Goossens Joline, Delbaere Ilse, Dhaenens Celine, Willems Lies, Van Hecke Ann, Verhaeghe Sofie, Beeckman Dimitri
University Centre for Nursing and Midwifery, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, U.Z. 5K3, De Pintelaan 185, B-9000 Ghent, Belgium.
VIVES University College, Kortrijk, Belgium.
Midwifery. 2016 Feb;33:64-72. doi: 10.1016/j.midw.2015.10.012. Epub 2015 Oct 24.
to assess women׳s interest in preconception care, their organisational preferences, and their preconception-related information and support needs.
cross-sectional study design.
participants were recruited online through social media and discussion forums for issues relating to (in)fertility, pregnancy and parenting, and at the Women׳s Clinic of Ghent University Hospital.
242 reproductive-aged women with a desire to have (more) children.
the majority of women (75%) wanted to receive preconception care in the future. Gynaecologists (93%) were the preferred source of preconception care, followed by midwives (73%) and general practitioners (63%). Most women wanted information about lifestyle, environmental exposures, working conditions and medical issues. Information needs were higher among women with (history of) mental illness [odds ratio (OR) 3.50, 95% confidence interval (CI) 1.08-11.36], (history of) eye and otolaryngological problems (OR 2.22, 95% CI 0.95-5.21) and overweight (OR 2.22, 95% CI 1.01-4.93). A few women indicated that they needed preconception-related support. Overweight women reported greater need for lifestyle-related support compared with women of healthy weight (p=0.001).
reproductive-aged women are interested in preconception care, and would prefer to receive this care directly from a professional caregiver. Most women had high preconception-related information needs and lower support needs.
although women reported that they would prefer to receive preconception care from gynaecologists, the results indicate that midwives can also play an important role in the provision of preconception care. They would need further training to improve their knowledge, skills and awareness regarding preconception care.
评估女性对孕前保健的兴趣、她们的机构偏好以及与孕前相关的信息和支持需求。
横断面研究设计。
通过社交媒体和关于（不）孕、怀孕和育儿问题的讨论论坛，以及在根特大学医院的妇女诊所在线招募参与者。
242名有生育（更多）子女意愿的育龄妇女。
大多数女性（75%）希望未来接受孕前保健。妇科医生（93%）是孕前保健的首选来源，其次是助产士（73%）和全科医生（63%）。大多数女性希望获得有关生活方式、环境暴露、工作条件和医疗问题的信息。有精神疾病史[比值比（OR）3.50，95%置信区间（CI）1.08 - 11.36]、眼和耳鼻喉科问题史（OR 2.22，95%CI 0.95 - 5.21）以及超重（OR 2.22，95%CI 1.01 - 4.93）的女性信息需求更高。少数女性表示她们需要孕前相关支持。与体重正常的女性相比，超重女性报告更需要与生活方式相关的支持（p = 0.001）。
育龄女性对孕前保健感兴趣，并且更愿意直接从专业护理人员那里接受这种保健。大多数女性有较高的孕前相关信息需求和较低的支持需求。
尽管女性报告她们更愿意从妇科医生那里接受孕前保健，但结果表明助产士在提供孕前保健方面也可以发挥重要作用。她们需要进一步培训以提高其关于孕前保健的知识、技能和意识。
