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Preconception care: it's never too early
Sunni L Mumford1, Kara A Michels, Natasha Salaria
1Epidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 6100 Executive Blvd, 7B03, Rockville, MD 20852, USA. mumfords@mail.nih.gov.
Insights
Focusing on preconception health interventions is crucial for improving maternal and child health outcomes. This period significantly impacts long-term health for families and communities, addressing global health disparities.
Area of Science:
- Public Health
- Reproductive Health
- Developmental Biology
Background:
- The preconception period is a critical, yet often overlooked, window for human development.
- Poor preconception health contributes significantly to global health disparities.
- Existing research often neglects the paternal role in preconception health.
Purpose of the Study:
- To review the impact of public health interventions during the preconception period.
- To highlight the importance of preconception health for maternal and child well-being.
- To underscore the role of preconception interventions in addressing health inequities.
Main Methods:
- Systematic reviews of public health interventions.
- Analysis of data on maternal and paternal preconception health and knowledge.
- Literature synthesis on long-term health outcomes.
Main Results:
- Preconception interventions can positively influence pregnancy and long-term health.
- Maternal and paternal health knowledge critically shapes child and family health.
- Understanding preconception health is key to reducing health disparities.
Conclusions:
- The preconception period is as vital as pregnancy and postpartum for health outcomes.
- Interventions during this window are essential for a continuum of care, especially for adolescents.
- Addressing preconception health is fundamental for healthier families, communities, and nations.
Abstract:
The preconception window has been recognized as one of the earliest sensitive windows of human development, and interventions that focus on this period have the potential to affect not only pregnancy but long term outcomes as well. The journal Reproductive Health has published a supplement entitled 'Preconception Interventions' which includes a series of systematic reviews regarding the impact of public health interventions during the preconception period on maternal and child health. These articles describe the role that poor preconception health plays in creating health disparities across the globe. The reviews highlight our current understanding (or lack thereof) regarding how both maternal and paternal preconception health and knowledge shapes the long-term health of not only children, but of families, communities, and nations. Researchers and healthcare workers should take particular note of these interventions, as the preconception time period may be as important as the pregnancy and post-pregnancy periods, and is critical in terms of bridging the gap in the continuum of care, particularly for adolescents.
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