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Current preconception care practice in the Netherlands - An evaluation study among birth care professionals
J Scheele1, S M Smith2, R J Wahab3
1Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rochussenstraat 198, 3015 EK Rotterdam, the Netherlands.
Midwifery
|October 27, 2023
Summary
Preconception care in the Netherlands primarily involves individual consultations. Standardized protocols are lacking, and demand from expectant parents is low, highlighting a need for increased awareness and consistent practices.
Area of Science:
- Reproductive Health
- Maternal Health
- Public Health
Background:
- Preconception care is crucial for optimizing maternal and infant health outcomes.
- Understanding current practices and professional perceptions is essential for improving preconception health services.
Purpose of the Study:
- To assess the current state of preconception care delivery in the Netherlands.
- To explore the perspectives of birth care professionals on preconception care.
Main Methods:
- A cross-sectional study was conducted using a digital questionnaire.
- The study involved 83 organizations (midwifery practices and hospital obstetric departments) in the Southwest Netherlands.
- Descriptive statistics were used to analyze the data.
Main Results:
- Preconception care typically involves individual consultations with health and lifestyle advice.
- Less than half of the organizations (44.4%) have a formal preconception care protocol.
- While professionals acknowledge the need for universal preconception care, patient demand and requests for consultations are low.
- Identification of risk factors varies among professionals, with over 85% inquiring about common factors.
Conclusions:
- Birth care professionals recognize the importance of preconception care for all prospective parents.
- There is a need for standardized protocols and increased awareness among both professionals and the public to enhance preconception care uptake.
- Further research, including more obstetricians, is recommended to compare care practices between midwives and obstetricians.
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