open access

Vol 89, No 2 (2018)
Research paper
Published online: 2018-02-28
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Planning and preparation for pregnancy among women with and without a history of infertility

Natalia Ignaszak-Kaus1, Katarzyna Ozegowska1, Piotr Piekarski2, Leszek Pawelczyk1, Piotr Jędrzejczak1
·
Pubmed: 29512811
·
Ginekol Pol 2018;89(2):74-79.
Affiliations
  1. Department of Infertility and Reproductive Endocrinology, Poznan University of Medical Sciencec, Polna 33, 60-535 Poznan, Poland
  2. Poznan University of Medical Sciences, Fredry 10, 61-701 Poznan, Poland

open access

Vol 89, No 2 (2018)
ORIGINAL PAPERS Obstetrics
Published online: 2018-02-28

Abstract

Objectives: Preconception counseling, maternal health-related habits, diet, folic acid consumption, substances abuse, may all impact the outcome of pregnancy. The aim of this study was to compare the planning and preparation for pregnancy among pregnant women with and without infertility.

Material and methods: A survey of health behaviors prior to and during pregnancy that could affect pregnancy outcomes, including laboratory tests performed, stimulant usage, initiation of prenatal care, and folic acid intake, was conducted among 400 pregnant women. The study group included 121 women (30.25%) diagnosed with prior infertility, while the control group included 279 women (69.74%) who did not report any problems conceiving.

Results: All patients (100%) from the study group and 70,97% from the control group planned their pregnancy(p < 0.0001). Patients in the study group performed significantly more laboratory tests prior to pregnancy, including: complete blood count, urine analysis, fasting blood glucose concentration, testing for toxoplasmosis, and Pap smear, compared with the control group (p < 0.0001). There was no difference between groups regarding the knowledge of when and why folic acid supplementation is required (p > 0.05).

Conclusions: Effective education of women, regarding pregnancy planning and behaviours, that may impact pregnancy outcome is still a serious challange to public health in Poland. Our study indicates that reaching general population with the education is most important to achieve best results in preconceptional care.

Abstract

Objectives: Preconception counseling, maternal health-related habits, diet, folic acid consumption, substances abuse, may all impact the outcome of pregnancy. The aim of this study was to compare the planning and preparation for pregnancy among pregnant women with and without infertility.

Material and methods: A survey of health behaviors prior to and during pregnancy that could affect pregnancy outcomes, including laboratory tests performed, stimulant usage, initiation of prenatal care, and folic acid intake, was conducted among 400 pregnant women. The study group included 121 women (30.25%) diagnosed with prior infertility, while the control group included 279 women (69.74%) who did not report any problems conceiving.

Results: All patients (100%) from the study group and 70,97% from the control group planned their pregnancy(p < 0.0001). Patients in the study group performed significantly more laboratory tests prior to pregnancy, including: complete blood count, urine analysis, fasting blood glucose concentration, testing for toxoplasmosis, and Pap smear, compared with the control group (p < 0.0001). There was no difference between groups regarding the knowledge of when and why folic acid supplementation is required (p > 0.05).

Conclusions: Effective education of women, regarding pregnancy planning and behaviours, that may impact pregnancy outcome is still a serious challange to public health in Poland. Our study indicates that reaching general population with the education is most important to achieve best results in preconceptional care.

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Keywords

infertility, pregnancy planning, folic acid, prevention

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About this article
Title

Planning and preparation for pregnancy among women with and without a history of infertility

Journal

Ginekologia Polska

Issue

Vol 89, No 2 (2018)

Article type

Research paper

Pages

74-79

Published online

2018-02-28

Page views

2740

Article views/downloads

1907

DOI

10.5603/GP.a2018.0013

Pubmed

29512811

Bibliographic record

Ginekol Pol 2018;89(2):74-79.

Keywords

infertility
pregnancy planning
folic acid
prevention

Authors

Natalia Ignaszak-Kaus
Katarzyna Ozegowska
Piotr Piekarski
Leszek Pawelczyk
Piotr Jędrzejczak

References (27)
  1. Wade GH, Herrman J, McBeth-Snyder L. A preconception care program for women in a college setting. MCN Am J Matern Child Nurs. 2012; 37(3): 164–70; quiz 170.
  2. Jaddoe VWV, Troe EJWM, Hofman A, et al. Active and passive maternal smoking during pregnancy and the risks of low birthweight and preterm birth: the Generation R Study. Paediatr Perinat Epidemiol. 2008; 22(2): 162–171.
  3. Mikolajczyk R, Rauchfuss M, Lamm D. Unplanned pregnancies in a developed society--a study on a maternity ward in Berlin. Zentralbl Gynakol. 2001; 123(10): 578–584.
  4. Recommendations for the use of folic acid to reduce the number of cases of spina bifida and other neural tube defects. MMWR Recomm Rep. 1992; 41(RR-14): 1–7.
  5. Yakir S, Riskin-Mashiah S, Lavie O, et al. Medical evaluation prior to fertility treatment--time for reconsideration? Harefuah. 2011; 150(11): 844–8, 875.
  6. Balasch J. Investigation of the infertile couple: investigation of the infertile couple in the era of assisted reproductive technology: a time for reappraisal. Hum Reprod. 2000; 15(11): 2251–2257.
  7. Bushnik T, Cook JL, Yuzpe AA, et al. Estimating the prevalence of infertility in Canada. Hum Reprod. 2012; 27(3): 738–746.
  8. Mascarenhas MN, Cheung H, Mathers CD, et al. Measuring infertility in populations: constructing a standard definition for use with demographic and reproductive health surveys. Popul Health Metr. 2012; 10(1): 17.
  9. Bombard JM, Robbins CL, Dietz PM, et al. Preconception care: the perfect opportunity for health care providers to advise lifestyle changes for hypertensive women. Am J Health Promot. 2013; 27(3 Suppl): S43–S49.
  10. Twigt JM, Bolhuis MEC, Steegers EAP, et al. The preconception diet is associated with the chance of ongoing pregnancy in women undergoing IVF/ICSI treatment. Hum Reprod. 2012; 27(8): 2526–2531.
  11. van der Zee B, de Beaufort I, Temel S, et al. Preconception care: an essential preventive strategy to improve children's and women's health. J Public Health Policy. 2011; 32(3): 367–379.
  12. Stephenson J, Patel D, Barrett G, et al. How do women prepare for pregnancy? Preconception experiences of women attending antenatal services and views of health professionals. PLoS One. 2014; 9(7): e103085.
  13. Drews, K., Spaczyński, M., Brązert, J. : Rekomendacje Zarządu Głównego PTG w zakresie opieki przedporodowej w ciąży o prawidłowym przebiegu. Ginekol Dypl 8: 59–66. ; 2006.
  14. Johnson K, Posner SF, Biermann J, et al. Recommendations to improve preconception health and health care - United States. Morb Mortal Wkly Rep (MMWR) 55: 1–23. ; 2006.
  15. Brun-Micaleff E, Coffy A, Rey V, et al. Cervical cancer screening by cytology and human papillomavirus testing during pregnancy in French women with poor adhesion to regular cervical screening. J Med Virol. 2014; 86(3): 536–545.
  16. Wang Z, Yan R, He H, et al. Difficulties in eliminating measles and controlling rubella and mumps: a cross-sectional study of a first measles and rubella vaccination and a second measles, mumps, and rubella vaccination. PLoS One. 2014; 9(2): e89361.
  17. Pitkin RM. Folate and neural tube defects. Am J Clin Nutr. 2007; 85(1): 285S–288S.
  18. Mills JL. Malformations in infants of diabetic mothers. Teratology. 1982; 25(3): 385–394.
  19. Wender-Ozegowska E, Gutaj P, Szczepanek U, et al. Influence of pregnancy planning on obstetrical results in women with pregestational diabetes mellitus. Ginekol Pol. 2010; 81(10): 762–767.
  20. Ripabelli G, Cimmino L, Grasso GM. Alcohol consumption, pregnancy and fetal alcohol syndrome: implications in public health and preventive strategies. Ann Ig. 2006; 18(5): 391–406.
  21. Grainger DA, Frazier LM, Rowland CA. Preconception care and treatment with assisted reproductive technologies. Matern Child Health J. 2006; 10(5 Suppl): S161–S164.
  22. Andiappan H, Nissapatorn V, Sawangjaroen N, et al. Toxoplasma infection in pregnant women: a current status in Songklanagarind hospital, southern Thailand. Parasit Vectors. 2014; 7: 239.
  23. Sekhavat L, Davar R, Hosseinidezoki S. Relationship between maternal hemoglobin concentration and neonatal birth weight. Hematology. 2011; 16(6): 373–376.
  24. Bakacak M, Avci F, Ercan O, et al. The effect of maternal hemoglobin concentration on fetal birth weight according to trimesters. J Matern Fetal Neonatal Med. 2014; 11: 1–5.
  25. Romero R, Oyarzun E, Mazor M, et al. Meta-analysis of the relationship between asymptomatic bacteriuria and preterm delivery/low birth weight. Obstet Gynecol. 1989; 73(4): 576–582.
  26. Dias-Damé JL, Cesar JA. Disparities in prevalence of smoking and smoking cessation during pregnancy: a population-based study. Biomed Res Int. 2015; 2015: 345430.
  27. Bolumar F, Rebagliato M, Hernandez-Aguado I, et al. Smoking and drinking habits before and during pregnancy in Spanish women. J Epidemiol Community Health. 1994; 48(1): 36–40.

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