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Barriers in the Uptake and Delivery of Preconception Care

Exploring the Views of Care Providers

Bibliographic Data

ID15340312
AuthorsHafez Ismaili M’hamdi (0000-0002-5559-2694, Erasmus MC, corresponding author), Sabine F Van Voorst (0000-0003-3827-2311, Erasmus MC), Wim Pinxten (0000-0001-5548-272X, Hasselt University), Medard Hilhorst (Erasmus MC), Medard T Hilhorst, Eric A P Steegers (0000-0001-6658-9274, Erasmus MC)
Year2016
Volume21
Issue1
Pages21-28
Publication date2016-07-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Health Journal (JOURNAL)
Journal identifiersISSN: 1092-7875 • E-ISSN: 1573-6628
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10995-016-2089-7
PMID27423236
OpenAlexW2468075248
LanguageEN
Citations received9
References cited23

Objectives To examine health care professionals' views of their role and responsibilities in providing preconception care and identify barriers that affect the delivery and uptake of preconception care. Methods Twenty health care professionals who provide preconception care on a regular basis were interviewed using semi-structured interviews. Results We interviewed twelve community midwives, three General Practitioners, three obstetricians, one cardiologist specialized in congenital heart diseases and one gastroenterologist.We identified four barriers affecting the uptake and delivery of preconception care (PCC): (1) lack of a comprehensive preconception care program; (2) limited awareness of most future parents about the benefits of preconception care, hesitance of GP's about the necessity and effectiveness of PCC; (3) poor coordination and organization of preconception care; (4) conflicting views of health care professionals on pregnancy, reproductive autonomy of patients and professional responsibility. Conclusion We have identified four barriers in the uptake and delivery of preconception care. Our findings support the timely implementation of a comprehensive program of PCC (already advocated by the Health Council of the Netherlands) and increasing awareness and knowledge of PCC from care providers and future parents. We emphasize the need for further research on how organizational barriers lead to suboptimal PCC and how interdisciplinary collaboration and referral can lead to optimally tailored intervention approaches

Autonomy · Family medicine · Health care · Intervention (counseling · Public health · Referral · Assisted Reproductive Technology and Twin Pregnancy · Medicine · Nursing · Reproductive Health and Contraception · Reproductive Health and Technologies

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Unique citing works9
Citations per year1,13
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 9

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