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Related Experiment Video

Updated: Apr 25, 2026

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Does preconception care work?

Michael M Beckmann1, Tania Widmer, Elize Bolton

  • 1Obstetrics and Gynaecology, Mater Health Services, Brisbane, Qld, Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|August 19, 2014
PubMed
Summary
This summary is machine-generated.

Structured preconception care improved maternal and neonatal health outcomes. Women receiving this care had better peri-conceptual health, fewer preterm births, and less hypertensive disorders, indicating positive impacts.

Keywords:
health behaviourhealth promotionpreconception care

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Area of Science:

  • Maternal-fetal medicine
  • Public health interventions
  • Reproductive health

Background:

  • Limited evidence exists on the impact of systematic preconception care.
  • A structured approach to prepregnancy care may improve maternal and infant outcomes.

Purpose of the Study:

  • To assess if structured preconception care improves maternal health at conception.
  • To compare outcomes between women receiving structured preconception care and those who planned pregnancy without it.

Main Methods:

  • A case-control study compared women attending a preconception care service with those who planned pregnancy but did not attend.
  • Matching criteria included prepregnancy BMI, age, parity, smoking status, and health conditions.
  • Data were collected from January 2010 to January 2013 at Mater Health Services Brisbane.

Main Results:

  • Women in preconception care were more likely to have adequate folate, vaccinations (influenza, hepatitis B), and specialist consultations for health optimization.
  • They reported less weight gain by booking.
  • Preterm birth and hypertensive disorders of pregnancy were less common; trends suggested decreased gestational diabetes, LGA, and fetal anomalies.

Conclusions:

  • Preliminary data suggest a comprehensive preconception care service can positively influence maternal and neonatal outcomes.
  • Further research is warranted to confirm these findings and optimize care models.