline Byrne, Sonya Carnell, David Churchill, Jeannie Grisoni, Jane E. Hirst, Anna Morris, Helen R. Murphy, Jane O'Brien, Caroline Schmutz, Kamini Shah, Ankita S. Singal, Mark W. J. Strachan, Katherine Cowan, Marian Knight
Summary: By conducting a Priority Setting Partnership with women with diabetes and experience of pregnancy, their support networks, and healthcare professionals, priorities for future research in diabetes and pregnancy were established. Key research priorities identified included diabetes technology, the best test for diabetes during pregnancy, and diet and lifestyle interventions for diabetes management during pregnancy.
Article
Health Care Sciences & Services
Laura Kelly, Jennifer J. Kurinczuk, Oliver Rivero-Arias, Ray Fitzpatrick, Elizabeth Gibbons, Fiona Alderdice
Summary: The study explored the perspectives of pregnant and postpartum women living with LTCs, as well as healthcare professionals, to better understand the potential value of using standardized health and wellbeing measures within maternity services. The results showed that despite varying levels of experience and questions about implementation, respondents were cautiously positive about using these measures to collectively identify and assess important areas of unmet needs and improve outcomes. Incorporating the perspectives of women with LTCs can help bring awareness to elements of women-centered care that health services may seek to address.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Clinical Neurology
M. Sambrook Smith, L. Cairns, L. S. W. Pullen, C. Opondo, Gracia Fellmeth, F. Alderdice
Summary: This umbrella review examined the psychometric properties of screening tools for perinatal common mental disorders. It found that the effectiveness of commonly used tools varied across different populations and contexts, and emphasized the importance of carefully selecting appropriate tools for different settings. EPDS, PHQ, and BDI were identified as useful tools in diverse environments, with the context of application being a crucial factor in determining their validity.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Nutrition & Dietetics
Alyson J. Hill, C. C. Patterson, I. S. Young, V. A. Holmes, D. R. McCance
Summary: This study explored the relationships between carbohydrate intake, BMI, and glycaemic control in pregnant women with type 1 diabetes. The findings suggest that the average quantity of dietary carbohydrate influences HbA1c, while BMI has less impact. Additionally, differences were observed in fibre and glycaemic index in relation to glycaemic control.
JOURNAL OF HUMAN NUTRITION AND DIETETICS
(2022)
Correction
Obstetrics & Gynecology
Laura Kelly, Jennifer J. Kurinczuk, Ray Fitzpatrick, Fiona Alderdice
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Obstetrics & Gynecology
Gracia Fellmeth, Sian Harrison, Jenny McNeill, Fiona Lynn, Maggie Redshaw, Fiona Alderdice
Summary: Examining the agreement between self-reported and self-identified anxiety among postnatal women, it was found that there was minimal agreement between the two measures. Women who self-identified as having anxiety may benefit from further follow-up and support.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Obstetrics & Gynecology
Laura Kelly, Jennifer J. Kurinczuk, Ray Fitzpatrick, Fiona Alderdice
Summary: This study aimed to refine the Well-being in Pregnancy (WiP) questionnaire by incorporating Long-Term Condition (LTC) specific items after conducting cognitive interviews, consultations, online survey, and factor analysis. It was found that the refined questionnaire was psychometrically sound and could provide valuable insights into women's well-being during pregnancy and childbirth, as well as their specific LTC needs.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Clinical Neurology
Frank-Leonel Tianyi, Yangmei Li, Fiona Alderdice, Maria A. Quigley, Jennifer J. Kurinczuk, Clare Bankhead, Claire Carson
Summary: This study found that women with a history of subfertility, ovulation induction, or assisted reproductive technologies (ART) treatment were not at increased risk of postpartum depression and/or anxiety compared to those with no fertility problems. However, the strength of this association was reduced when accounting for prior mental health, lifestyle, sociodemographic, and pregnancy-related factors.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Health Care Sciences & Services
Laura Kelly, Ray Fitzpatrick, Jennifer J. Kurinczuk, Oliver Rivero-Arias, Fiona Alderdice
Summary: This study aimed to validate a generic patient-reported outcome measure, the Long-Term Conditions Questionnaire (LTCQ), among pregnant and postpartum women with pre-existing long-term conditions (LTCs). Cognitive interviews and an online survey were conducted, and the results indicated that the LTCQ items were relevant and appropriate for use with this population. LTCQ scores were found to predict LTCs in pregnant and postpartum women and were correlated with other assessment tools.
PATIENT-RELATED OUTCOME MEASURES
(2022)
Article
Obstetrics & Gynecology
Jenny McLeish, Sian Harrison, Maria Quigley, Fiona Alderdice
Summary: Pregnancy and the postnatal period can be stressful, but high quality maternity care and social support can help mothers cope. The COVID-19 pandemic and its effects on maternity services in England increased rates of maternal stress and anxiety.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Review
Medicine, General & Internal
Reem Malouf, Sian Harrison, Hollie A. L. Burton, Chris Gale, Alan Stein, Linda S. Franck, Fiona Alderdice
Summary: This review found high prevalence rates of anxiety and PTS among parents of babies admitted to NNU, which decreased over time but remained higher than population prevalence estimates. Implementing routine screening for early diagnosis and intervention is recommended.
Correction
Medicine, Research & Experimental
Oliver Perra, Sam Wass, Alison McNulty, David Sweet, Kostas A. Papageorgiou, Matthew Johnston, Delfina Bilello, Aaron Patterson, Fiona Alderdice
PILOT AND FEASIBILITY STUDIES
(2021)
Article
Medicine, Research & Experimental
Oliver Perra, Sam Wass, Alison McNulty, David Sweet, Kostas A. Papageorgiou, Matthew Johnston, Delfina Bilello, Fiona Alderdice
Summary: A feasibility study was conducted to test the delivery of Attention Control Training (ACT) to very preterm (VP) infants. Recruitment and retention rates were satisfactory, with high completion rates for baseline and outcome measures. VP infants showed engagement in the training and improved performance, despite moderate eye-tracking data quality.
PILOT AND FEASIBILITY STUDIES
(2021)