Relationships between Women's and Men's Modifiable Preconception Risks and Health Behaviors and Maternal and Offspring Health Outcomes: An Umbrella Review

Cherie Caut (Lead / Corresponding author), Daniele Schoenaker, Erica McIntyre, Dwan Vilcins, Anna Gavine, Amie Steel

Research output: Contribution to journalReview articlepeer-review

3 Citations (Scopus)
19 Downloads (Pure)

Abstract

Parental health before conception effects maternal and offspring health outcomes. Preconception care provides healthcare to prospective parents addressing modifiable preconception risks and health behaviors. This umbrella review aimed to consolidate evidence on women's and men's modifiable preconception risks or health behaviors associated with maternal and offspring health outcomes. MEDLINE, EMBASE, Maternity and Infant Care, CINAHL, and PsycINFO were searched from March 4, 2010, to March 4, 2020. Eligible studies were systematic reviews or meta-analyses of observational studies examining associations between modifiable preconception risks or health behaviors and maternal and offspring health outcomes. Screening, data extraction, and methodological quality assessment (AMSTAR 2) occurred independently by two reviewers. Degree of overlap was examined. Findings were summarized for evidence synthesis. Twenty-seven systematic reviews were included. Modifiable preconception risks and health behaviors were identified across categories: body composition (e.g., overweight, obesity), lifestyle behaviors (e.g., caffeine, smoking), nutrition (e.g., micronutrients), environmental exposures (e.g., radiation), and birth spacing (e.g., short interpregnancy intervals). Outcomes associated with exposures affected embryo (e.g., embryonic growth), maternal (e.g., gestational diabetes mellitus), fetal/neonate (e.g., preterm birth), and child (e.g., neurocognitive disorders) health. For real-world practice and policy relevance, evidence-based indicators for preconception care should include body composition, lifestyle, nutrition, environmental, and birth spacing.
Original languageEnglish
Pages (from-to)170-183
Number of pages14
JournalSeminars in Reproductive Medicine
Volume40
Issue number3/4
Early online date13 Jul 2022
DOIs
Publication statusPublished - Jul 2022

Keywords

  • preconception care
  • risk factors
  • health behavior
  • maternal health
  • pregnancy complications

ASJC Scopus subject areas

  • Physiology (medical)
  • Endocrinology
  • Obstetrics and Gynaecology
  • Endocrinology, Diabetes and Metabolism
  • Reproductive Medicine

Fingerprint

Dive into the research topics of 'Relationships between Women's and Men's Modifiable Preconception Risks and Health Behaviors and Maternal and Offspring Health Outcomes: An Umbrella Review'. Together they form a unique fingerprint.

Cite this