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, PhD MPH , Division of General Internal Medicine and Health Services Research, UCLA School of Medicine, Los Angeles, CA
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 and Department of Obstetrics and Gynecology, University of California Los Angeles School of Public Health and School of Medicine, Los Angeles, CA
Shin 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 , Reproductive Health, Los Angeles County-Department of Public Health, Los Angeles, CA
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.