Prevalence of maternal preconception risk factors: an Italian multicenter survey

Italian Journal of Pediatrics

Gioacchino Scarano⁷  Valeria Madrigali⁸  Andrea Guala⁴  Federica Ferrazzoli²  Francesca Faravelli⁹  Arianna Boiani⁵  Valentina Allegri^1,10  Paolo Gastaldi⁶  Emanuele Leoncini¹  Roy Miodini Nilsen³  Pierpaolo Mastroiacovo¹ 

[1] Alessandra Lisi International Centre on Birth Defects and Prematurity, Via Carlo Mirabello 14, Rome 00195, Italy;Unit of Neonatology, Santo Spirito in Saxia Hospital, Rome, Italy;Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway;Unit of Pediatrics, Castelli Hospital, Verbania, Italy;Department of Mother and Child health, S. Giovanni Calibita-Fatebenefratelli Hospital, Rome, Italy;Unit (UOC) Obstetrics and Gynecology, Santo Spirito in Saxia Hospital, Rome, Italy;Department of Medical Genetics, Gaetano Rummo Hospital, Benevento, Italy;Unit of Neonatology and Neonatal Intensive Care, Azienda Ospedaliero-Univesitaria Pisana, Pisa, Italy;Medical Genetics Unit, Galliera Hospital, Genoa, Italy;Unit (U.O.) of Pediatrics, Vaio Hospital, Fidenza, Parma, Italy

关键词: Risk factors;    Prevalence;    Pregnancy;    Preconception;    Italy;   

Others  :  1137195
DOI  :  10.1186/s13052-014-0091-5

 received in 2014-07-01, accepted in 2014-11-07,  发布年份 2014

【 摘 要 】

Objectives

Adequate preconception maternal health care is essential to reduce the risk of unwanted pregnancy outcomes and complications. Still, many women are exposed to a number of unhealthy risk factors both before and early in pregnancy. This study aimed to estimate the prevalence of a number of important preconception risk factors using data from a recent multicenter study in Italy.

Methods

The study was based on cross-sectional data from seven maternity clinics located in six different regions in Italy during the period January – June, 2012. Data on maternal preconception risk factors and characteristics were collected from 1,892 women who delivered healthy children and 320 women who were pregnant in the first trimester.

Results

About 97% of the women (n = 2,212) were exposed to one or more preconception risk factors. The overall prevalence of the most essential maternal risk factors was as follows: 41% had a age ≥35 years, 36% mistimed or did not intend their pregnancy, 58% did not request a preconception health visit to their doctor, 76% did not use folic acid supplements before pregnancy, 26% smoked at the last menstrual period, 19% had a body mass index ≥25 kg/m² before pregnancy, and 10% suffered from pregestational chronic diseases. The prevalence of certain variables varied between the maternity clinics.

Conclusions

Many Italian women are exposed to a number of preconception risk factors that have been associated with adverse pregnancy complications and outcomes. More effective intervention programs to improve preconception health in Italian women are strongly needed.

【 授权许可】

   
2014 Mastroiacovo et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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