Background
Impact of preconception health status on outcomes for women and neonates
Importance of preconception care for women with chronic health conditions
Methods
Search methods
Search outcome
Analysis of included papers
Critical appraisal and analysis
Results
Author (Year) | Country | Method | Data source/Participant recruitment | Target population | Conditions examined | Sample | Theme | ||
---|---|---|---|---|---|---|---|---|---|
I | II | III | |||||||
Case et al. [52] | United States | Cross-sectional survey | Texas 1999–2003 Behavioural Risk Factor Surveillance System | Non-pregnant women | Obesity, overweight, diabetes | 6385 | X | ||
Chuang et al. [53] | United States | Focus groups | Community and outpatient clinic | Non-pregnant women | Diabetes, hypertension, obesity | 72 | X | ||
Diabetes and Pregnancy Group [64] | France | Cross-sectional survey | Patients (outpatients and hospitalised) from specialist diabetes centres (n = 11) | Non-pregnant women | Type 1 diabetes | 138 | X | ||
Griffiths et al. [54] | United Kingdom | Semi-structured interviews | UK specialist diabetes antenatal clinics (n = 4) | Pregnant women | Type 1 diabetes | 15 | X | X | |
Kallas-Koeman et al. [56] | Canada | Prospective observation and survey | Electronic medical records from diabetes clinic | Non-pregnant women | Type 1 and Type 2 diabetes | 464 | X | ||
Kim et al. [55] | United States | Prospective survey | Translating Research into Action for Diabetes (TRIAD) cohort study | Non-pregnant women | Type 1 diabetes | 302 | X | ||
King and Wellard [62] | Australia | Collective case study (via in-depth interviews) | Local diabetes services and youth diabetes website | Women with previous pregnancy | Type 1 diabetes | 7 | X | ||
Lavender et al. [58] | England | Semi-structured interviews and focus groups | Obstetric and diabetes clinics in hospitals in North-West England (n = 3) | Women with previous pregnancy | Type 1 and Type 2 diabetes | 22 | X | ||
McCorry et al. [59] | Ireland | Semi-structured interviews | Non-pregnant women | Type 1 diabetes | 14 | X | |||
Mittal et al. [57] | United States | Cross-sectional survey | San Francisco General Hospital Family Health Center registry | Non-pregnant women | Diabetes, hypertension, obesity | 27 | X | X | |
Murphy et al. [60] | England | Semi-structured interviews | Diabetes specialist antenatal clinics (n = 3) | Women who did not attend preconception care | Type 1 or Type 2 diabetes | 29 | X | ||
Sapiano et al. [65] | Malta | Longitudinal survey | Diabetes hospital outpatient clinic | Non-pregnant women | Type 1 diabetes | 27 | X | ||
Tripathi et al. [61] | England | Cross-sectional survey | Northern Diabetes in Pregnancy Survey | Women with previous pregnancy | Type 1 or Type 2 diabetes | 588 | X | ||
Zhu et al. [63] | Australia | Prospective survey | Diabetes hospital outpatient clinic | Non-pregnant women | Type 1 or Type 2 diabetes | 51 | X | X |
Dimensions for quality assessment | Lavender et al.[58] | Case et al.[52] | Murphy et al.[60] | Diabetes & Pregnancy Group[64] | McCorry et al.[59] | Tripathi et al.[61] | Zhu et al.[63] | Mittal et al.[57] | Chuang et al.[53] | Kallas-Koeman et al.[56] | Kim et al.[55] | Sapiano et al.[65] | Griffiths et al.[54] | King and Wellard[62] | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Methodology
| Representative sampling strategy | x | x | x | x | ||||||||||
Sample size≠ | x | x | x | x | x | x | x | ||||||||
Response/participation rate >75% | x | x | |||||||||||||
Low retrospective measurement bias | x | x | x | x | x | x | x | x | |||||||
Reporting of participant characteristics
| Pregnancy status | x | x | x | x | x | x | x | x | x | x | x | |||
Age | x | x | x | x | x | x | x | x | x | x | x | x | x | x | |
Ethnicity | x | x | x | x | x | x | x | ||||||||
Indicator of socioeconomic status | x | x | x | x | x | ||||||||||
Duration of chronic health condition | x | x | x | x | x | x | |||||||||
Preconception services examined
| Preconception clinical care delivery | x | x | x | x | x | x | x | x | x | x | x | x | ||
Health promotion and patient education | x | x | x | x | x | x | x | x | x | x | x | ||||
Total quality score
|
7
|
8
|
7
|
6
|
6
|
8
|
5
|
5
|
8
|
6
|
8
|
4
|
6
|
3
|