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Determining Pre-Conception Risk Profiles Using a National Online Self-Reported Risk Assessment: A Cross-Sectional
Lena C A Vink-van Os1, Erwin Birnie, Elsbeth H van Vliet-Lachotzki
1Division of Obstetrics and Prenatal Medicine, Department of Obstetrics and Gynaecology, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Public Health Genomics
|May 14, 2015
Summary
Many women preparing for pregnancy face numerous health risks. Targeted pre-conception care is crucial, especially for diverse demographic groups, to improve maternal and infant health outcomes.
Area of Science:
- Reproductive Health
- Public Health Research
- Pre-conception Care
Background:
- Health risk factors significantly impact pregnancy outcomes.
- Proactive identification of risks before conception is essential for maternal health.
- Online tools offer a scalable approach to assess pre-conception health.
Purpose of the Study:
- To determine the prevalence of health risk factors in women preparing for pregnancy.
- To identify personal and pre-conception risks using a web-based questionnaire.
- To provide tailored information based on individual risk profiles.
Main Methods:
- A nationwide, free, web-based, self-reported questionnaire for pre-conception health assessment.
- Analysis of 66,617 responses from non-pregnant women between May 2006 and August 2009.
- Comparison of risk profiles across socio-demographic subgroups (age, ethnicity, urbanicity, deprivation).
Main Results:
- The average responding woman faces a substantial number of health risk factors.
- Higher risk profiles were observed in women over 36, of non-Western origin, and in urban/deprived areas.
- Significant variations in risk factor prevalence exist across different socio-demographic groups.
Conclusions:
- Abundant risk factors in a self-selected population highlight the need for active pre-conception care.
- A significant increase in attention to pre-conception health is warranted.
- Tailored approaches are necessary for different subpopulations to optimize care.
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