PDF(Pubmed)
Abstract：
BACKGROUND: Preconception health has the potential to improve parental, pregnancy and infant outcomes. This scoping review aims to (1) provide an overview of the strategies, policies, guidelines, frameworks, and recommendations available in the UK and Ireland that address preconception health and care, identifying common approaches and health-influencing factors that are targeted; and (2) conduct an audit to explore the awareness and use of resources found in the scoping review amongst healthcare professionals, to validate and contextualise findings relevant to Northern Ireland.
METHODS: Grey literature resources were identified through Google Advanced Search, NICE, OpenAire, ProQuest and relevant public health and government websites. Resources were included if published, reviewed, or updated between January 2011 and May 2022. Data were extracted into Excel and coded using NVivo. The review design included the involvement of the \"Healthy Reproductive Years\" Patient and Public Involvement and Engagement advisory panel.
RESULTS: The searches identified 273 resources, and a subsequent audit with healthcare professionals in Northern Ireland revealed five additional preconception health-related resources. A wide range of resource types were identified, and preconception health was often not the only focus of the resources reviewed. Resources proposed approaches to improve preconception health and care, such as the need for improved awareness and access to care, preconceptual counselling, multidisciplinary collaborations, and the adoption of a life-course approach. Many behavioural (e.g., folic acid intake, smoking), biomedical (e.g., mental and physical health conditions), and environmental and social (e.g., deprivation) factors were identified and addressed in the resources reviewed. In particular, pre-existing physical health conditions were frequently mentioned, with fewer resources addressing psychological factors and mental health. Overall, there was a greater focus on women\'s, rather than men\'s, behaviours.
CONCLUSIONS: This scoping review synthesised existing resources available in the UK and Ireland to identify a wide range of common approaches and factors that influence preconception health and care. Efforts are needed to implement the identified resources (e.g., strategies, guidelines) to support people of childbearing age to access preconception care and optimise their preconception health.
METHODS: Grey literature resources were identified through Google Advanced Search, NICE, OpenAire, ProQuest and relevant public health and government websites. Resources were included if published, reviewed, or updated between January 2011 and May 2022. Data were extracted into Excel and coded using NVivo. The review design included the involvement of the \"Healthy Reproductive Years\" Patient and Public Involvement and Engagement advisory panel.
RESULTS: The searches identified 273 resources, and a subsequent audit with healthcare professionals in Northern Ireland revealed five additional preconception health-related resources. A wide range of resource types were identified, and preconception health was often not the only focus of the resources reviewed. Resources proposed approaches to improve preconception health and care, such as the need for improved awareness and access to care, preconceptual counselling, multidisciplinary collaborations, and the adoption of a life-course approach. Many behavioural (e.g., folic acid intake, smoking), biomedical (e.g., mental and physical health conditions), and environmental and social (e.g., deprivation) factors were identified and addressed in the resources reviewed. In particular, pre-existing physical health conditions were frequently mentioned, with fewer resources addressing psychological factors and mental health. Overall, there was a greater focus on women\'s, rather than men\'s, behaviours.
CONCLUSIONS: This scoping review synthesised existing resources available in the UK and Ireland to identify a wide range of common approaches and factors that influence preconception health and care. Efforts are needed to implement the identified resources (e.g., strategies, guidelines) to support people of childbearing age to access preconception care and optimise their preconception health.
摘要：
背景：孕前健康有可能改善父母，怀孕和婴儿结局。本范围审查旨在(1)提供战略概述，政策,指导方针,框架，以及英国和爱尔兰提供的解决孕前健康和护理的建议，确定有针对性的常见方法和健康影响因素；（2）进行审核，以探索医疗保健专业人员对范围审查中发现的资源的认识和使用，验证和语境相关的北爱尔兰的发现。
方法：灰色文献资源是通过Google高级搜索确定的，Nice,OpenAire,ProQuest和相关的公共卫生和政府网站。如果已发布，则包括资源，reviewed,或在2011年1月至2022年5月之间更新。将数据提取到Excel中并使用NVivo进行编码。审查设计包括“健康生殖年”患者和公众参与和参与咨询小组的参与。
结果：搜索确定了273个资源，随后对北爱尔兰的医疗保健专业人员进行的审计发现了另外五个与孕前健康相关的资源。确定了广泛的资源类型，孕前健康通常不是审查资源的唯一重点。资源提出了改善孕前健康和护理的方法，例如需要提高意识和获得护理的机会，概念前的咨询，多学科合作，并采用生命课程方法。许多行为(例如，叶酸摄入量，吸烟)，生物医学(例如，精神和身体健康状况)，以及环境和社会(例如，剥夺)因素在审查的资源中进行了识别和处理。特别是,先前存在的身体健康状况经常被提及，解决心理因素和心理健康的资源较少。总的来说,有更多的关注女性，而不是男人的，行为。
结论：本范围审查综合了英国和爱尔兰现有的资源，以确定影响孕前健康和护理的各种常见方法和因素。需要努力落实已确定的资源(例如，战略,准则），以支持育龄人群获得孕前护理并优化其孕前健康。
方法：灰色文献资源是通过Google高级搜索确定的，Nice,OpenAire,ProQuest和相关的公共卫生和政府网站。如果已发布，则包括资源，reviewed,或在2011年1月至2022年5月之间更新。将数据提取到Excel中并使用NVivo进行编码。审查设计包括“健康生殖年”患者和公众参与和参与咨询小组的参与。
结果：搜索确定了273个资源，随后对北爱尔兰的医疗保健专业人员进行的审计发现了另外五个与孕前健康相关的资源。确定了广泛的资源类型，孕前健康通常不是审查资源的唯一重点。资源提出了改善孕前健康和护理的方法，例如需要提高意识和获得护理的机会，概念前的咨询，多学科合作，并采用生命课程方法。许多行为(例如，叶酸摄入量，吸烟)，生物医学(例如，精神和身体健康状况)，以及环境和社会(例如，剥夺)因素在审查的资源中进行了识别和处理。特别是,先前存在的身体健康状况经常被提及，解决心理因素和心理健康的资源较少。总的来说,有更多的关注女性，而不是男人的，行为。
结论：本范围审查综合了英国和爱尔兰现有的资源，以确定影响孕前健康和护理的各种常见方法和因素。需要努力落实已确定的资源(例如，战略,准则），以支持育龄人群获得孕前护理并优化其孕前健康。
