Defining preconception: exploring the concept of a preconception population.
Preconception
Pregnancy intention
Pregnancy planning
Public health
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
07 May 2020
07 May 2020
Historique:
received:
28
08
2019
accepted:
28
04
2020
entrez:
9
5
2020
pubmed:
10
5
2020
medline:
26
1
2021
Statut:
epublish
Résumé
Health prior to conception can significantly impact offspring health, however, a clear definition of the attributes of the preconception population is currently lacking. We aimed to use existing literature to explore the concept and attributes of a preconception population by: [1] identifying characteristics and research recruitment methods; and [2] generating an attribute-based working definition of a preconception population. A rapid review of current literature using CINAHL and the subject heading 'pre-pregnancy care' was conducted (Stage 1). Data extracted included definitions of preconception, participant inclusion/exclusion criteria, participant characteristics, and recruitment methods. Stage 2 involved a wider search of relevant publications beyond peer-reviewed literature followed by a concept analysis of the phrase "preconception population" applying Walker and Avant's framework (Stage 2). Twenty-three papers (19 studies) were included in Stage 1. "Preconception" was explicitly defined in one study. Twelve studies specified participants must be planning a pregnancy. Stage 2 included 33 publications. Four key perspectives for the concept of the preconception population were derived: [1] intentional; [2] potential; [3] public health; and [4] life course. Adopting these perspectives may allow researchers to accurately define, identify and recruit preconception populations and to develop interventions that are appropriately broad or tailored depending on population needs. We hope the definitions will facilitate research with this population and will subsequently improve the wellbeing of preconception men and women, which is essential to ensuring the health of future generations.
Sections du résumé
BACKGROUND
BACKGROUND
Health prior to conception can significantly impact offspring health, however, a clear definition of the attributes of the preconception population is currently lacking. We aimed to use existing literature to explore the concept and attributes of a preconception population by: [1] identifying characteristics and research recruitment methods; and [2] generating an attribute-based working definition of a preconception population.
METHODS
METHODS
A rapid review of current literature using CINAHL and the subject heading 'pre-pregnancy care' was conducted (Stage 1). Data extracted included definitions of preconception, participant inclusion/exclusion criteria, participant characteristics, and recruitment methods. Stage 2 involved a wider search of relevant publications beyond peer-reviewed literature followed by a concept analysis of the phrase "preconception population" applying Walker and Avant's framework (Stage 2).
RESULTS
RESULTS
Twenty-three papers (19 studies) were included in Stage 1. "Preconception" was explicitly defined in one study. Twelve studies specified participants must be planning a pregnancy. Stage 2 included 33 publications. Four key perspectives for the concept of the preconception population were derived: [1] intentional; [2] potential; [3] public health; and [4] life course.
CONCLUSIONS
CONCLUSIONS
Adopting these perspectives may allow researchers to accurately define, identify and recruit preconception populations and to develop interventions that are appropriately broad or tailored depending on population needs. We hope the definitions will facilitate research with this population and will subsequently improve the wellbeing of preconception men and women, which is essential to ensuring the health of future generations.
Identifiants
pubmed: 32381056
doi: 10.1186/s12884-020-02973-1
pii: 10.1186/s12884-020-02973-1
pmc: PMC7206804
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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