Preconception Care: A Concept Analysis of an Evolving Paradigm

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-01-10 DOI:10.1111/jan.16711

Yared Asmare Aynalem, Pauline Paul, Joanne Olson, Zohra S. Lassi, Salima Meherali

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Abstract

Aim(s)

To clarify the concept of preconception care and develop a precise and inclusive definition to improve its implementation and impact on reproductive health outcomes.

Design

This concept analysis paper employs Rodgers' evolutionary method to analyse the concept of preconception care, examining its historical evolution, attributes, antecedents and consequences.

Methods

A comprehensive literature review was conducted using databases such as Cumulative Index to Nursing and Allied Health Literature, Scopus, MEDLINE and Google Scholar, covering publications from 2012 to 2024. Data extraction involved identifying surrogate and related terms, attributes, antecedents and consequences of preconception care. A total of 1520 publications were retrieved, with 166 meeting eligibility criteria. Using systematic random sampling, 40 articles were selected for in-depth analysis.

Results

The analysis revealed that preconception care encompasses several attributes: period-related (biological, individual, public health and intergenerational), target population-related (individual, public and intergenerational) and pathway-related (universal, targeted and comprehensive). Antecedents include desires for a healthy baby and family planning decisions. Consequently, it improves pregnancy outcomes and health equity and enhances community and intergenerational health. The proposed operational definition highlights preconception care as a proactive strategy to optimise health before pregnancy through targeted and inclusive interventions.

Conclusion

Preconception care is a dynamic and multifaceted process that extends from immediate preconception periods to long-term health considerations. Addressing diverse needs and effectively improving health outcomes requires a tailored approach considering individual, public and intergenerational perspectives.

Implications for Professions and Patient Care

A transparent and inclusive definition of preconception care will enable healthcare professionals, particularly nurses, to deliver more effective, culturally sensitive and equitable care. It will support advocacy for policy changes, resource allocation and educational initiatives to enhance preconception health.

Impact

Addressing preconception care's complexities and diverse needs will foster a more comprehensive understanding and implementation of preconception care, ultimately improving reproductive health outcomes and promoting health equity across generations.

Patient or Public Contribution

As this concept analysis was derived from published articles, patients or the public were not involved in the study's design, conduct or reporting.

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.