Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagram
In recent years, there has been a growing recognition that developing preconception care provides an opportunity to significantly reduce maternal and child mortality and morbidity. This involves targeting multiple risk factors through a large array of medical, behavioural and social interventions. I...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335523001651 |
| _version_ | 1797802845964075008 |
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| author | Sébastien Poix Khalifa Elmusharaf |
| author_facet | Sébastien Poix Khalifa Elmusharaf |
| author_sort | Sébastien Poix |
| collection | DOAJ |
| description | In recent years, there has been a growing recognition that developing preconception care provides an opportunity to significantly reduce maternal and child mortality and morbidity. This involves targeting multiple risk factors through a large array of medical, behavioural and social interventions. In this study, we created a Causal Loop Diagram (CLD) to describe several pathways by which a set of preconception interventions may lead to women's improved health and better pregnancy outcomes. The CLD was informed by a scoping review of meta-analyses. It summarises evidence on the outcomes and interventions related to eight preconception risk factors. The authors reviewed literature from two databases (PubMed and Embase) and used the framework developed by Arksey and O'Malley. The CLD includes 29 constructs categorised into five different levels (mortality, causes of death, preconception risk factors, intermediate factors, interventions or policies). The model indicates interconnections between five sub-systems and highlights the role of preventing early and rapidly repeated pregnancies, as well as optimising women's nutritional status in the preconception period. It also shows the prevention of preterm birth as a privileged route for lowering child mortality and morbidity. The CLD demonstrates the potential benefits of strategies that address multiple preconception risk factors simultaneously and can be used as a tool to promote the integration of preconception care into efforts to prevent maternal and child mortality. With further improvements, this model could serve as a basis for future research on the costs and benefits of preconception care. |
| first_indexed | 2024-03-13T05:11:55Z |
| format | Article |
| id | doaj.art-557d8a26f90c40cc9d23c5e71008aa1b |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-13T05:11:55Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-557d8a26f90c40cc9d23c5e71008aa1b2023-06-16T05:09:33ZengElsevierPreventive Medicine Reports2211-33552023-08-0134102274Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagramSébastien Poix0Khalifa Elmusharaf1School of Medicine, University of Limerick, Limerick, Ireland; Corresponding author.Applied Health Research, University of Birmingham Dubai, Dubai, United Arab EmiratesIn recent years, there has been a growing recognition that developing preconception care provides an opportunity to significantly reduce maternal and child mortality and morbidity. This involves targeting multiple risk factors through a large array of medical, behavioural and social interventions. In this study, we created a Causal Loop Diagram (CLD) to describe several pathways by which a set of preconception interventions may lead to women's improved health and better pregnancy outcomes. The CLD was informed by a scoping review of meta-analyses. It summarises evidence on the outcomes and interventions related to eight preconception risk factors. The authors reviewed literature from two databases (PubMed and Embase) and used the framework developed by Arksey and O'Malley. The CLD includes 29 constructs categorised into five different levels (mortality, causes of death, preconception risk factors, intermediate factors, interventions or policies). The model indicates interconnections between five sub-systems and highlights the role of preventing early and rapidly repeated pregnancies, as well as optimising women's nutritional status in the preconception period. It also shows the prevention of preterm birth as a privileged route for lowering child mortality and morbidity. The CLD demonstrates the potential benefits of strategies that address multiple preconception risk factors simultaneously and can be used as a tool to promote the integration of preconception care into efforts to prevent maternal and child mortality. With further improvements, this model could serve as a basis for future research on the costs and benefits of preconception care.http://www.sciencedirect.com/science/article/pii/S2211335523001651Preconception careMaternal healthChild healthCausal loop diagramSystem thinkingScoping review |
| spellingShingle | Sébastien Poix Khalifa Elmusharaf Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagram Preventive Medicine Reports Preconception care Maternal health Child health Causal loop diagram System thinking Scoping review |
| title | Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagram |
| title_full | Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagram |
| title_fullStr | Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagram |
| title_full_unstemmed | Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagram |
| title_short | Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagram |
| title_sort | investigating the pathways from preconception care to preventing maternal perinatal and child mortality a scoping review and causal loop diagram |
| topic | Preconception care Maternal health Child health Causal loop diagram System thinking Scoping review |
| url | http://www.sciencedirect.com/science/article/pii/S2211335523001651 |
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