TY  - JOUR
N1  - This article is Open Access: CC BY 4.0
licence (http://creativecommons.org/
licences/by/4.0/).
IS  - 751
VL  - 75
SP  - e129
JF  - British Journal of General Practice (BJGP)
A1  - Schoenaker, Danielle
A1  - Lovegrove, Elizabeth M
A1  - Cassinelli, Emma H
A1  - Hall, Jennifer
A1  - Mcgranahan, Majel
A1  - Mcgowan, Laura
A1  - Carr, Helen
A1  - Alwan, Nisreen A
A1  - Stephenson, Judith
A1  - Godfrey, Keith M
SN  - 0960-1643
UR  - https://doi.org/10.3399/bjgp.2024.0082
TI  - Preconception indicators and associations with health outcomes reported in UK routine primary care data: a systematic review
EP  - e136
Y1  - 2025/02/01/
AV  - public
KW  - Science & Technology
KW  -  Life Sciences & Biomedicine
KW  -  Primary Health Care
KW  -  Medicine
KW  -  General & Internal
KW  -  General & Internal Medicine
KW  -  general practice
KW  -  preconception care
KW  -  pregnancy
KW  -  pregnancy outcomes
KW  -  pre- pregnancy care
KW  -  primary care
KW  -  EMERGENCY CONTRACEPTION
KW  -  ORAL-CONTRACEPTIVES
KW  -  WOMEN
KW  -  POPULATION
KW  -  PREGNANCY
KW  -  RISK
KW  -  PREVALENCE
KW  -  PROVISION
KW  -  PATTERNS
KW  -  ENGLAND
ID  - discovery10204805
N2  - Background Routine primary care data may be a valuable resource for preconception health research and to inform the provision of preconception care. Aim To review how primary care data could provide information on the prevalence of preconception indicators and examine associations with maternal and offspring health outcomes. Design and setting Systematic review of observational studies using UK routine primary care data. Method Literature searches were conducted in March 2023 using five databases to identify observational studies that used national primary care data from individuals aged 15?49 years. Preconception indicators were defined as medical, behavioural, and social factors that may impact future pregnancies; health outcomes included those that may occur during and after pregnancy. Results From 5259 screened records, 42 articles were included. The prevalence of 37 preconception indicator measures was described for female patients, ranging from 0.01% for sickle cell disease to >20% for each of advanced maternal age, previous caesarean section (among those with a recorded pregnancy), overweight, obesity, smoking, depression, and anxiety (irrespective of pregnancy). Few studies reported indicators for male patients (n = 3) or associations with outcomes (n = 5). Most studies had a low risk of bias, but missing data may limit generalisability of the findings. Conclusion The findings demonstrated that routinely collected UK primary care data could be used to identify patients? preconception care needs. Linking primary care data with health outcomes collected in other datasets is underutilised, but could help to quantify how optimising preconception health and care could reduce adverse outcomes for mothers and children.
PB  - ROYAL COLL GENERAL PRACTITIONERS
ER  -