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182860 Content of Preconception Care: Findings from the Los Angeles Mommy and Baby (LAMB) Survey

Monday, October 27, 2008: 8:55 AM

Angie Denisse Otiniano, MPH , School of Public Health Department of Community Health Sciences, University of California Los Angeles, Los Angeles, CA
Eunice Muthengi, MPH, MSW , Department of Community Health Sciences, University of California at Los Angeles, Los Angeles, CA
Karen M. Coller, MPH PhD , Department of Population & Family Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Luu Cortes Doan , Department of Community Health Sciences, University of California Los Angeles School of Public Health, Los Angeles, CA
Fathima Wakeel, PhD , Department of Community Health Sciences, University of California Los Angeles School of Public Health, Los Angeles, CA
Michael C. Lu, MD, MPH , Department of Community Health Sciences, University of California Los Angeles School of Public Health, Los Angeles, CA
Margaret Chao, PhD, MPH , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Cynthia Harding, MPH , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Chandra Higgins, MPH , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Marian Eldahaby , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Giannina M. Donatoni, PhD, MT(ASCP) , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Yvonne Y. Lau, MPH, RD , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Erin Rains , Department of Community Health Sciences, University of California at Los Angeles, Los Angeles, CA
Diana E. Ramos, MD, MPH , Maternal, Child, & Adolescent Health, Los Angeles County-Department of Health Services, Los Angeles, CA
Audio (mp3) recording
OBJECTIVE: To examine the content of preconception care among women who received a pre-pregnancy checkup. METHODS: We used data from the first wave of 2007 Los Angeles Mommy and Baby (LAMB) Survey. LAMB is a mail sample survey with telephone follow-up for non-respondents based on multistage clustered design. Our preliminary analyses were based on the responses of 721 women with a live birth in 2007 in Los Angeles County. Differences in the content of preconception care by sociodemographic characteristics and preconceptional health status were examined using Pearson's chi square tests. RESULTS: Less than one-third (30.4%) of women surveyed report having received a checkup in the 6 months prior to their most recent pregnancy. Among women who had a checkup, 84% reported that their doctor or nurse talked to them about multivitamin/folic acid; 78% about nutrition, 66% about healthy weight for pregnancy, 35% about oral health, and 33% about anxiety or depression. At least 1 in 3 (71%) women who were underweight or overweight did not receive advice about healthy weight. More than half (48%) of women who were not taking folic acid or multivitamin did not receive advice to do so. Significant racial-ethnic disparities in the content of preconception care were found. DISCUSSION: Our findings suggest important missed opportunities to promote preconception health during the prepregnancy checkup.

Learning Objectives:
By the end of this session, the participants will be able to • Discuss the importance of the content of preconception care to maternal health and pregnancy outcome; • Discuss disparities in the content of preconception care by race-ethnicity and other sociodemographic characteristics; • Discuss missed opportunities to promote preconception health during the prepregnancy checkup, especially among women with preconception health problems.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I do not have a conflict of interest.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Improving pregnancy outcomes using a life course perspective: Stepping outside traditional prenatal care borders
See more of: Maternal and Child Health