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Ironically, there are well-developed services for preconception care of women with severe metabolic disease. However, these services are generally based in tertiary maternity hospitals in metropolitan cities. Due to geographical factors and because referral pathways and clinic entry criteria are often unclear, these services are often used by high socioeconomic status women with a relatively low risk of adverse pregnancy outcomes.
JMIR Res Protoc 2025;14:e72542
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Preconception care aims to optimize the physical and psychological health of women and their partners prior to conception [1]. Good preconception health reduces the incidence of preventable morbidity and mortality for women and their babies [1,2]. In Australia, there is a need to increase awareness about the importance of good preconception health and access to preconception care [3].
JMIR Hum Factors 2024;11:e63334
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In general, we also observed positive associations between PM2.5 exposure and PTB in 2-pollutant models among women with abnormal preconception TSH levels and women with normal preconception TSH levels.
HR (95% CI) of PTB associated with each 10-μg/m3 increase in air pollutant concentration during the pregnancy in 2-pollutant models compared to single-pollutant models.
JMIR Public Health Surveill 2024;10:e53879
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Preconception care focuses on identifying health problems, poor lifestyle habits, and social health before, during, and after pregnancy, as well as during adolescence [12]. Preconception health interventions can modify behavioral, biomedical, and social risks pertinent to women’s health via prevention and management strategies [13]. It increases the need for optimal health before conceiving a baby [14].
JMIR Res Protoc 2024;13:e56052
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The preconception period is a unique window of opportunity when women are often more motivated to optimize their health and change their lifestyle in preparation for pregnancy [5]. By reducing health and behavioral risks before conception, preconception care prevents pregnancy-related issues from occurring [6]. Modifiable lifestyle behaviors are often assessed through biochemical and anthropometric measurements, self-reporting, and validated tools [7].
J Med Internet Res 2023;25:e41900
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Moreover, detrimental periconception exposures create an unfavorable environment for the preconception maturing oocytes and the postconception developing embryo and placenta, and subsequently cause transgenerational health effects [2]. Thus, it is crucial to invest in the adoption of a healthy lifestyle for prepregnant and pregnant women considering its short- and long-term health effects.
J Med Internet Res 2023;25:e37537
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Optimal preconception health has benefits beyond fertility and pregnancy for mothers, children, and women who do not have children [1-3]. A public health view of the preconception period encompasses the months and even years prior to a potential pregnancy, when health behaviors may impact maternal health status at the critical weeks around conception [2,4].
JMIR Form Res 2022;6(8):e39280
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Weight management guidelines for preconception and pregnancy periods lack quality, consistency, and translation of effective intervention strategies into practice with extended reach that is in line with real world experience [17]. Barriers in the preconception period include identifying and engaging women who intend to become pregnant and who are, otherwise, not regularly engaged with the health care system [18].
JMIR Res Protoc 2022;11(6):e33625
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However, much of the existing research is not specific to preconception women. Several studies related to maintenance of behavior change [17,18], including our previous work [19], have also emphasized the need for ongoing positive motivational support and encouragement—a common barrier to long-term adherence.
JMIR Form Res 2022;6(4):e35108
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Studies examining preconception risk factors of childhood obesity have mainly focused on mothers. This focus on women has also contributed to gender bias, suggesting that women bear the sole responsibility for their child's health outcomes [18,19]. Nevertheless, growing evidence from human and animal studies suggests that preconception paternal risk factors could also play an important role in the health and development of their offspring [13,14,16,18-21].
JMIR Res Protoc 2021;10(12):e31254
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