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Review
. 2014 Sep 26;11 Suppl 3(Suppl 3):S7.
doi: 10.1186/1742-4755-11-S3-S7. Epub 2014 Sep 26.

Preconception care: delivery strategies and packages for care

Review

Preconception care: delivery strategies and packages for care

Zohra S Lassi et al. Reprod Health. .

Abstract

The notion of preconception care aims to target the existing risks before pregnancy, whereby resources may be used to improve reproductive health and optimize knowledge before conceiving. The preconception period provides an opportunity to intervene earlier to optimize the health of potential mothers (and fathers) and to prevent harmful exposures from affecting the developing fetus. These interventions include birth spacing and preventing teenage pregnancy, promotion of contraceptive use, optimization of weight and micronutrient status, prevention and management of infectious diseases, and screening for and managing chronic conditions. Given existing interventions and the need to organize services to optimize delivery of care in a logical and effective manner, interventions are frequently co-packaged or bundled together. This paper highlights packages of preconception interventions that can be combined and co-delivered to women through various delivery channels and provides a logical framework for development of such packages in varying contexts.

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Figures

Figure 1
Figure 1
Different packages of preconception care interventions

References

    1. Kerber KJ, de Graft-Johnson JE, Bhutta ZA, Okong P, Starrs A, Lawn JE. Continuum of care for maternal, newborn, and child health: from slogan to service delivery. Lancet. 2007;370(59595):1358–1369. - PubMed
    1. Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de-Bernis L. Evidence-based, cost effective interventions: how many newborn babies can we save? Lancet. 2005;365(9463):977–988. - PubMed
    1. Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, Sankar JM, Blencowe H, Rizvi A, Chou VB, Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 2014. pii: S0140-6736(14)60792-3. doi: 10.1016/S0140-6736(14)60792-3. [Epub ahead of print] - PubMed
    1. Meeting to Develop a Global Consensus on Preconception Care to Reduce Maternal and Childhood Mortality and Morbidity http://apps.who.int/iris/bitstream/10665/78067/1/9789241505000_eng.pdf. 2012.
    1. Bhutta Z, Dean S, Imam A, Lassi Z. A Systematic Review of Preconception Risks and Interventions. Karachi. The Aga Khan University; 2011.

MeSH terms