General practitioners and preconception weight management in New Zealand

Fieldwick, Diana; Smith, Alesha; Paterson, Helen

doi:10.1111/ajo.12609

Cited by 8 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Obstetric care providers . Certified obstetricians and gynecologists, general practitioners, integrated emergency surgical officers, nurses, midwives, and public health officers working in maternal and reproductive health care units [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Knowledge, attitude, and practice of preconception care and associated factors among obstetric care providers working in public health facilities of West Shoa Zone, Ethiopia: A cross-sectional study

Abayneh¹,

Wakgari

Ganfure³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

Preconception care is biomedical, social, and behavioural care provided for a woman or couple before conception occurs or throughout their reproductive year. In Ethiopia, it’s reported that the majority of health care providers had poor knowledge and practice of preconception care. The institution-based cross-sectional study was conducted among 359 obstetric care providers to assess knowledge, attitude, and practice of preconception care in West Shoa Zone, Ethiopia. A stratified, simple random sampling technique selected five hospitals, 46 health centers, and study participants. Pretested and structured questionnaires were used to collect data. Data were entered into Epidata and exported to SPSS for analysis. Bivariate and multivariate logistic regressions were employed to identify an association between the independent predictors and the outcome variables. In this study, 173(48.2%) and 124(34.5%) of the obstetric care providers had good knowledge and practice of preconception care, respectively. Two-thirds 255(71%) of providers had a favorable attitude toward preconception care. The odds of having good knowledge were higher among Midwives’ providers [AOR: 2.03, 95%CI: 1.09–3.77] and had training on HIV testing [AOR: 3.5, 95%CI: 1.9–6.4]. The presence of a library [AOR: 1.7, 95%CI: 1.04–2.85] and internet access [AOR: 3.4, 95%CI: 2.0–5.8] in working health facility had a higher odds of good knowledge about preconception. Degree and above holders [AOR: 3.1, 95%CI: 1.5–6.1] also had higher odds of good preconception knowledge than diploma holders. Similarly, the odds of having good practice of preconception care were higher among health care providers: who did screening for reproductive life plans [AOR: 3.7, 95%CI:1.8–7.4], worked in maternity and child health unit [AOR:4.2,95%CI:2.0–8.6], perceive all health facilities should give preconception care services [AOR:2.3,95%CI:1.2–4.3], and perceive all health care providers should provide preconception services [AOR:3.0, 95%CI: 1.7–5.5]. This study found that more than half of obstetric care providers’ had poor knowledge, favorable attitude, and poor practice of preconception care. Provision of training, carrier development, and installation of internet and library services should be enhanced.

show abstract

Section: Methodsmentioning

confidence: 99%

Knowledge, attitude, and practice of preconception care and associated factors among obstetric care providers working in public health facilities of West Shoa Zone, Ethiopia: A cross-sectional study

Abayneh¹,

Wakgari

Ganfure³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Whereas previous studies show a low knowledge and awareness of PCC among health workers in other countries such as Australia [40], New Zealand [12], Iran [41], and Ethiopia [39], our study shows that knowledge and awareness of PCC and its primary components among health workers at all levels are high and in line with those described by the WHO and CDC [2][3][4]. This has major implications of facilitating access and acceptability of PCC at the population level and can improve reproductive health outcomes when integrated with routine maternal and child health services.…”

Section: Discussionmentioning

confidence: 73%

“…Negative attitudes towards PCC and poor conviction of its importance were also noted [1,9]. Other studies have also shown that confusion about who should provide PCC [3,10,11], perception of lack of opportunity to provide PCC [12] and lack of motivation to provide PCC are barriers to provision by health care workers [13]. On the other hand, good knowledge and having a positive attitude towards PCC have been identified as facilitators of provision of PCC services by health care workers [1,10,11,14].…”

mentioning

confidence: 94%

Perceptions about preconception care among health care providers in Ibadan, southwest Nigeria - A qualitative study

Ojifinni

Ibisomi

2019

Preprint

View full text Add to dashboard Cite

Background: Preconception care (PCC) is a recognised strategy for optimising maternal health and improving maternal and neonatal outcomes. Research has shown that PCC services are minimally available and yet to be fully integrated into maternal health services in Nigeria. This study explored the perceptions about PCC services among health care providers in Ibadan, Nigeria. Methods: This was a case study research among 26 health care providers – 16 specialist physicians and nine nurses covering 10 specialties: Obstetrics/Gynaecology, Cardiology, Endocrinology among others at the primary, secondary and tertiary health care levels. In-depth interviews were digitally recorded, transcribed verbatim and analysed on MAXQDA using thematic analysis. Results: Six main themes were identified from the data – scope of PCC, people who require PCC, where PCC services can be provided, acceptability of PCC services, relevance of PCC to different specialties including gynaecologists, cardiologists, nephrologists, psychiatrists and possible benefits of PCC. PCC was viewed as care for women, men and couples before pregnancy to optimise health status and ensure positive pregnancy outcomes. Almost all participants stated that PCC services should be offered at all three levels of health care with referral when needed from the lower to higher levels. The prevailing opinion on the circumstances when PCC is required was that although all people of reproductive age would benefit, those who had medical problems such as hypertension, sickle cell disease, diabetes and infertility would benefit more. Participants opined that delayed health care seeking observed in the community may influence acceptability of PCC especially for people without known pre-existing conditions. All specialist physicians identified the relevance of PCC to their practice and identified potential benefits of PCC. The potential benefits outlined included opportunity to plan and prepare for pregnancy to ensure positive pregnancy outcomes. Conclusion: Preconception care is perceived as being more important for promoting positive pregnancy outcomes in people with known medical problems and is relevant to different specialities of medical practice. Provision of the service will however require establishment of guidelines and its uptake will depend on acceptability to people with known medical problems who will benefit from the service.

show abstract

“…In addition, reproductive health planning and its benefits including financial readiness of the couple was mentioned. In comparison, studies among health workers in other places such as Australia [21], New Zealand [8], Iran [22] and Ethiopia [20] reported low knowledge and awareness of PCC, although these studies were quantitative in nature. On the other hand, a qualitative study among physicians in rural Pennsylvania, US showed awareness of the need for pregnancy planning and the importance of optimal maternal health prior to pregnancy and described its necessity for women with high risk conditions like hypertension, seizure disorder, depression and diabetes [6].…”

Section: Discussionmentioning

confidence: 93%

“…Negative attitudes towards PCC and poor conviction of its importance were also noted [1,5]. Other studies have also shown that confusion about who should provide PCC [3,6,7], perception of lack of opportunity to provide PCC [8] and lack of motivation to provide PCC are barriers to provision by health care workers [9]. On the other hand, good knowledge and having a positive attitude towards PCC have been identified as facilitators of provision of PCC services by health care workers [1,6,7,10].…”

Section: Introductionmentioning

confidence: 94%

Perceptions about preconception care among health care providers in Ibadan, southwest Nigeria - A qualitative study

Ojifinni

Ibisomi

2019

Preprint

View full text Add to dashboard Cite

Background Preconception care (PCC) is a recognised strategy for optimising maternal health and improving maternal and neonatal outcomes. Research has however shown that preconception care services are not routinely provided as part of maternal health services in Nigeria. This study explored the perceptions about preconception care services among health care workers in Ibadan, Nigeria.Methods This was a qualitative descriptive study involving 25 in-depth interviews among 16 specialist physicians and nine nurses covering 10 specialties: Obstetrics/Gynaecology, Cardiology, Endocrinology among others at the primary, secondary and tertiary health care levels. Interviews were digitally recorded, transcribed verbatim and analysed on MAXQDA using thematic analysis.Results Six main themes were identified from the data – what PCC is, people who require PCC, where PCC services can be provided, acceptability of PCC services, the relevance of PCC to different specialties including gynaecologists, cardiologists, nephrologists, psychiatrists and the possible benefits of PCC. PCC was viewed as care for women, men and couples before pregnancy to optimise health status and ensure positive pregnancy outcomes. Almost all the participants stated that PCC services should be offered at all three levels of health care with referral when needed from the lower to higher levels. The prevailing opinion on the circumstances when PCC is required was that although all people of reproductive age would benefit, those who had medical problems such as hypertension, sickle cell disease, diabetes and infertility would benefit more. Acceptance and use of PCC services could however be hindered by the attitude of potential clients especially for those without any known pre-existing condition who may not use the service even if they were aware of its existence. All specialist physicians identified the relevance of PCC to their practice and identified potential benefits of PCC. The potential benefits outlined included opportunity to plan and prepare for pregnancy to ensure positive pregnancy outcomes.Conclusion Preconception care is important for positive pregnancy outcomes in people with known medical problems and is relevant to different specialities of medical practice. Its uptake will however depend on its acceptability to the people who will benefit from the service.

show abstract

General practitioners and preconception weight management in New Zealand

Abstract: General practitioners in NZ are not providing optimal preconception care. This research highlights the need for a public health message encouraging preconception counselling and better education of GPs on the topic. This should start with promotion of the Ministry of Health guidance.

Cited by 8 publications

References 19 publications

Knowledge, attitude, and practice of preconception care and associated factors among obstetric care providers working in public health facilities of West Shoa Zone, Ethiopia: A cross-sectional study

Knowledge, attitude, and practice of preconception care and associated factors among obstetric care providers working in public health facilities of West Shoa Zone, Ethiopia: A cross-sectional study

Perceptions about preconception care among health care providers in Ibadan, southwest Nigeria - A qualitative study

Perceptions about preconception care among health care providers in Ibadan, southwest Nigeria - A qualitative study

Contact Info

Product

Resources

About