Preconception care for infertile couples: Nurses’ and midwives’ roles in promoting better maternal and birth outcomes

Allan, Helen; Mounce, Ginny; Crespo, Esther Roè; Shawe, Jill

doi:10.1111/jocn.14586

Cited by 5 publications

(6 citation statements)

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“…midwives and maternal and child health nurses) could play a role in the continuum of preconception care, particularly between pregnancies. [32][33][34][35] Consideration of promising innovative digital solutions such as interactive conversational agents as an adjunct to face-to-face care could also be trialled to overcome some of the noted barriers in the delivery of preconception care. 36 Given our findings, further exploration of these models of care and extending the scope of practice for these professionals is warranted.…”

Section: Discussionmentioning

confidence: 99%

“…37,38 It is important that evaluation of the feasibility and effectiveness of such approaches take into account models of care addressing the constraints identified by primary care providers. 8,9,[32][33][34][35]…”

Section: Discussionmentioning

confidence: 99%

“…30 Health professional training, support and adaptive models of care are required to address barriers to PCH consultations as well as exploring adjunct digital technologies 36 and extending the scope of health professionals who could be involved in preconception care more broadly. 7,9,10,[32][33][34][35] Additionally exploration of innovations to engage non-planners is critical, as well as targeted interventions which may benefit some women such as those who are younger, from culturally and linguistically diverse backgrounds or with pre-existing medical conditions. Inclusion of the validated Australian LMUP as part of routine information collected through maternity services could be investigated to support PCH surveillance and intervention monitoring and evaluation, an approach which is currently being piloted in the United Kingdom.…”

Section: Implications For Policy and Practicementioning

confidence: 99%

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Opportunities for enhancing pregnancy planning and preconception health behaviours of Australian women

Lang

Harrison

Barrett³

et al. 2021

Women and Birth

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Problem and Background:The preconception period provides a significant opportunity to engage women in healthy behaviour change for improved maternal and child health outcomes. However, there is limited research exploring women's pregnancy planning in Australia.Aim: This study investigated associations between pregnancy planning, socio-demographics and preconception health behaviours in Australian women.Methods: A retrospective cross-sectional survey of pregnant women ≥18-years-of-age recruited through a Victorian public maternity service and a national private health insurer.Results: Overall 317 women (30±4.7 years) participated (public: n=225, private: n=92). Planned pregnancies were reported by 74% of women and were independently associated with marital status (AOR=5.71 95%CI 1.92-17.00, p=0.002); having ≤2 children (AOR=3.75 95%CI 1.28-11.05, p=0.016); and having private health insurance (AOR=2.51 95%CI 1.08-5.81, p=0.03). Overall, women reported preconception: any folic-acid supplementation (59%), up-to-date cervical screening (68%), weight management attempts (75%), accessing information from health professionals (57%) and immunisation reviews (47%). Pregnancy planners were more likely to use folic-acid (AOR=17.13 95%CI 7.67-38.26, p<0.001), review immunisations (AOR=2.09 95%CI 1.07-4.10, p=0.03) and access information (AOR=3.24 95%CI 1.75-6.00, p<0.001) compared to non-planners. Women <25years-of-age were less likely to access information (AOR=0.38 95%CI 0.16-0.89, p=0.03) and take folic-acid (AOR=0.23 95%CI 0.09-0.59, p=0.002) and were more likely to smoke 3-months preconception (AOR=6.68 95%CI 1.24-36.12, p=0.03). Conclusions:Women with planned and unplanned pregnancies reported variable preconception health behaviour uptake and limited healthcare engagement. Opportunities exist to improve awareness

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Implications For Policy and Practicementioning

confidence: 99%

See 1 more Smart Citation

Opportunities for enhancing pregnancy planning and preconception health behaviours of Australian women

Lang

Harrison

Barrett³

et al. 2021

Women and Birth

View full text Add to dashboard Cite

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“…Namely, nurses` familiarity regarding BFRs can play an important role in reducing exposures of vulnerable groups. Providing preconception care, including information on environmental health by nurses and midwives has been recommended as a measure to improve the chances of conception and to optimize pregnancy outcomes [26]. Because BFRs have been associated with an increased risk of infertility [27] and spontaneous abortion [28], nurses can advise future parents about sources of emission and ways to reduce exposures.…”

Section: Discussionmentioning

confidence: 99%

Nursing students' knowledge and attitudes regarding brominated flame retardants from three Croatian universities

Jakšić

Sarić

Čulin

2020

JHR

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PurposeThis study explored Croatian nursing students' knowledge and attitudes regarding brominated flame retardants (BFRs) as indicators of their predisposition to educate future patients. The purpose of the study was to identify knowledge gaps and barriers and to propose possible remedies.Design/methodology/approachThe cross-sectional survey was conducted on a convenience sample of 114 nursing students at undergraduate and graduate levels from three Croatian universities during the winter semester in the academic year 2018–2019. Descriptive and inferential statistical analyses were performed using STATISTICA 13 software.FindingsSlightly over half of the students (58.49%) were knowledgeable of BFR health effects and 45.28% showed knowledge about its presence in the environment. Only 33.02% of students identified prenatal exposure effects and 24.53% answered correctly about legislative actions. Participants expressed modest interest in the topic (M = 3.15, SD = 1.35). Although informing the public on the health consequences of BFRs was important to them (M = 4.18, SD = 1.03), they did not perceive health-care providers as primarily responsible for communicating that information.Originality/valueThere is a need to enhance related content in the curriculum to improve students' knowledge. Raising students' awareness regarding the role of nurses in clinical and policy arenas is proposed to facilitate active participation in improving environmental health.

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“…The Implication to Nursing Practice Allan et al (2018) found that the needs of infertile couples for preconception care are often overlooked. Nurses have the opportunity to identify and address these needs during infertility investigations and assisted conception planning.…”

Section: Educational Interventionmentioning

confidence: 99%

Psychological Distress of Infertility and Assisted Reproductive Technology: Psychosocial Management Modalities of Clients

R.O.,

C.A.,

I.Y.

2023

African Journal of Health, Nursing and Midwifery

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Infertility is the inability of couples to achieve pregnancy within one year of regular unprotected sexual intercourse. It affects around 8 to 12% of reproductive-aged couples globally, with one-third of cases caused by male issues, one-third by female issues, and one-third by a combination of both or unknown factors. Several treatment options abound and the couple may need to be managed through Assisted Reproductive Technology (ART). Infertile couples often experience psychological distress in the form of stress, anxiety and depression with a diagnosis and treatment with ART. It is therefore important to provide psychosocial support and appropriate coping strategies during infertility treatment, as couples may lack information and strategies to deal with the psychological impact. These are actions that address both the psychological and social needs of the couple. Though very important, there is limited research on the efficacy of psychological interventions for couples undergoing assisted reproductive technology (ART) treatment, particularly in Africa.

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Preconception care for infertile couples: Nurses’ and midwives’ roles in promoting better maternal and birth outcomes

Abstract: We argue that, by providing preconception care, nurses and midwives have an opportunity to deliver important advice to infertile couples in both primary care and specialist infertility services.

Cited by 5 publications

References 53 publications

Opportunities for enhancing pregnancy planning and preconception health behaviours of Australian women

Opportunities for enhancing pregnancy planning and preconception health behaviours of Australian women

Nursing students' knowledge and attitudes regarding brominated flame retardants from three Croatian universities

Psychological Distress of Infertility and Assisted Reproductive Technology: Psychosocial Management Modalities of Clients

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