Association Between Preconception Care and Birth Outcomes

American Journal of Health Promotion : AJHP
Zinat JourabchiSyed Hassan Syed Tajuddin

Abstract

To evaluate the association between preconception care and the risk of adverse birth outcomes. A quasi-experimental study comparing 2 groups: (1) integrated maternal health care (MHC) program (with preconception care) and (2) standard MHC program (without preconception care). Maternal health-care clinics in Alvand and Qazvin cities in Qazvin Province, Iran. A total of 152 and 247 Iranian women aged 16 to 35 years were enrolled in the integrated MHC and standard MHC program, respectively. The birth outcomes measured included low birth weight, preterm birth, maternal and neonatal complications, and mode of delivery (normal vaginal delivery and cesarean delivery). Multiple logistic regression was performed to determine the impact of preconception care and risk of adverse birth outcomes with adjusted odds ratios (ORs) as effect sizes. One hundred forty-seven women in integrated MHC and 218 women in standard MHC completed this study. Preconception care was associated with reduced risk of preterm birth (OR = 0.298; 95% confidence interval [CI] = 0.120-0.743; P = .009), low birth weight (OR = 0.406; 95% CI = 0.169-0.971; P = .043), maternal complication (OR = 0.399; 95% CI = 0.241-0.663; P < .001), and neonatal complications (OR = 0.4...Continue Reading

References

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Sep 2, 2005·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
Apr 4, 2006·Lancet·Khalid S KhanPaul Fa Van Look
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Dec 17, 2008·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Joyce ElsingaSimone E Buitendijk
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May 15, 2012·Lancet·Li LiuUNKNOWN Child Health Epidemiology Reference Group of WHO and UNICEF
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Software Mentioned

Statistical Package for Social Sciences ( SPSS )
EpiInfo

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