Why do women invest in pre-pregnancy health and care? A qualitative investigation with women attending maternity services

BMC Pregnancy and Childbirth

Volumn 15, Issue 1, 2015, Pages

  Barrett, Geraldine ^a   Shawe, Jill ^b   Howden, Beth ^c   Patel, Dilisha ^c   Ojukwu, Obiamaka ^c   Pandya, Pranav ^d   Stephenson, Judith ^c  

^a BRUNEL UNIVERSITY   (United Kingdom)

^b UNIVERSITY OF SURREY   (United Kingdom)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

^d UNIVERSITY COLLEGE LONDON HOSPITALS   (United Kingdom)

Author keywords

Folic acid; Micronutrient supplementation; Pre pregnancy; Preconception care; Pregnancy; Qualitative

Indexed keywords

FOLIC ACID; TRACE ELEMENT; VITAMIN B COMPLEX;

ADULT; ARTICLE; ATTITUDE TO HEALTH; CONTROLLED STUDY; DECISION MAKING; EDUCATIONAL STATUS; FEMALE; HEALTH CARE PLANNING; HEALTH EDUCATION; HEALTH PROMOTION; HEALTH SERVICE; HUMAN; LIFESTYLE MODIFICATION; MATERNAL ATTITUDE; PREGNANT WOMAN; PREPREGNANCY CARE; QUALITATIVE ANALYSIS; UNITED KINGDOM; VITAMIN SUPPLEMENTATION; YOUNG ADULT; DIETARY SUPPLEMENT; ENGLAND; FAMILY PLANNING; PREGNANCY; PROCEDURES; PSYCHOLOGY; QUALITATIVE RESEARCH; REPRODUCTIVE BEHAVIOR; STATISTICS AND NUMERICAL DATA;

ADULT; DIETARY SUPPLEMENTS; FAMILY PLANNING SERVICES; FEMALE; FOLIC ACID; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; LONDON; PRECONCEPTION CARE; PREGNANCY; QUALITATIVE RESEARCH; REPRODUCTIVE BEHAVIOR; VITAMIN B COMPLEX; YOUNG ADULT;

EID: 84943582738     PISSN: None     EISSN: 14712393     Source Type: Journal    
DOI: 10.1186/s12884-015-0672-3     Document Type: Article

References (62)

1. Department of Health. National Service Framework for Children, Young People, and Maternity Services: Standard 11, Maternity Services. London: Department of Health; 2004.
2. Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, Parker CS, et al. Recommendations to improve preconception health and health care--United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep. 2006;55:1-23.
3. Freda MC, Moos MK, Curtis M. The history of preconception care: evolving guidelines and standards. Matern Child Health J. 2006;10:S43-52.
4. Mason E, Chandra-Mouli V, Baltag V, Christiansen C, Lassi ZS, Bhutta ZA. Preconception care: advancing from 'important to do and can be done' to 'is being done and is making a difference'. Reprod Health. 2014;11 Suppl 3:S8.
5. Ben-Shlomo Y, Kuh D. A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. Int J Epidemiol. 2002;31:285-93.
6. Bukowski R, Malone FD, Porter FT, Nyberg DA, Comstock CH, Hankins GD, et al. Preconceptional folate supplementation and the risk of spontaneous preterm birth: a cohort study. PLoS Med. 2009;6:e1000061.
7. De-Regil LM, Fernandez-Gaxiola AC. Dowswell T. Effects and safety of periconceptional folate supplementation for preventing birth defects. Cochrane Database of Systematic Reviews: Pena-Rosas JP; 2010.
8. Lane M, Robker RL, Robertson SA. Parenting from before conception. Science. 2014;345:756-60.
9. Nykjaer C, Alwan NA, Greenwood DC, Simpson NA, Hay AW, White KL, et al. Maternal alcohol intake prior to and during pregnancy and risk of adverse birth outcomes: evidence from a British cohort. J Epidemiol Community Health. 2014;68:542-9.
10. Cragan JD, Friedman JM, Holmes LB, Uhl K, Green NS, Riley L. Ensuring the safe and effective use of medications during pregnancy: planning and prevention through preconception care. Matern Child Health J. 2006;10:S129-35.
11. Seshadri S, Oakeshott P, Nelson-Piercy C, Chappell LC. Prepregnancy care. BMJ. 2012;344:e3467.
12. Department of Health. Report from the Expert Advisory Group on Folic Acid and the Prevention of Neural Tube Defects. London. Department of: Health; 1992.
13. Raats MM, Thorpe L, Hurren C, Elliott K. The Health Education Authority's folic acid campaign. BNF Nutrition Journal. 1998;23:156-62.
14. Goldberg BB, Alvarado S, Chavez C, Chen BH, Dick LM, Felix RJ, et al. Prevalence of periconceptional folic acid use and perceived barriers to the postgestation continuance of supplemental folic acid: survey results from a Teratogen Information Service. Birth Defects Res A Clin Mol Teratol. 2006;76:193-9.
15. McNulty B, Pentieva K, Marshall B, Ward M, Molloy AM, Scott JM, et al. Women's compliance with current folic acid recommendations and achievement of optimal vitamin status for preventing neural tube defects. Hum Reprod. 2011;26:1530-6.
16. Cueto HT, Riis AH, Hatch EE, Wise LA, Rothman KJ, Mikkelsen EM. Predictors of preconceptional folic acid or multivitamin supplement use: a cross-sectional study of Danish pregnancy planners. Clin Epidemiol. 2012;4:259-65.
17. Bestwick JP, Huttly WJ, Morris JK, Wald NJ. Prevention of neural tube defects: a cross-sectional study of the uptake of folic acid supplementation in nearly half a million women. PLoS One. 2014;9:e89354.
18. Khodr ZG, Lupo PJ, Agopian AJ, Canfield MA, Case AP, Carmichael SL, et al. Preconceptional folic acid-containing supplement use in the National Birth Defects Prevention Study. Birth Defects Res A Clin Mol Teratol. 2014;100:472-82.
19. Maher M, Keriakos R. Women's Awareness of Periconceptional Use of Folic Acid Before and After Their Antenatal Visits. Clin Med Insights Womens Health. 2014;7:9-15.
20. Inskip HM, Crozier SR, Godfrey KM, Borland SE, Cooper C, Robinson SM. Women's compliance with nutrition and lifestyle recommendations before pregnancy: general population cohort study. BMJ. 2009;338:b481.
21. Xaverius PK, Tenkku LE, Salas J, Morris D. Exploring health by reproductive status: an epidemiological analysis of preconception health. J Womens Health (Larchmt). 2009;18:49-56.
22. Chuang CH, Weisman CS, Hillemeier MM, Schwarz EB, Camacho FT, Dyer AM. Pregnancy intention and health behaviors: results from the Central Pennsylvania Women's Health Study cohort. Matern Child Health J. 2010;14:501-10.
23. McCrory C, McNally S. The effect of pregnancy intention on maternal prenatal behaviours and parent and child health: results of an irish cohort study. Paediatr Perinat Epidemiol. 2013;27:208-15.
24. Stephenson J, Patel D, Barrett G, Howden B, Copas A, Ojukwu O, et al. How do women prepare for pregnancy? Preconception experiences of women attending antenatal services and views of health professionals. PLoS One. 2014;9:e103085.
25. Caelli K, Ray L, Mill J. 'Clear as mud': Toward greater clarity in generic qualitative research. International Journal of Qualitative Methods. 2003;2:1-13.
26. Neergaard MA, Olesen F, Andersen RS, Sondergaard J. Qualitative description - the poor cousin of health research? BMC Med Res Methodol. 2009;9:52.
27. Hammersley M. What's Wrong With Ethnography? Methodological Explorations. London: Routledge; 1992.
28. Randall S, Koppenhaver T. Qualitative data in demography: the sound of silence and other problems. Demogr Res. 2004;11:57-94.
29. Morse JM. Determining sample size. Qual Health Res. 2000;10:3-5.
30. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess R, editors. Analyzing Qualitative Data. London: Routledge; 1994. p. 179-94.
31. Tedstone A, Browne M, Harrop L, Vernon C, Page V, Swindells J, et al. Fortification of selected foodstuffs with folic acid in the UK: consumer research carried out to inform policy recommendations. J Public Health (Oxf). 2008;30:23-9.
32. Tuomainen H, Cross-Bardell L, Bhoday M, Qureshi N, Kai J. Opportunities and challenges for enhancing preconception health in primary care: qualitative study with women from ethnically diverse communities. BMJ Open. 2013;3(Issue 7):p1.
33. Jessiman T, Cameron A, Wiggins M, Lucas PJ. A qualitative study of uptake of free vitamins in England. Arch Dis Child. 2013;98:587-91.
34. Lindsey LL, Hamner HC, Prue CE, Flores AL, Valencia D, Correa-Sierra E, et al. Understanding optimal nutrition among women of childbearing age in the United States and Puerto Rico: employing formative research to lay the foundation for national birth defects prevention campaigns. J Health Commun. 2007;12:733-57.
35. Lyle BJ, Mares-Perlman JA, Klein BE, Klein R, Greger JL. Supplement users differ from nonusers in demographic, lifestyle, dietary and health characteristics. J Nutr. 1998;128:2355-62.
36. Harrison RA, Holt D, Pattison DJ, Elton PJ. Are those in need taking dietary supplements? A survey of 21 923 adults. Br J Nutr. 2004;91:617-23.
37. Cena ER, Joy AB, Heneman K, Espinosa-Hall G, Garcia L, Schneider C, et al. Folate intake and food-related behaviors in nonpregnant, low-income women of childbearing age. J Am Diet Assoc. 2008;108:1364-8.
38. Park JY, Nicolas G, Freisling H, Biessy C, Scalbert A, Romieu I, et al. Comparison of standardised dietary folate intake across ten countries participating in the European Prospective Investigation into Cancer and Nutrition. Br J Nutr. 2012;108:552-69.
39. Dickinson A, MacKay D. Health habits and other characteristics of dietary supplement users: a review. Nutr J. 2014;13:14.
40. Kofoed CL, Christensen J, Dragsted LO, Tjonneland A, Roswall N. Determinants of dietary supplement use - healthy individuals use dietary supplements. Br J Nutr. 2015;113:1993-2000.
41. Jessa F, Hampshire AJ. Use of folic acid by pregnant British Pakistani women: a qualitative pilot study. Health Educ J. 1999;58:139-45.
42. Barbour RS, Macleod M, Mires G, Anderson AS. Uptake of folic acid supplements before and during pregnancy: focus group analysis of women's views and experiences. J Hum Nutr Diet. 2012;25:140-7.
43. Quinn GP, Hauser K, Bell-Ellison BA, Rodriguez NY, Frias JL. Promoting pre-conceptional use of folic acid to Hispanic women: a social marketing approach. Matern Child Health J. 2006;10:403-12.
44. Rofail D, Colligs A, Abetz L, Lindemann M, Maguire L. Factors contributing to the success of folic acid public health campaigns. J Public Health (Oxf). 2012;34:90-9.
45. de WS, Steegers EA, Heinen MM, van den ES, Vehof RM, Steegers-Theunissen RP. Preconception nutritional intake and lifestyle factors: first results of an explorative study. Eur J Obstet Gynecol Reprod Biol. 2003;111:167-72.
46. Toufexis A, Horowitz JM. The new scoop on vitamins. Time. 1992;139:54-60.
47. Williams JL, Abelman SM, Fassett EM, Stone CE, Petrini JR, Damus K, et al. Health care provider knowledge and practices regarding folic acid, United States, 2002-2003. Matern Child Health J. 2006;10:S67-72.
48. Mazza D, Chapman A, Michie S. Barriers to the implementation of preconception care guidelines as perceived by general practitioners: a qualitative study. BMC Health Serv Res. 2013;13:36.
49. Shawe J, Delbaere I, Ekstrand M, Hegaard HK, Larsson M, Mastroiacovo P, et al. Preconception care policy, guidelines, recommendations and services across six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom. Eur J Contracept Reprod Health Care 2015;20(2):77-87.
50. Gardiner PM, Nelson L, Shellhaas CS, Dunlop AL, Long R, Andrist S, et al. The clinical content of preconception care: nutrition and dietary supplements. Am J Obstet Gynecol. 2008;199:S345-56.
51. Lassi ZS, Dean SV, Mallick D, Bhutta ZA. Preconception care: delivery strategies and packages for care. Reprod Health. 2014;11 Suppl 3:S7.
52. Before, Between and Beyond Pregnancy. National Preconception/Interconception Care Clinical Toolkit. http://beforeandbeyond.org/toolkit/desires-pregnancy/nutrition/. [Accessed 27.07.2015]
53. National Institute of Health and Care Excellence. Pre-conception - advice and management. http://cks.nice.org.uk/pre-conception-advice-and-management#!scenario:1. [Accessed 27.07.2015]
54. National Health Service. Vitamins and Nutrition in Pregnancy. http://www.nhs.uk/conditions/pregnancy-and-baby/pages/vitamins-minerals-supplements-pregnant.aspx#close. [Accessed 27.07.2015]
55. Goh YI, Bollano E, Einarson TR, Koren G. Prenatal multivitamin supplementation and rates of congenital anomalies: a meta-analysis. J Obstet Gynaecol Can. 2006;28:680-9.
56. Czeizel AE. Periconceptional folic acid and multivitamin supplementation for the prevention of neural tube defects and other congenital abnormalities. Birth Defects Res A Clin Mol Teratol. 2009;85:260-8.
57. Czeizel AE, Puho E. Maternal use of nutritional supplements during the first month of pregnancy and decreased risk of Down's syndrome: case-control study. Nutrition. 2005;21:698-704.
58. Sotres-Alvarez D, Siega-Riz AM, Herring AH, Carmichael SL, Feldkamp ML, Hobbs CA, et al. Maternal dietary patterns are associated with risk of neural tube and congenital heart defects. Am J Epidemiol. 2013;177:1279-88.
59. Barrett G, Smith SC, Wellings K. Conceptualisation, development, and evaluation of a measure of unplanned pregnancy. J Epidemiol Community Health. 2004;58:426-33.
60. Wellings K, Jones KG, Mercer CH, Tanton C, Clifton S, Datta J, et al. The prevalence of unplanned pregnancy and associated factors in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet. 2013;382:1807-16.
61. Centers for Disease Control and Prevention. Preconception Health and Health Care. http://www.cdc.gov/preconception/overview.html. [Accessed 27.07.2015]
62. Lewis MA, Mitchell EW, Levis DM, Isenberg K, Kish-Doto J. Couples' notions about preconception health: implications for framing social marketing plans. Am J Health Promot. 2013;27:S20-7.