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Semin Reprod Med 2022; 40(03/04): 184-192
DOI: 10.1055/s-0042-1744517
Review Article

Interconception Health: Improving Equitable Access to Pregnancy Planning

Kirsten I. Black 
1   Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, New South Wales, Australia
,
Philippa Middleton 
,
GradDip LibSt
2   Pregnancy and Perinatal Care, SAHMRI Women and Kids, Women's and Children's Hospital, North Adelaide, SA, Australia
,
Tanvir M. Huda
3   Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
,
Sukanya Srinivasan 
4   UPMC McKeesport Family Medicine Residency, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
› Author Affiliations Funding No funding was received for this study.
› Further Information
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Abstract

Challenges remain with the implementation of preconception care, as many women do not plan their pregnancies and clinicians do not initiate preconception consultations. However, the interconception period may present a more opportune time to address health issues that impact on pregnancy outcomes and may influence future conceptions. It is also an important time to focus on pregnancy complications that may influence a person's health trajectory. This review discusses the evidence pointing to a need for greater attention on interconception health and focuses on five areas of care that may be particularly important in affecting equitable access to good care before a subsequent pregnancy: interpregnancy intervals, contraception, weight, nutrition, and gestational diabetes follow-up. Several programs internationally have developed models of care for interconception health and this review presents one such model developed in the United States that explicitly seeks to reach vulnerable populations of women who may otherwise not receive preconception care.

Keywords

preconception care - postnatal care - reproductive health - pregnancy outcomes


Publication History

Article published online:
28 July 2022

© 2022. Thieme. All rights reserved.

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