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|Title: ||Barriers in the Uptake and Delivery of Preconception Care: Exploring the Views of Care Providers|
|Authors: ||M'hamdi, Hafez Ismaili|
van Voorst, Sabine F.
Hilhorst, Medard T
Steegers, Eric A. P
|Issue Date: ||2017|
|Citation: ||MATERNAL AND CHILD HEALTH JOURNAL, 21(1), p. 21-28|
|Abstract: ||Objectives To examine health care professionals’ views of their role and responsibilities in providing preconception care and identify barriers that affect the delivery and uptake of preconception care. Methods Twenty health care professionals who provide preconception care on a regular basis were interviewed using semistructured interviews. Results We interviewed twelve
community midwives, three General Practitioners, three obstetricians, one cardiologist specialized in congenital heart diseases and one gastroenterologist.We identified four barriers affecting the uptake and delivery of preconception care (PCC): (1) lack of a comprehensive preconception care program; (2) limited awareness of most future parents about the benefits of preconception care, hesitance of GP’s about the necessity and effectiveness of PCC; (3) poor coordination and organization of preconception care; (4) conflicting views of health care professionals on pregnancy, reproductive autonomy of patients and professional responsibility. Conclusion We have identified four barriers in the uptake and delivery of preconception care. Our findings support the timely implementation of a comprehensive
program of PCC (already advocated by the Health
Council of the Netherlands) and increasing awareness and
knowledge of PCC from care providers and future parents.
We emphasize the need for further research on how organizational
barriers lead to suboptimal PCC and how interdisciplinary
collaboration and referral can lead to optimally tailored intervention approaches.|
|ISI #: ||000392302200003|
|Type: ||Journal Contribution|
|Appears in Collections: ||Research publications|
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|Published version||368.01 kB||Adobe PDF|
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