The Dutch national summit on preconception care: a summary of definitions, evidence and recommendations
- PDF / 383,037 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 51 Downloads / 177 Views
COUNTRY REPORT
The Dutch national summit on preconception care: a summary of definitions, evidence and recommendations Sevilay Temel & Sabine F. van Voorst & Lieke C. de Jong-Potjer & Adja J. M. Waelput & Martina C. Cornel & Sabina Rombout de Weerd & Semiha Denktaş & Eric A. P. Steegers
Received: 3 April 2014 / Accepted: 9 October 2014 / Published online: 14 November 2014 # Springer-Verlag Berlin Heidelberg 2014
Introduction Preconception care (PCC) is widely recognized as a way to optimize women’s health through biomedical and behavioural changes prior to conception, ultimately to improve pregnancy outcomes. In terms of prevention, PCC is primary prevention for the future baby and secondary prevention for prospective mothers. When these appropriate secondary and primary preventive measures are taken, public health benefits are achievable by prevention and treatment of identified risk factors (e.g. smoking, alcohol abuse, obesity and infectious diseases) and improvement of perinatal health, potentially leading to improvement of health later in life. Despite recognition of the importance of PCC in the Netherlands within curative care and governmental policymakers (The Health Council of the Netherlands 2007), PCC is still only delivered on a small scale and not in a uniform manner. Lack of consensus regarding the content and the delivery of the care seems to be an underlying cause. This consensus is important to provide caregivers with a foundation for further implementation of PCC. Consensus is also a necessary first S. Temel : S. F. van Voorst (*) : L. C. de Jong-Potjer : A. J. M. Waelput : S. Denktaş : E. A. P. Steegers Department of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus University Medical Centre, SK 4130, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands e-mail: [email protected] M. C. Cornel Department of Clinical Genetics, Section of Community Genetics, EMGO Institute for Health and Care Research, VU University Medical Centre, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands S. R. de Weerd Department of Obstetrics and Gynaecology, Albert Schweitzer Hospital, P.O. Box 444, 3300 AK Dordrecht, The Netherlands
step in creating awareness amongst caregivers regarding their societal responsibilities in primary and secondary preventions. Therefore, a consensus meeting was organized to identify gaps and essential targets to contribute to policy thinking for implementation of PCC. Point of departure was a comprehensive literature study. This paper summarizes results of the meetings. These results can be used to create commitment and responsibility amongst curative caregivers and public health policymakers to keep the debate going in the content of PCC.
Methods A comprehensive literature study was performed to provide a starting point to address five core subjects: (1) the definition of PCC, (2) categories of PCC, (3) relevant target groups and methods for outreach, (4) risk factors which should be taken up in PCC (an evidence update as of 2008) and effective interven
Data Loading...
