The attention for preconception care (PCC) has grown substantially in recent years, yet PCC is far from routine daily practice. One of the major challenges implementation to identify how it can best be organized and provided within primary setting. aim this study was bottlenecks solutions delivery a healthcare providers' perspective local community setting Netherlands.Health professionals region Zeist, Netherlands, were invited meeting on PCC. Five parallel group sessions held with 30...

While the potential adverse outcomes of prenatal exposure to unhealthy lifestyle are widely evidenced, little is known about these exposures in periconception period. We investigated associations between behaviours and pregnancy with a unique distinction preconceptional- behaviours.A secondary analysis took place within prospective multicentre cohort study Netherlands, including 3,684 pregnant women. Baseline characteristics preconceptional first trimester were assessed through...

Abstract Background and Aims Patient‐reported outcome experience measures (PROM PREM) can facilitate shared decision making hold potential to improve healthcare quality. However, their adoption in perinatal care is still limited. The International Consortium for Health Outcomes Measurement (ICHOM) developed a Pregnancy Childbirth (PCB) set, including PROM PREM questionnaires. We studied the feasibility use these PROMs/PREMs Dutch care, addressing both women's professionals' perspective....

The attention for Preconception Care (PCC) has grown substantially in recent years, yet the implementation of PCC appears challenging as uptake rates remain low. objective this study was to assess parental perspectives on how should be provided. Recruitment participants took place among couples who received antenatal care at a Dutch community midwifery practice. Between June and September 2014, five focus group sessions were held with 29 women one session 5 men. Thematic analysis conducted...

To explore healthcare providers' views on improving preconception care in their region.Mixed-methods study.Working conferences aimed to educate providers preconceptional risk factors and conduct a region-specific analysis of barriers facilitators for implementing care, were organised ten municipalities the Netherlands.250 various disciplines attended working conference participated study.Participants asked both fill out questionnaire concerning statements experiences with participate...

Unhealthy prenatal lifestyle behaviours are associated with adverse pregnancy outcomes, but little is known about what motivates women to comply preconceptional recommendations or consciously plan their pregnancy. Therefore, the objective of this study explore associations between behaviours, health beliefs and planning among Dutch pregnant women.

Purpose: The objective of this study was to investigate the effect a local promotional campaign on preconceptional lifestyle changes and use preconception care (PCC).Material methods: This quasi-comparative carried out between February 2015 2016 at community midwifery practice in Netherlands. intervention consisted dual track approach (i) for couples who wish conceive (ii) PCC pathway health providers. Questionnaires were collected from sample women received antenatal during pre-intervention...

Purpose Exposure to unhealthy lifestyle behaviours before pregnancy affects the health of mothers and their (unborn) children. A social marketing strategy could empower prospective parents actively prepare for through preconception care (PCC). This study aims describe development a PCC based on eight-point benchmark criteria effective clarify concept using promotion purposes. Design/methodology/approach An extensive literature search was carried out regarding needs target population...

Abstract Background In a previous feasibility study (APROPOS) in single municipality of the Netherlands, we showed that locally tailored preconception care (PCC) approach has potential to positively affect preconceptional lifestyle behaviours. Therefore, designed second (APROPOS-II) obtain more robust body evidence: larger group respondents, municipalities, randomization, and comprehensive set (clinical) outcomes. The aim this is assess effectiveness implementation process local PCC-approach...

Abstract Background The preconception period provides a window of opportunity for interventions aiming to reduce unhealthy lifestyle behaviours and their negative effect on pregnancy outcomes. This study aimed assess the effectiveness locally tailored care (PCC) intervention in hybrid-II implementation design. Methods A stepped-wedge cluster randomized controlled trial was performed four Dutch municipalities. contained social marketing strategy improve uptake (prospective parents) provision...

While most preconception care (PCC) interventions are aimed at women, men also in need of PCC to reduce risk factors affecting the spermatozoa quality. The objective this study is explore male perceptions regarding engage PCC.In a mixed-method cross-sectional study, 229 participated with questionnaire and 14 individual semi-structured interviews were conducted. Questionnaires data analysed using multiple regression analyses. thematic analyses.Most did not retrieve preconceptional information...

A transitional care pathway (TCP) could improve for older patients in the last months of life. However, barriers exist such as unidentified palliative needs and suboptimal collaboration between settings. The aim this study was to determine feasibility a TCP, named PalliSupport, at end life, prior stepped-wedge randomized controlled trial.A mixed-method conducted one hospital with affiliated primary care. Patients were ≥ 60 years acutely hospitalized. intervention consisted (1) training on...

Abstract Background While the effect of prenatal exposure to unhealthy lifestyle is widely evidenced, little known about these exposures in periconception period. We investigated associations between periconceptional behaviour change and adverse pregnancy outcomes. Methods A retrospective secondary analysis took place within a prospective multicentre cohort study Netherlands, including 3,684 pregnant women. Baseline characteristics preconceptional first-trimester behaviours were assessed...