Health behaviours in 131,182 UK women planning pregnancy

BMC Pregnancy and Childbirth

Beth McDougall¹  Kimberley Kavanagh¹  Sara L. White²  Lucilla Poston²  Angela C. Flynn³  Judith Stephenson⁴ 

[1]Department of Mathematics and Statistics, University of Strathclyde, Glasgow, UK

[2]Department of Women and Children’s Health, School of Life Course Sciences, King’s College London, 10th Floor North Wing, St Thomas’ Hospital, Westminster Bridge Road, SE1 7EH, London, UK

[3]Department of Women and Children’s Health, School of Life Course Sciences, King’s College London, 10th Floor North Wing, St Thomas’ Hospital, Westminster Bridge Road, SE1 7EH, London, UK

[4]Department of Nutritional Sciences, Franklin-Wilkins Building, 150 Stamford Street, SE1 9NH, London, UK

[5]EGA Institute for Women’s Health, University College London, 74 Huntley Street, WC1E 6AU, London, UK

关键词: Preconception;    Planning for pregnancy;    Contraception;    Pregnancy;   

DOI  :  10.1186/s12884-021-04007-w

来源: Springer

【 摘 要 】

BackgroundA woman’s health at the time of conception lays the foundation for a healthy pregnancy and the lifelong health of her child. We investigated the health behaviours of UK women planning pregnancy.MethodsWe analysed survey data from the ‘Planning for Pregnancy’ online tool (Tommy’s, UK). We described all women planning pregnancy and compared the frequency of non-adherence to preconception recommendations in women who had already stopped contraception (active planners) and those who had not (non-active planners).ResultsOne hundred thirty-one thousand one hundred eighty-two women from across the UK were included, of whom 64.8% were actively planning pregnancy. Of the whole cohort, twenty percent were smokers and less than one third took folic acid supplements (31.5%). Forty two percent engaged in less than the recommended 150 min of weekly physical activity and only 53.3% consumed five portions of fruit or vegetables 4 days a week. Smokers were 1.87 times more likely to be active planners than non-smokers (95% CI 1.79–1.94), and women who took folic acid were 7 times more likely to be active planners (95% CI 6.97–7.59) compared to women who did not. Smoking, drug use and lack of folic acid supplementation were common in younger women and those who were underweight.ConclusionsThis unique survey of UK women has identified poor adherence to preconception recommendations in those planning pregnancies and supports the need for a greater public health focus on preconception health. This study provides a contemporary basis from which to inform preconception health advice and a benchmark to measure changes over time.

【 授权许可】

CC BY