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Preconception care in France
Dominique Luton1, Anne Forestier2, Stéphanie Courau2
1Department of Obstetrics and Gynecology, Hôpital Beaujon, Assistance Publique Hôpitaux de Paris, Université Paris VII, Paris, France.
Objective:
Preconception care is advocated throughout the world as a tool for improving perinatal outcomes. However, the proportion of women in France who attend a dedicated medical preconception visit is unknown.
Methods:
We undertook a retrospective study among 401 women who delivered at a maternity clinic or hospital in France to determine how many of them had attended a preconception visit. We also collected information on various preconception care behaviors such as folate supplementation and alcohol or tobacco cessation.
Results:
In total, 21.6% of the women took a folate prescription, and 91.3% and 68.6% of women stopped alcohol and tobacco consumption, respectively. Of the 80.2% of women who visited a doctor within the 6 months before conception, only 13.8% discussed their planned pregnancy at this visit.
Conclusion:
Although the rate of vitamin supplementation remains low, there has been an increase in adequate preconception care behavior. This indicates that improvement is possible and should be implemented.
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