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Change in Lifestyle Behaviors After Preconception Care: A Prospective Cohort Study

Version 2 2020-12-19, 13:07
Version 1 2020-05-21, 12:09
Posted on 2020-12-19 - 13:07
Purpose:

To evaluate the effects of preconception care (PCC) consultations by change in lifestyle behaviors.

Setting and Intervention:

Women in deprived neighborhoods of 14 Dutch municipalities were encouraged to visit a general practitioner or midwife for PCC.

Sample:

The study included women aged 18 to 41 years who had a PCC consultation.

Design:

In this community-based prospective cohort study, we assessed initiation of folic acid supplementation, cessation of smoking, alcohol consumption, and illicit drug use.

Measures:

Self-reported and biomarker data on behavioral changes were obtained at baseline and 3 months later.

Analysis:

The changes in prevalence were assessed with the McNemar test.

Results:

Of the 259 included participants, paired analyses were available in 177 participants for self-reported outcomes and in 82 for biomarker outcomes. Baseline self-reported prevalence of no folic acid use was 36%, smoking 12%, weekly alcohol use 22%, and binge drinking 17%. Significant changes in prevalence toward better lifestyle during follow-up were seen for folic acid use (both self-reported, P < .001; and biomarker-confirmed, P = .008) and for self-reported binge drinking (P = .007).

Conclusion:

Our study suggests that PCC contributes to initiation of folic acid supplementation and cessation of binge drinking in women who intend to become pregnant. Although based on a small sample, the study adds to the limited body of evidence regarding the benefits of PCC in improving periconception health.

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AUTHORS (8)

Meertien K. Sijpkens
Sabine F. van Voorst
Ageeth N. Rosman
Lieke C. de Jong-Potjer
Semiha Denktaş
Birgit C.P. Koch
Loes C.M. Bertens
Eric A.P. Steegers
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