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Preconception, Interconception, and reproductive health screening tools: A systematic review
Megan Ren1, Hannah Shireman2, Emily White VanGompel2,3
1Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
Health Services Research
|December 27, 2022
Summary
This systematic review identified 22 standardized tools for preconception and interconception care screening. Clinicians can use this growing body of research to select appropriate reproductive health screening tools.
Area of Science:
- Reproductive Health
- Clinical Practice Guidelines
- Systematic Reviews
Background:
- Standardized screening tools are crucial for identifying reproductive health needs in general outpatient settings.
- Existing research on pregnancy intention screening and preconception/interconception care requires systematic evaluation for clinical applicability.
Approach:
- Conducted a systematic literature search of PubMed, Web of Science, and CINAHL (January 2000–March 2022) for standardized preconception and interconception health screening tools.
- Included tools designed for clinical settings and research tools with potential for clinical implementation, excluding those solely for contraceptive counseling.
- Assessed the quality of evidence and described peer-reviewed clinical applications using the Mixed Methods Appraisal Tool.
Key Points:
- Identified 22 unique tools/standardized approaches from 53 eligible studies.
- Ten of these tools had evidence from randomized clinical trials, indicating varying levels of research support.
- The identified tools and approaches varied significantly in study design, setting, and population.
Conclusions:
- Clinicians have multiple options for implementing standardized reproductive health screening services.
- A substantial body of research exists to guide the selection of appropriate screening tools.
- Further research is necessary to determine the long-term impact of these tools on patient outcomes.
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