Why women do not ask for information on preconception health? A qualitative study.
| Title: | Why women do not ask for information on preconception health? A qualitative study. |
|---|---|
| Authors: | Bortolus R; Office for Research Promotion, Department of the Hospital Management, Verona University Hospital, Verona, Italy. renata.bortolus@ospedaleuniverona.it.; Oprandi NC; Office for Research Promotion, Department of the Hospital Management, Verona University Hospital, Verona, Italy.; Rech Morassutti F; Office for Research Promotion, Department of the Hospital Management, Verona University Hospital, Verona, Italy.; Marchetto L; Office for Research Promotion, Department of the Hospital Management, Verona University Hospital, Verona, Italy.; Filippini F; Office for Research Promotion, Department of the Hospital Management, Verona University Hospital, Verona, Italy.; Agricola E; Multifactorial Disease and Complex Phenotype Research Area, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.; Tozzi AE; Multifactorial Disease and Complex Phenotype Research Area, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.; Castellani C; Cystic Fibrosis Centre, Verona University Hospital, Verona, Italy.; Lalatta F; Clinical Genetics Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.; Rusticali B; National Agency for Regional Health Services, Rome, Italy.; Mastroiacovo P; Alessandra Lisi International Centre on Birth Defects and Prematurity - ICBD, Rome, Italy. |
| Source: | BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2017 Jan 05; Vol. 17 (1), pp. 5. Date of Electronic Publication: 2017 Jan 05. |
| Publication Type: | Journal Article; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| MeSH Terms: | Health Knowledge, Attitudes, Practice* ; Preconception Care*; Health Personnel/*psychology ; Health Promotion/*methods ; Patient Acceptance of Health Care/*psychology; Adult ; Attitude of Health Personnel ; Female ; Focus Groups ; Humans ; Italy ; Pregnancy ; Qualitative Research ; Young Adult |
| Abstract: | Background: Preconception care involves health promotion to reduce risk factors that might affect women and couples of childbearing age. The risk factors of adverse reproductive outcomes include recognized genetic diseases in the family or the individual, previous congenital diseases, miscarriage, prematurity, fetal growth restriction, infertility, chronic maternal diseases, lifestyle, and occupational or environmental factors. Effective preconception care involves a range of preventive, therapeutic and behavioural interventions. Although in Italy there are national preconception care recommendations concerning the general population, they are usually encouraged informally and only for single risk factors. At present there is increasing interest in offering a global intervention in this field. The aim of this study was to investigate attitudes and behaviours of Italian women of childbearing age and healthcare professionals regarding preconception health.; Methods: We conducted a qualitative study among women of childbearing age and healthcare professionals between February 2014 and February 2015. Five focus groups were held: 2 with non-pregnant women aged 22 to 44 years and 3 with healthcare professionals. Discussion topics included women's questions about preconception health, worries and barriers regarding preconception care interventions, attitudes and behaviours of women and healthcare professionals towards preconception health, women's information sources. In the analysis of the focus groups priority was given to what was said by the women, supplemented by information from the healthcare professionals' focus groups.; Results: Fourteen women of childbearing age (8 nulliparae and 6 multiparae) and 12 healthcare professionals (3 nurses, 4 midwives, 5 doctors) participated in the focus groups. The results indicate the presence of many barriers and a lack of awareness of preconception health relating to women, healthcare professionals and policies. Women's knowledge and attitudes towards primary preconception care information are described. The main reference source of information in this field for Italian women seems to be their obstetric-gynaecologist.; Conclusions: The study indicates that several barriers influence preconception care in Italy. Moreover, a lack of awareness of preconception health and care among Italian women of childbearing age and healthcare professionals emerges. The findings might contribute to strategies for the implementation of preconception care guidelines. |
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| Contributed Indexing: | Keywords: Adverse reproductive outcomes; Focus group; Healthcare professionals; Preconception health and care; Risk factors; Women of childbearing age |
| Entry Date(s): | Date Created: 20170107 Date Completed: 20180226 Latest Revision: 20260127 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC5217233 |
| DOI: | 10.1186/s12884-016-1198-z |
| PMID: | 28056865 |
| Database: | MEDLINE |
Journal Article; Research Support, Non-U.S. Gov't