Authors

1 Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences

2 Department of Epidemiology and Biostatistics, Heart Failure Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

BACKGROUND: Preconception care is a set of interventions that aim to identify and repair the factors
that can affect the outcome of pregnancy. The aim of this study was to determine the prevalence of
receiving preconception care, its relation with recipients’ individuality, fertility, and determining the
reason for lack of checkup.
MATERIALS AND METHODS: This was a descriptive cross‑sectional study that was conducted based
on simple stratified random quota sampling on 702 women who gave birth in hospitals of Isfahan (Iran)
from April to June in 2016. The tool of collecting data was researcher‑made questionnaire. The data
were analyzed by the SPSS software version 18 using the mean, standard deviation, relativity, and
independent Chi‑square tests.
RESULTS: The results showed that 47.7% of participants had received preconception care. There
was a significant relationship between educational levels, income, wanted pregnancy, number of
pregnancies, and previous individual delivery with preconception care (P <   0/05). The main reason
for the lack of preconception care was unplanned pregnancy.
CONCLUSIONS: Results of this study indicated that the quantity of preconception care is not
desirable. Therefore, notifying and sensitizing women of childbearing age is essential to refer to
service centers and receiving preconception care and planning to present it to all eligible women
before pregnancy care. The main causes of the lack of preconception care can be adjusted through
health programs.

Keywords

1. GaryCuningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS,
HoffmanBL, et al. Text Book of Williams Obstetrics. 24th ed.
American: McGraw Hill; 2014. p. 156.
2. Wildschut HI, van Vliet‑Lachotzki EH, Boon BM, Lie Fong S,
Landkroon AP, Steegers EA. Preconception care: An essential
part of the care for mother and child. Ned Tijdschr Geneeskd
2006;150:1326‑30.3. Dean SV, Mason E, Howson CP, Lassi ZS, Imam AM, Bhutta ZA.
Born too soon: Care before and between pregnancy to prevent
preterm births: From evidence to action. Reprod Health
2013;10 Suppl 1:S3.
4. Lassi ZS, Imam AM, Dean SV, Bhutta ZA. Preconception care:
Caffeine, smoking, alcohol, drugs and other environmental
chemical/radiation exposure. Reprod Health 2014;11 Suppl 3:S6.
5. Hedderson MM, Darbinian JA, Sridhar SB, Quesenberry CP.
Prepregnancy cardiometabolic and inflammatory risk factors
and subsequent risk of hypertensive disorders of pregnancy. Am
J Obstet Gynecol 2012;207:68.e1‑9.
6. World Health Organization. Meeting to Develop a Global
Consensus on Preconception Care to Reduce Maternal and
Childhood Mortality and Morbidity. Headquarters, Geneva: World
Health Organization; 2012. p. 54. Available from: http://www.
apps.who.int/iris/bitstream/10665/78067/1/9789241505000_
eng.pdf. [Last accessed on 2016 Jul 12].
7. Morino S, Ishihara M, Nishiguchi S, Fukutani N, Adachi D,
Tashiro Y, et al. The association between pregnancy‑related
discomforts and pre‑pregnancy body mass index in Japanese
women. J Womens Health Care 2015;4:1.
8. Dean SV, Lassi ZS, Imam AM, Bhutta ZA. Preconception care:
Nutritional risks and interventions. Reprod Health 2014;11Suppl3:S3.
9. Kachoria R, Oza‑Frank R. Receipt of preconception care among
women with prepregnancy and gestational diabetes. Diabet Med
2014;31:1690‑5.
10. Coffey K, Shorten A. The challenge of preconception counseling:
Using reproductive life planning in primary care. J Am Assoc
Nurse Pract 2014;26:255‑62.
11. Liu Y, Liu J, Ye R, Li Z. Association of preconceptional health
care utilization and early initiation of prenatal care. J Perinatol
2006;26:409‑13.
12. Ansari Niaki M, Izadi Sabet F. The Quality of prenatal care in
health therapeutic centers according to existing care standards.
J Semnan Univ Med Sci 2003;5:81‑86.
13. Bayrami R, Thaghipour A, Ebrahimipoor H, Moradi S.
Investigating women’s lifestyle during the preconception period
in Kalat County, Iran. JMRH 2014;2:128‑35.
14. Zarean E, Bina R. Investigate the causes of maternal morbidity
during 2006‑2011 in Isfahan. J Health Syst Res 2014; Health
Education Supplement:2056‑63.
15. Mastroiacovo P, Nilsen RM, Leoncini E, Gastaldi P, Allegri V,
Boiani A, et al. Prevalence of maternal preconception risk factors:
An Italian multicenter survey. Ital J Pediatr 2014;40:91.
16. Witt K, Huntington MK. Preconception counseling. S D Med
2016;69:103‑7.
17. Elsinga J, de Jong‑Potjer LC, van der Pal‑de Bruin KM, le Cessie S,
Assendelft WJ, Buitendijk SE. The effect of preconception
counselling on lifestyle and other behaviour before and during
pregnancy. Womens Health Issues 2008;18 6 Suppl:S117‑25.
18. Ding Y, Li XT, Xie F, Yang YL. Survey on the implementation
of preconception care in Shanghai, China. Paediatr Perinat
Epidemiol 2015;29:492‑500.
19. Pourheydari M, Khosravi A, Shamaeian Razavi N, Hamidzada A.
A comparison of prenatal maternal care between wanted and
unwanted pregnancies. Knowl Health 2011;5:7‑13.
20. Bixenstine PJ, Cheng TL, Cheng D, Connor KA, Mistry KB.
Association between preconception counseling and folic acid
supplementation before pregnancy and reasons for non‑use.
Matern Child Health J 2015;19:1974‑84.
21. Hakary D, Mohammadzade R, Velayaty A, Bolourian M. The
barriers of prenatal care and its relationship with pregnancy
outcome among women visited to Tabriz hospitals in 2009. Med
Sci J Islam Azad Univ Tehran Med Branch 2011;21:206‑13.