Preconception Care in International Settings

Abstract

Objectives: This literature review briefly describes international programs, policies, and activities related to preconception care and resulting pregnancy outcomes. Methods: Electronic databases were searched and findings supplemented with secondary references cited in the original articles as well as textbook chapters, declarations, reports, and recommendations. Results: Forty-two articles, book chapters, declarations, and other published materials were reviewed. Policies, programs, and recommendations related to preconceptional health promotion exist worldwide and comprise a readily identifiable component of historic and modern initiatives pertaining to women's health, reproductive freedom, and child survival. Conclusions: The integration of preconception care services within a larger maternal and child health continuum of care is well aligned with a prevention-based approach to enhancing global health.

Current practice of preconception care by primary caregivers in the Netherlands

“…[4] PCC can be delivered in many ways: the ideal approach depends on the local health system. [5] In the Netherlands, delivery of PCC in the form of an individual PCC consultation is advocated. [6] Individual consultations provide the opportunity for professional-led broad risk assessment to ensure that risk factors are not overlooked.…”

Reproductive Health Policy in China: A Study of Preconception Care in Rural China

“…The 14 policy documents in this study covered a variety of preconception health-and care-related issues that also are seen in the international setting (1)(2)(3). This study also showed that a more intense preconception care policy effort was initiated in China in the last few years at both the national and provincial level.…”

“…tem and economic level (3,10) preconception care policy research in developing countries is lacking. What is also known is that many developing countries, as they shape preconception health and care policies, adopt practice recommendations from developed countries (3).…”

“…What is also known is that many developing countries, as they shape preconception health and care policies, adopt practice recommendations from developed countries (3). An examination of preconception policies in a non-Westernbased society contributes to the ongoing discussion of global preconception health and care.…”

O preparo pré-concepcional entre mulheres com gravidez planejada

“…Os benefícios do cuidado pré-concepcional -como, por exemplo, a redução da mortalidade materna e infantil -são reconhecidos globalmente e ratificados em conferências internacionais, as quais têm formulado recomendações e diretrizes visando à redução dos resultados adversos no processo da gravidez (Boulet, Parker, Atrash, 2006 (Brasil, 1996), que prevê não só o cuidado em contracepção, mas também voltado à concepção. A lei determina, em seu art.…”