RT Journal Article
SR Electronic
T1 Effectiveness of preconception care interventions in primary care: a systematic review protocol
JF BJGP Open
JO BJGP Open
FD Royal College of General Practitioners
SP BJGPO.2021.0191
DO 10.3399/BJGPO.2021.0191
A1 Nishadi Nethmini Withanage
A1 Jessica R Botfield
A1 Sonia Srinivasan
A1 Kirsten I Black
A1 Danielle Mazza
YR 2022
UL http://bjgpopen.org/content/early/2022/02/14/BJGPO.2021.0191.abstract
AB Background Pregnancy outcomes can be adversely affected by a range of modifiable risk factors including alcohol consumption, smoking, obesity, drug use and poor nutrition during the preconception period. Preconception care (PCC) involves interventions that identify and seek to change behavioural, biomedical and social risks present in reproductive-aged women and men. Primary care is well situated to offer PCC interventions but the effectiveness of these interventions is not clear.Aim To evaluate the effectiveness of primary care-based PCC delivered to reproductive-aged women and/or men to improve health knowledge, reduce preconception risk factors and improve pregnancy outcomes.Design & setting A systematic review of primary care-based PCC.Method OVID Medline, Cochrane Central Register of Controlled Trials, EMBASE, Web of Science, Scopus and CINAHL databases will be searched for English language studies published between July 1999 and May 2021. For inclusion, the PCC intervention must be provided in a primary care setting and intervention recipients must be reproductive-aged women and/or men. All stages of screening and data extraction will involve a dual review. The Cochrane Risk of Bias 2.0 for RCTs will be used to assess the methodological quality of studies. This protocol adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols reporting guidelines and has been registered with PROSPERO (CRD42021235499).Conclusion Findings will determine the effectiveness of primary care-based preconception interventions delivered to reproductive-aged women and men on improving health knowledge, reducing risk factors and improving pregnancy outcomes. Findings will be published in a peer-reviewed journal.