Pregnancy planning and antenatal health behaviour: findings from one maternity unit in Turkey

Özkan, İlknur; Mete, Sami̇ye

doi:10.1016/j.midw.2008.07.005

Cited by 36 publications

(25 citation statements)

References 27 publications

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“…Antenatal care provides an ideal opportunity for behavioral intervention, presenting a “teachable moment” (5) with a captive audience more likely motivated toward a healthy lifestyle to optimize pregnancy outcomes (6, 7). However, existing studies have been low quality (8) and there is only one previous study targeting women at high risk of complications including GDM (9).…”

Section: Introductionmentioning

confidence: 99%

Optimizing healthy gestational weight gain in women at high risk of gestational diabetes: A randomized controlled trial

Harrison

Lombard

Strauss

et al. 2013

Obesity

129

210

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Objective: Optimizing gestational weight gain (GWG) in early pregnancy is of clinical and public health importance, especially in higher risk pregnancies. Design and Methods: In a robustly designed, randomized controlled trial, 228 pregnant women at risk of developing gestational diabetes mellitus (GDM) were allocated to either control (written health information only) or intervention (four-session lifestyle program). All women received standard maternal care. Measures were completed at 12-15 and 26-28 weeks gestation. Measures included anthropometrics (weight and height), physical activity (pedometer and International Physical Activity Questionnaire), questionnaires (risk perception), and GDM screening. When stratified according to baseline BMI, overweight women in the control group gained significantly more weight compared to overweight women in the intervention group [7.8 (3.4) vs. 6.0 (2.2) kg, P < 0.05], yet in obese women, GWG was similar in both groups. Physical activity levels declined by 28 weeks gestation overall (P < 0.01); however, the intervention group retained a 20% higher step count compared to controls [5,203 (3,368) vs. 4,140 (2,420) steps/day, P < 0.05]. Overall, GDM prevalence was 22%, with a trend toward less cases in the intervention group (P ¼ 0.1). Conclusions:Results indicate that a low-intensity lifestyle intervention, integrated with antenatal care, optimizes healthy GWG and attenuates physical activity decline in early pregnancy. Efficacy in limiting weight gain was greatest in overweight women and in high-risk ethnically diverse women.Obesity (2013) 21, 904-909.

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Section: Introductionmentioning

confidence: 99%

Optimizing healthy gestational weight gain in women at high risk of gestational diabetes: A randomized controlled trial

Harrison

Lombard

Strauss

et al. 2013

Obesity

129

210

View full text Add to dashboard Cite

show abstract

“…A study of Turkish - pregnant women interviewed in an antenatal setting found that 71% planned their pregnancy and they were less likely to smoke, have lower alcohol consumption, go to more antenatal sessions and take more supplementation and nutrition compared to those who did not plan [17]. The effect of planning a pregnancy appeared beneficial in this study, but a Swedish study found only 20% of women planning their pregnancy took folic acid during the period in which they were planning [18].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy planning, smoking behaviour during pregnancy, and neonatal outcome: UK millennium cohort study

Flower

Shawe

Stephenson

et al. 2013

BMC Pregnancy Childbirth

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BackgroundPre-pregnancy health and care are important for the health of the future generations. Smoking during pregnancy has been well-researched and there is clear evidence of harm. But there has been little research on the health impact of planning for pregnancy. This study aims to investigate the independent effects of pregnancy planning and smoking during pregnancy on neonatal outcome.MethodsThis analysis made use of data from the UK Millennium Cohort Study. The study sample consisted of 18,178 singleton babies born in UK between 2000 and 2001. The neonatal outcomes of interest were low birthweight (<2.5 Kg) and pre-term birth (<37 completed weeks gestation). Logistic regression was used to estimate the association between pregnancy planning and/or smoking and neonatal outcome. Adjusted odds ratios were used to calculate population attributable risk fractions (PAFs).Results43% of mothers did not plan their pregnancy and 34% were smoking just before and/or during pregnancy. Planners were half as likely to be smokers just before pregnancy, and more likely to give up or reduce the amount smoked if smokers. Unplanned pregnancies had 24% increased odds of low birth weight and prematurity compared to planned pregnancies (AORLBW1.24, 95% CI 1.04-1.48; AORPREM1.24, 95% CI 1.05-1.45), independent of smoking status. The odds of low birth weight for babies of mothers who were smoking just before pregnancy was 91% higher than that of mothers who were not (AORLBW1.91, 95% CI 1.56-2.34). Women who quit or reduced the amount smoked during pregnancy lowered the risk of a low birth weight baby by one third (AORLBW0.66, 95% CI 0.51-0.85) compared with women whose smoking level did not change. Smaller effects were found for prematurity. If all women planned their pregnancy and did not smoke before or during pregnancy, 30% of low birthweight and 14% of prematurity could, in theory, be avoided.ConclusionsPlanning a pregnancy and avoiding smoking during pregnancy has clear, independent, health benefits for babies. Quitting or reducing the amount smoked during pregnancy can reduce the risk of low birthweight.

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“…The periconceptional period is the critical window for primary prevention of birth defects [32]. As previously reported, planning to be pregnant affected the number of women who had the knowledge of periconceptional folic acid intake and who took it [33–36], partly because women planning to be pregnant would pay much more attention on their own health care. In this study, 34% of women planning to be pregnant in the next six months also had the knowledge of folic acid benefits, correct time of folic acid intake, and how to take it.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and use of folic acid for birth defect prevention among women of childbearing age in Shanghai, China: A prospective cross-sectional study

Lian

Zhou

et al. 2011

Med Sci Monit

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SummaryBackgroundThis study aimed to assess the knowledge, attitude, and practice of folic acid intake for prevention of birth defects in Chinese women of child-bearing age.Material/MethodsIn this prospective cross-sectional study, a total of 1,338 women aged 20–45 years were randomly selected for interview. Data on folic acid knowledge and information on folic acid intake in the subjects were collected. Age, education, contraception, and status of family planning were used as the independent variables in multivariate logistic regression.Results55.6% of the subjects took contraception at all times, and 33.9% had pregnancy planning in the next six months. 49.7% of the interviewed women knew the benefits of folic acid and 34.6% realized the correct time of folic acid intake; and 14.9% of these women actually took folic acid daily. Planning to be pregnant in the next six months was associated with knowledge of folic acid benefits, correct time of folic acid intake and actual intake. A higher education level was correlated with the knowledge of folic acid benefits and correct time of folic acid intake, but was not linked to actual intake of folic acid.ConclusionsThe knowledge and use of folic acid were at low to moderate levels in women at childbearing age in Shanghai, China, and general knowledge of folic acid benefits and correct time of folic acid intake should be conveyed to these women.

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Pregnancy planning and antenatal health behaviour: findings from one maternity unit in Turkey

Cited by 36 publications

References 27 publications

Optimizing healthy gestational weight gain in women at high risk of gestational diabetes: A randomized controlled trial

Optimizing healthy gestational weight gain in women at high risk of gestational diabetes: A randomized controlled trial

Pregnancy planning, smoking behaviour during pregnancy, and neonatal outcome: UK millennium cohort study

Knowledge and use of folic acid for birth defect prevention among women of childbearing age in Shanghai, China: A prospective cross-sectional study

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