Holistic preconception care: Providing real-time guidance via a mobile app to optimise maternal and child health.
Ann Acad Med Singap
; 53(5): 306-317, 2024 May 10.
Article
en En
| MEDLINE
| ID: mdl-38920222
ABSTRACT
Introduction:
Preconception is a critical period to optimise gamete function and early placental development, essential for successful conception and long-term maternal-child health. However, there is a lack of preconception services and consequently, global fertility rates continue to fall and mothers embark on their pregnancy journey in poor health. There is an urgent need to implement a holistic community-level preconception care programme to optimise risk factors for poor fecundability and improve long-term maternal-child health.Method:
We reviewed current evidence on fecundability lifestyle risk factors, the efficacy of existing preconception interventions and the use of digital platforms for health optimisation, to create a new digital-based preconception intervention model that will be implemented via an app. We present the theory, content and mode of delivery of this holistic model targeting couples planning for pregnancy.Results:
We propose a new model featuring a user-friendly mobile app, which enables couples to self-assess fecundability risks through a personalised risk score that drives a tailored management plan. This tiered management provides anticipatory guidance supported by evidence-based recommen-dations, and promotes ongoing engagement for behavioural optimisation and specialist referrals as required. Based on the health belief model, this new model delivered with a mobile app seeks to shift couples' perceptions about their susceptibility and severity of subfertility, benefits of making a change and barriers to change.Conclusion:
Our proposed digital-based intervention model via a mobile app stands to enhance preconcep-tion care by providing personalised risk assessments, real-time feedback and tiered management to optimise preconception reproductive health of couples. This model forms a reference content framework for future preconception care intervention delivery.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Atención Preconceptiva
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Aplicaciones Móviles
Límite:
Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Ann Acad Med Singap
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Ann. Acad. Med. Singap. (Online)
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Annals, Academy of Medicine, Singapore (Online)
Año:
2024
Tipo del documento:
Article
País de afiliación:
Singapur