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Integrated perinatal health framework. A multiple determinants model with a life span approach.
Dawn P Misra1, Bernard Guyer, Adam Allston
1Women's and Children's Health Policy Center, Department of Population and Family Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA. dmisra@umich.edu
American Journal of Preventive Medicine
|June 24, 2003
Summary
Improving perinatal health requires a new approach. Integrating a life span perspective with a multiple determinants model addresses influences before and during pregnancy for better maternal and infant outcomes.
Area of Science:
- Public Health
- Reproductive Health
- Maternal-Child Health
Background:
- Despite advances in prenatal care, US perinatal indicators lag behind other developed nations.
- Key perinatal health outcomes have stagnated or declined over the last decade.
- A novel strategy is essential to enhance perinatal health in the United States.
Purpose of the Study:
- To introduce a new framework for improving perinatal health.
- To integrate a life span approach with a multiple determinants model.
- To guide future research and policy in maternal-child health.
Main Methods:
- Proposed a framework integrating a life span perspective and a multiple determinants model.
- Reviewed existing research literature to support the proposed framework.
- Focused on preconceptional and interconceptional periods as critical intervention targets.
Main Results:
- Recognized that influences on pregnancy outcomes begin long before conception.
- Highlighted the impact of social, psychological, behavioral, environmental, and biological factors on pregnancy.
- Acknowledged demographic shifts, including delayed first births, influencing pregnancy.
Conclusions:
- The proposed framework aims to influence policymakers, public health professionals, clinicians, and researchers.
- Emphasized the need to consider the entire life span and multiple determinants for perinatal health.
- Advocated for interventions targeting preconceptional and interconceptional health for improved maternal and infant well-being.