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Preconception Care in a Remote Aboriginal Community Context: What, When and by Whom?

Author

Listed:
  • Emma Griffiths

    (The Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA 6725, Australia
    Kimberley Aboriginal Medical Services, Broome, WA 6725, Australia)

  • Julia V Marley

    (The Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA 6725, Australia
    Kimberley Aboriginal Medical Services, Broome, WA 6725, Australia)

  • David Atkinson

    (The Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA 6725, Australia)

Abstract

Preconception care (PCC) is acknowledged as a vital preventive health measure aiming to promote health today and for subsequent generations. We aimed to describe the content and context of PCC delivery in a very remote Australian Aboriginal Community Controlled Health Service setting. A retrospective audit was undertaken to identify what PCC was delivered between 2011 and 2018 to 127 Aboriginal women who had at least one pregnancy during this period. Of 177 confirmed pregnancies, 121 had received PCC prior to the pregnancy. Sexually transmissible infection screening (71%) was the most common care delivered, followed by folic acid prescription (57%) and smoking cessation support (43%). Younger women received PCC less often, particularly screening for modifiable pregnancy risk factors. Rates of prediabetes/diabetes, albuminuria, overweight/obesity and smoking were high amongst those screened (48–60%). PCC was usually patient-initiated and increased significantly over the audit period. Presentation for antenatal care in the first trimester of pregnancy was high at 73%. Opportunities to increase PCC delivery include integration with routine health checks, pregnancy tests and chronic disease programs. PCC programs codesigned with young people are also recommended. All primary care providers should be supported and assisted to provide opportunistic PCC and health promotion.

Suggested Citation

  • Emma Griffiths & Julia V Marley & David Atkinson, 2020. "Preconception Care in a Remote Aboriginal Community Context: What, When and by Whom?," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3702-:d:362335
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    References listed on IDEAS

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    1. Laxsini Murugesu & Miriam E. Hopman & Sabine F. Van Voorst & Ageeth N. Rosman & Mirjam P. Fransen, 2019. "Systematic Development of Materials for Inviting Low Health-Literate Individuals to Participate in Preconception Counseling," IJERPH, MDPI, vol. 16(21), pages 1-16, October.
    2. Higgins, J.A. & Kramer, R.D. & Ryder, K.M., 2016. "Provider bias in long-Acting reversible contraception (LARC) promotion and removal: Perceptions of young adult women," American Journal of Public Health, American Public Health Association, vol. 106(11), pages 1932-1937.
    3. Stevens, Lindsay M., 2015. "Planning parenthood: Health care providers' perspectives on pregnancy intention, readiness, and family planning," Social Science & Medicine, Elsevier, vol. 139(C), pages 44-52.
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    Cited by:

    1. Clara Walker & Tahmina Begum & Jacqueline A Boyle & James Ward & Federica Barzi, 2024. "Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review," IJERPH, MDPI, vol. 21(3), pages 1-34, March.

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