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Preconception Care: A Concept Analysis of an Evolving Paradigm.

Yared Asmare Aynalem1,2, Pauline Paul1, Joanne Olson1

  • 1College of Health Sciences, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.

Journal of Advanced Nursing
|January 10, 2025
PubMed
Summary

Preconception care optimizes health before pregnancy through inclusive interventions. This proactive strategy enhances reproductive health outcomes and promotes health equity across generations.

Keywords:
Rodgers' evolutionary methodconcept analysishealth equityinclusive healthcareintergenerational healthnursingpreconception carereproductive health outcomessocial determinants of healthtailored interventions

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Area of Science:

  • Reproductive Health
  • Public Health
  • Health Equity

Background:

  • Preconception care is crucial for optimizing health before pregnancy.
  • A precise and inclusive definition is needed to improve its implementation and impact.
  • Current understanding may lack a comprehensive, multi-generational perspective.

Purpose of the Study:

  • To clarify the concept of preconception care.
  • To develop a precise and inclusive definition for preconception care.
  • To enhance the implementation and impact of preconception care on reproductive health outcomes.

Main Methods:

  • Concept analysis using Rodgers' evolutionary method.
  • Comprehensive literature review (2012-2024) of 1520 articles, with 40 selected for in-depth analysis.
  • Identification of attributes, antecedents, and consequences of preconception care.

Main Results:

  • Preconception care attributes include period, population, and pathway-related factors.
  • Antecedents involve desires for a healthy baby and family planning.
  • Consequences include improved pregnancy outcomes, health equity, and intergenerational health.

Conclusions:

  • Preconception care is a dynamic, multifaceted process requiring tailored, intergenerational approaches.
  • A clear definition supports effective, equitable care delivery by healthcare professionals.
  • Improved understanding and implementation enhance reproductive health and equity.