Defining preconception: exploring the concept of a preconception population

Briony Hill,Helen Skouteris,Jennifer Hall,Sinéad Currie

doi:10.1186/s12884-020-02973-1

Briony Hill, Helen Skouteris + Show 2 more

Open Access

https://doi.org/10.1186/s12884-020-02973-1

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Abstract

BackgroundHealth prior to conception can significantly impact offspring health, however, a clear definition of the attributes of the preconception population is currently lacking. We aimed to use existing literature to explore the concept and attributes of a preconception population by: [1] identifying characteristics and research recruitment methods; and [2] generating an attribute-based working definition of a preconception population.MethodsA rapid review of current literature using CINAHL and the subject heading ‘pre-pregnancy care’ was conducted (Stage 1). Data extracted included definitions of preconception, participant inclusion/exclusion criteria, participant characteristics, and recruitment methods. Stage 2 involved a wider search of relevant publications beyond peer-reviewed literature followed by a concept analysis of the phrase “preconception population” applying Walker and Avant’s framework (Stage 2).ResultsTwenty-three papers (19 studies) were included in Stage 1. “Preconception” was explicitly defined in one study. Twelve studies specified participants must be planning a pregnancy. Stage 2 included 33 publications. Four key perspectives for the concept of the preconception population were derived: [1] intentional; [2] potential; [3] public health; and [4] life course.ConclusionsAdopting these perspectives may allow researchers to accurately define, identify and recruit preconception populations and to develop interventions that are appropriately broad or tailored depending on population needs. We hope the definitions will facilitate research with this population and will subsequently improve the wellbeing of preconception men and women, which is essential to ensuring the health of future generations.

Highlights

Health prior to conception can significantly impact offspring health, a clear definition of the attributes of the preconception population is currently lacking
There is a lack of consistency in the use of the term “preconception” leading authors to preach an absence of useful definitions [11], in particular with regard to defining the preconception population
The findings summarised in the data extraction tables were synthesised narratively to create a profile of the characteristics of preconception populations and recruitment methods employed in the included studies

Summary

Introduction

Health prior to conception can significantly impact offspring health, a clear definition of the attributes of the preconception population is currently lacking. There is a lack of consistency in the use of the term “preconception” leading authors to preach an absence of useful definitions [11], in particular with regard to defining the preconception population. This is despite the fact that concepts relevant to preconception populations have been outlined in detail. These concepts focus on the “what” and the “how”, for example improving the health of reproductive age women (“what”) and reproductive life planning (“how”), rather than focusing on the “who” i.e. defining the key attributes of a preconception population [12, 13]. In research, defining your population is a methodological requirement for selecting your study sample [14]

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