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Behavior changes to promote preconception health: a systematic review
Maiko Suto1, Kimiko Inaoka2,3, Daichi Suzuki3,4
1Department of Health Policy, National Center for Child Health and Development, 10-1 Okura 2-chome, Setagaya, Tokyo, 157-8535, Japan.
BMC Women'S Health
|January 15, 2025
Summary
Preconception care programs show benefits for behavioral change and health outcomes in women. More research is needed for men and comprehensive approaches to preconception health.
Area of Science:
- Reproductive Health
- Public Health Interventions
- Behavioral Science
Background:
- Preconception care aims to prevent disease and improve pregnancy outcomes.
- While folic acid and vaccination are established, comprehensive preconception care evidence is limited.
- Focus is on behavioral change interventions for reproductive-aged individuals.
Purpose of the Study:
- To identify and examine preconception care programs for reproductive-aged women and men.
- To assess interventions promoting behavioral change for improved preconception health.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) and cluster RCTs.
- Searched MEDLINE, EMBASE, and CENTRAL databases up to November 30, 2023.
- Included behavioral change interventions like screening, counseling, and education.
Main Results:
- 26 trials were identified, predominantly recruiting women.
- Various interventions (individual, group, online education, campaigns) showed positive effects.
- Improvements noted in behavioral change, knowledge, and health outcomes.
Conclusions:
- Limited research on preconception care for men (3 studies).
- Need for comprehensive approaches addressing physical, mental, and social health.
- Future research should focus on broad determinants for both sexes.
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