Abstract：
BACKGROUND: Extensive guidelines and recommendations are available for preconception counselling service in high-income-countries. However limited comprehensive recommendations are available for preconception care and counselling in low-and-middle-income countries (LMICs), where most of maternal mortality occurs in the settings.
OBJECTIVE: This review aims to identify any design, model or set of recommendations for their potential adoption to develop preconception care and counselling service for LMICs context.
METHODS: A systematic literature search was conducted in five major databases to identify articles covering any designs, models or recommendations on preconception care, for or from LMICs settings published between 2013-2023. Articles on any single screening for preconception counselling, those evaluating the service without specific model or sets of recommendations were excluded. Articles satisfied the inclusion criteria were then appraised and were extracted and analysed using inductive approach of thematic analysis.
RESULTS: A total of nine articles were eligible for complete review, mostly were review papers, editorials and commission articles with moderate manuscript quality. Three themes of recommendations emerged from the analysis: Platforms, Core Principles, and Women Empowerment. The Platform contains recommendations on the settings, while Core principles provide essential recommendation of screening and management, while the theme Women Empowerment highlights the importance of empowering women to prepare and decide on their pregnancy.
CONCLUSIONS: Actual model of preconception care in LMICs is deficient, results of this review will inform research on the development of appropriate preconception care in LMICs . We also propose for access equity and strategies to promote women empowerment as the key to succeed the preconception care in LMICs.
OBJECTIVE: This review aims to identify any design, model or set of recommendations for their potential adoption to develop preconception care and counselling service for LMICs context.
METHODS: A systematic literature search was conducted in five major databases to identify articles covering any designs, models or recommendations on preconception care, for or from LMICs settings published between 2013-2023. Articles on any single screening for preconception counselling, those evaluating the service without specific model or sets of recommendations were excluded. Articles satisfied the inclusion criteria were then appraised and were extracted and analysed using inductive approach of thematic analysis.
RESULTS: A total of nine articles were eligible for complete review, mostly were review papers, editorials and commission articles with moderate manuscript quality. Three themes of recommendations emerged from the analysis: Platforms, Core Principles, and Women Empowerment. The Platform contains recommendations on the settings, while Core principles provide essential recommendation of screening and management, while the theme Women Empowerment highlights the importance of empowering women to prepare and decide on their pregnancy.
CONCLUSIONS: Actual model of preconception care in LMICs is deficient, results of this review will inform research on the development of appropriate preconception care in LMICs . We also propose for access equity and strategies to promote women empowerment as the key to succeed the preconception care in LMICs.
摘要：
背景：高收入国家的孕前咨询服务有广泛的指南和建议。然而，中低收入国家（LMIC）的孕前保健和咨询建议有限，大多数孕产妇死亡发生在这些地区。
目的：本综述旨在确定任何设计，他们可能采用的模式或建议集，以开发针对LMICs背景的孕前护理和咨询服务。
方法：在五个主要数据库中进行了系统的文献检索，以识别涵盖任何设计的文章，关于孕前护理的模型或建议，适用于或来自2013-2023年间发布的LMICs设置。关于任何一次筛查孕前咨询的文章，那些在没有特定模型或建议集的情况下评估服务的人被排除在外。然后对满足纳入标准的文章进行评估，并使用主题分析的归纳法进行提取和分析。
结果：共有九篇文章有资格进行完整审查，主要是评论论文，稿件质量适中的社论和佣金文章。分析中提出了三个建议主题：平台，核心原则,妇女赋权。该平台包含有关设置的建议，虽然核心原则提供了筛查和管理的基本建议，而“妇女赋权”的主题强调了赋予妇女权力以准备和决定怀孕的重要性。
结论：LMIC的孕前护理的实际模型不足，这篇综述的结果将为LMIC中适当孕前护理的发展提供信息。我们还提出了获得平等机会和促进妇女赋权的战略，这是成功实现低收入国家孕前保健的关键。
目的：本综述旨在确定任何设计，他们可能采用的模式或建议集，以开发针对LMICs背景的孕前护理和咨询服务。
方法：在五个主要数据库中进行了系统的文献检索，以识别涵盖任何设计的文章，关于孕前护理的模型或建议，适用于或来自2013-2023年间发布的LMICs设置。关于任何一次筛查孕前咨询的文章，那些在没有特定模型或建议集的情况下评估服务的人被排除在外。然后对满足纳入标准的文章进行评估，并使用主题分析的归纳法进行提取和分析。
结果：共有九篇文章有资格进行完整审查，主要是评论论文，稿件质量适中的社论和佣金文章。分析中提出了三个建议主题：平台，核心原则,妇女赋权。该平台包含有关设置的建议，虽然核心原则提供了筛查和管理的基本建议，而“妇女赋权”的主题强调了赋予妇女权力以准备和决定怀孕的重要性。
结论：LMIC的孕前护理的实际模型不足，这篇综述的结果将为LMIC中适当孕前护理的发展提供信息。我们还提出了获得平等机会和促进妇女赋权的战略，这是成功实现低收入国家孕前保健的关键。
