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Associations Between Modifiable Preconception Care Indicators and Pregnancy Outcomes.

Ashwini Kamath Mulki1, Melanie B Johnson2, Nicole M Burgess2

  • 1From the Lehigh Valley Health Network (AKM, MBJ, NMB, KS, KN, KJ, RH, BC); Valley Health Partners (AKM), University of South Florida Morsani College of Medicine (AKM, KS, KJ, BC). ashwini.kamathmulki@lvhn.org.

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Summary
This summary is machine-generated.

Preconception care focusing on elevated blood pressure and Body Mass Index (BMI) can help reduce preterm births. Addressing these modifiable factors in preconception counseling is key for improved pregnancy outcomes.

Keywords:
Case-Control StudiesCounselingPennsylvaniaPreconception CarePregnancyPregnancy OutcomePreterm BirthPrimary Health CareRetrospective Studies

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Reproductive Health

Background:

  • Preconception care is crucial for optimizing maternal health before pregnancy.
  • Identifying modifiable indicators within preconception care can potentially mitigate adverse pregnancy outcomes.
  • Preterm birth remains a significant concern in maternal and child health.

Purpose of the Study:

  • To explore gaps and opportunities in preconception care.
  • To determine if modifiable preconception care indicators are associated with preterm birth.

Main Methods:

  • Retrospective case-control study of patients aged 18+ who delivered preterm versus full-term.
  • Matched 1:2 based on age, parity, and history of preterm delivery.
  • Analyzed documentation of 11 key preconception care indicators from pre-pregnancy and prenatal intake visits.

Main Results:

  • Elevated blood pressure (>120/80) in the preconception period (OR=1.84) and at prenatal intake (OR=1.68) was significantly associated with preterm birth.
  • Patients with a Body Mass Index (BMI) ≤18 or ≥30 at prenatal visit were nearly twice as likely (OR=1.85) to have preterm births.
  • Identified specific modifiable indicators linked to increased risk of preterm delivery.

Conclusions:

  • Body Mass Index (BMI) and Blood Pressure (BP) are critical targets for preconception counseling.
  • Further research is needed to explore the influence of these and other indicators on various pregnancy outcomes.
  • Highlights the importance of optimizing maternal health through targeted preconception interventions.