Victorian Assisted Reproductive Treatment Authority, Level 30, 570 Bourke Street, Melbourne, 3000, Australia.
School of Public Health and Preventive Medicine, Monash University, Level 4, 553 St Kilda Rd, Melbourne, 3004, Australia.
BMC Fam Pract. 2020 Feb 20;21(1):40. doi: 10.1186/s12875-020-01110-3.
Optimal parental preconception health benefits reproductive outcomes. However, preconception health promotion is not routinely offered in primary health care settings to people of reproductive age. The aim was to gauge the planned preconception health behaviours and attitudes towards being asked about pregnancy intention by a general practitioner (GP) among people of reproductive age in Australia.
The research was conducted on a single wave of Australia's first and only probability-based online panel, Life in Australia™. Members of the Life in Australia™ panel are Australian residents aged 18 years or over. All active members between the ages of 18 and 45 years were eligible to participate. Eligible panel members were invited to complete a survey about fertility and childbearing. Data were collected from 18 February to 4 March 2019.
In all 965 female and male members of Life in Australia™ aged between 18 and 45 years were invited to complete the survey. Of these, 716 (74.2%) agreed. Most respondents indicated that if they were planning to have a child they would try to optimise their preconception health by adopting a healthier diet (80%), seeing a GP for a health check-up (78%), reducing alcohol consumption (78% of those consuming alcohol), getting fitter (73%), and stopping smoking (70% of smokers). Three in four (74%) stated that they would not mind if their GP asked them about their pregnancy intentions.
Findings suggests that routinely asking people of reproductive age about their pregnancy intentions and advising those who are planning pregnancy about what they can do to ensure optimal preconception health would be acceptable to most people and may improve reproductive outcomes.
理想的父母孕前健康有益于生殖结果。然而，在初级保健环境中，并没有向育龄人群常规提供孕前健康促进服务。本研究旨在评估澳大利亚育龄人群的计划孕前健康行为以及他们对全科医生（GP）询问妊娠意向的态度。
本研究是在澳大利亚首个也是唯一一个基于概率的在线面板 Life in Australia™ 的单次波次上进行的。Life in Australia™ 面板的成员是 18 岁或以上的澳大利亚居民。所有 18 至 45 岁的活跃成员都有资格参加。符合条件的面板成员被邀请参加一项关于生育和育儿的调查。数据收集于 2019 年 2 月 18 日至 3 月 4 日期间。
Life in Australia™ 中共有 965 名 18 至 45 岁的男性和女性成员被邀请完成调查，其中 716 名（74.2%）同意参加。大多数受访者表示，如果他们计划要孩子，他们会通过采取更健康的饮食（80%）、看全科医生进行健康检查（78%）、减少饮酒（78%的饮酒者）、锻炼身体（73%）和戒烟（70%的吸烟者）来尽力优化自己的孕前健康。四分之三（74%）的人表示，如果他们的全科医生询问他们的妊娠意向，他们不会介意。
研究结果表明，向育龄人群常规询问他们的妊娠意向，并向那些计划怀孕的人提供有关如何确保最佳孕前健康的建议，可能会被大多数人接受，并可能改善生殖结果。
