Research Article
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Utilization of Preconception Care and Associated Factors Among Turkish Women

Year 2025, Volume: 9 Issue: 3, 654 - 664, 30.09.2025
https://doi.org/10.30621/jbachs.1393249

Abstract

Project Number

yok

References

  • Ergi EÇ, Şahin MK. Preconception care and counseling status and related factors in pregnant women. TJFMPC 2023; 17(1): 139-149.
  • Ayele AD, Belay HG, Kassa BG, Worke MD. Knowledge and utilisation of preconception care and associated factors among women in Ethiopia: systematic review and meta-analysis. Reprod Health 2021; 18(1): 1-15.
  • Sekizler ET, Daşıkan Z. Preconception healthcare and counselling in primary care. Journal of Nursing Science 2021; 4(2): 94–105.
  • Woldeyohannes D, Tekalegn Y, Sahiledengle B, et al. Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group. SAGE Open Medicine 2023; 11: 1-12.
  • Poix S, Elmusharaf K. Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal Loop Diagram. PMR 2023; 1-12.
  • Tekalign T, Lemma T, Silesh M, et al. Mothers’ utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis. PLoS One 2021; 16(7): 1-15.
  • Musgrave LM, Homer CSE, Kizirian NV, Gordon A. Addressing preconception behaviour change through mobile phone apps: a protocol for a systematic review and meta-analysis. Syst Rev 2019; 8(1): 1-8.
  • Lang AY, Boyle JA, Fitzgerald GL, et al. Optimizing preconception health in women of reproductive age. Minerva Ginecol 2018; 70(1): 99-119.
  • Braspenningx S, Haagdorens M, Blaumeiser B, Jacquemyn Y, Mortier G. Preconceptional care: a systematic review of the current situation and recommendations for the future. Facts Views Vis Obgyn 2013; 5(1): 13–25.
  • Kotirum S, Kiatpongsan S, Kapol N. Systematic review of economic evaluation studies on preconception care interventions. Health Care Women Int 2021; 42(4-6): 503-517.
  • Wahabi HA, Fayed A, Esmaeil S, et al Systematic review and meta-analysis of the effectiveness of pre-pregnancy care for women with diabetes for improving maternal and perinatal outcomes. PLoS One 2020; 15(8): 1-32.
  • Lassi ZS, Kedzior SG , Tariq W, Jadoon Y , Das JK , Bhutta ZA. Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low- and middle-income countries: A Systematic Review. Nutrients 2020; 12(3): 1-35.
  • Girma A, Bedada A, Kumbi S. Utilization of preconception care and its determinants among pregnant women attending ANC in private MCH hospitals in Addis Ababa, Ethiopia: a cross sectional descriptive study. BMC Pregnancy and Childbirth 2023; 23:649: 1-12.
  • T.C. Sağlık Bakanlığı Doğum Öncesi Bakım Yönetimi Rehberi (2018). [Internet]. [Accessed date:23 June 2020]. Available from: https://hsgm.saglik.gov.tr/depo/birimler/Kadin_ve_Ureme_Sagligi_Db/dokumanlar/rehbler/dogum_oncesi_bakim_08-01-2019_1.pdf
  • Genç Koyucu, R, Tosun, Y, Katran B. Preconceptional counselling needs among women of reproductive age. JAREN 2017; 3(3): 116-121.
  • Aksoy A, Yılmaz DV. A new service model to increase community health: preconceptional care and the nurse's role. HEAD 2019; 16(1): 60-67.
  • Yılmaz T, Dinç H, Bal MD. Practices carried out by pregnant women to improve fetal health. JAREN 2015; 1(1): 21-29.
  • Amanak K, Karaçam Z. Determining preconception counseling requirements of women. Ejovoc 2019; 9(1): 8-12.
  • Emre MA. Evaluation of knowledge, attitude and behavior about preconceptional care and counseling of pregnant women applied to gynecology and obstetrics clinic. (dissertation). Faculty of Medicine: Eskişehir Osmangazi Uni. 2019.
  • Yurtsever C, Set T. Relationship between preconception care and pregnancy planning status with folic acid and smoking: A cross sectional study. TJFMPC 2018; 12(1): 43-48.
  • Zortul S. Receiving preconception care status of pregnant women and related factors. (dissertation). Faculty of Medicine: Atatürk Uni. 2015.
  • Karataş M. Determination health risks and healthy lifestyle behaviors of women in the preconceptional period. (dissertation). Health Science Institute: T.C. Cumhuriyet Uni. 2017.
  • Demisse TL, Aliyu SA, Kitila SB, Tafesse TT, Gelaw KA, Zerihun MS. Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia. Reprod Health 2019; 16(96): 1-10.
  • Fekene DB, Woldeyes BS, Erena MM, Demisse GA. Knowledge, uptake of preconception care and associated factors among reproductive age group women in West Shewa zone, Ethiopia, 2018. BMC Womens Health 2020; 20(1): 1-8.
  • Du L, La X, Zhu L. et al. Utilization of preconception care and its impacts on health behavior changes among expectant couples in Shanghai, China. BMC Pregnancy Childbirth 2021; 21(1) 1-8.
  • Asresu TT, Hailu D, Girmay B, Abrha MW, Weldearegay HG. Mothers’ utilization and associated factors in preconception care in northern Ethiopia: a community based cross sectional study. BMC Pregnancy and Childbirth 2019; 19(1): 347.
  • Barutçu S, Özcan S, Bozdemir N. Evaluation of preconceptional care in the city centre of Adana. TJFMPC 2021; 15(2):390-397.
  • Jou HJ, Hsu IP, Liu CY, Chung SH, Chen SM, Gau ML. Awareness and use of folic acid among pregnant women in Taipei. Taiwan J Obstet Gynecol 2010; 49(3): 306-310.
  • Tort J, Lelong N, Prunet C, Khoshnood B, Blondel B. Maternal and health care determinants of preconceptional use of folic acid supplementation in France: results from the 2010 National Perinatal Survey. BJOG 2013; 120(13): 1661-1667.
  • Chivers BR, Boyle JA, Lang AY, Teede HJ, Moran LJ, Harrison CL. Preconception health and lifestyle behaviours of women planning a pregnancy: A cross-sectional study. J Clin Med 2020; 9(6): 1-14.
  • Yurtsal Z, Eroğlu V. Evaluation of the status of receiving routine antenatal care recommended by the world health organization for a positive pregnancy experience among pregnant women. STED 2020; 29(3): 197-206.
  • Paradis S, Ego A, Bosson JL. Preconception care among low-risk mothers in a French perinatal network: Frequency of utilization and factors associated. J Gynecol Obstet Hum Reprod 2017; 46(7): 591-596.
  • Zhou Q, Acharya G, Zhang S, Wang Q, Shen H, Li X. A new perspective on universal preconception care in China. AOGS 2016; 95(4): 377-381.

Utilization of Preconception Care and Associated Factors Among Turkish Women

Year 2025, Volume: 9 Issue: 3, 654 - 664, 30.09.2025
https://doi.org/10.30621/jbachs.1393249

Abstract

Purpose: The aim of the study was to determine utilization of preconception care and associated factors among women.
Methods: This study was carried out at a hospital in Istanbul with 350 women. Data were collected with questionnaires about women's characteristics, a preconception risk assessment, and utilization of preconception care.
Results: Women's awareness and utilization of preconception care rates were found to be 30.3% and 11.4%, respectively. Women who had a university education, who worked, those whose income level was higher than their expenses, who got married over the age of 18, who had first pregnancy, who had a planned pregnancy, who heard about the concept of preconception care, and who received prenatal care were found to have statistically significantly higher rates of utilization preconception care than those in the other group. Out of 96 risks, only women with an education higher than primary school, those who exercised regularly, women who experienced recurrent miscarriages, and those who had knowledge or used folic acid utilized preconception care more than other groups.
Conclusion: Women's awareness and use of pre-pregnancy care were found to be low and women at risk during pregnancy did not use preconception care at the desired level.

Ethical Statement

The study was approved by the Ethics Committee of Manisa Celal Bayar University Faculty of Medicine (Date: 29 August 2018; Number: 20478486). All participants gave written informed consent for the research.

Supporting Institution

The authors declare that this study received no financial support.

Project Number

yok

Thanks

The authors would like to thank the women who participated in the study

References

  • Ergi EÇ, Şahin MK. Preconception care and counseling status and related factors in pregnant women. TJFMPC 2023; 17(1): 139-149.
  • Ayele AD, Belay HG, Kassa BG, Worke MD. Knowledge and utilisation of preconception care and associated factors among women in Ethiopia: systematic review and meta-analysis. Reprod Health 2021; 18(1): 1-15.
  • Sekizler ET, Daşıkan Z. Preconception healthcare and counselling in primary care. Journal of Nursing Science 2021; 4(2): 94–105.
  • Woldeyohannes D, Tekalegn Y, Sahiledengle B, et al. Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group. SAGE Open Medicine 2023; 11: 1-12.
  • Poix S, Elmusharaf K. Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal Loop Diagram. PMR 2023; 1-12.
  • Tekalign T, Lemma T, Silesh M, et al. Mothers’ utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis. PLoS One 2021; 16(7): 1-15.
  • Musgrave LM, Homer CSE, Kizirian NV, Gordon A. Addressing preconception behaviour change through mobile phone apps: a protocol for a systematic review and meta-analysis. Syst Rev 2019; 8(1): 1-8.
  • Lang AY, Boyle JA, Fitzgerald GL, et al. Optimizing preconception health in women of reproductive age. Minerva Ginecol 2018; 70(1): 99-119.
  • Braspenningx S, Haagdorens M, Blaumeiser B, Jacquemyn Y, Mortier G. Preconceptional care: a systematic review of the current situation and recommendations for the future. Facts Views Vis Obgyn 2013; 5(1): 13–25.
  • Kotirum S, Kiatpongsan S, Kapol N. Systematic review of economic evaluation studies on preconception care interventions. Health Care Women Int 2021; 42(4-6): 503-517.
  • Wahabi HA, Fayed A, Esmaeil S, et al Systematic review and meta-analysis of the effectiveness of pre-pregnancy care for women with diabetes for improving maternal and perinatal outcomes. PLoS One 2020; 15(8): 1-32.
  • Lassi ZS, Kedzior SG , Tariq W, Jadoon Y , Das JK , Bhutta ZA. Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low- and middle-income countries: A Systematic Review. Nutrients 2020; 12(3): 1-35.
  • Girma A, Bedada A, Kumbi S. Utilization of preconception care and its determinants among pregnant women attending ANC in private MCH hospitals in Addis Ababa, Ethiopia: a cross sectional descriptive study. BMC Pregnancy and Childbirth 2023; 23:649: 1-12.
  • T.C. Sağlık Bakanlığı Doğum Öncesi Bakım Yönetimi Rehberi (2018). [Internet]. [Accessed date:23 June 2020]. Available from: https://hsgm.saglik.gov.tr/depo/birimler/Kadin_ve_Ureme_Sagligi_Db/dokumanlar/rehbler/dogum_oncesi_bakim_08-01-2019_1.pdf
  • Genç Koyucu, R, Tosun, Y, Katran B. Preconceptional counselling needs among women of reproductive age. JAREN 2017; 3(3): 116-121.
  • Aksoy A, Yılmaz DV. A new service model to increase community health: preconceptional care and the nurse's role. HEAD 2019; 16(1): 60-67.
  • Yılmaz T, Dinç H, Bal MD. Practices carried out by pregnant women to improve fetal health. JAREN 2015; 1(1): 21-29.
  • Amanak K, Karaçam Z. Determining preconception counseling requirements of women. Ejovoc 2019; 9(1): 8-12.
  • Emre MA. Evaluation of knowledge, attitude and behavior about preconceptional care and counseling of pregnant women applied to gynecology and obstetrics clinic. (dissertation). Faculty of Medicine: Eskişehir Osmangazi Uni. 2019.
  • Yurtsever C, Set T. Relationship between preconception care and pregnancy planning status with folic acid and smoking: A cross sectional study. TJFMPC 2018; 12(1): 43-48.
  • Zortul S. Receiving preconception care status of pregnant women and related factors. (dissertation). Faculty of Medicine: Atatürk Uni. 2015.
  • Karataş M. Determination health risks and healthy lifestyle behaviors of women in the preconceptional period. (dissertation). Health Science Institute: T.C. Cumhuriyet Uni. 2017.
  • Demisse TL, Aliyu SA, Kitila SB, Tafesse TT, Gelaw KA, Zerihun MS. Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia. Reprod Health 2019; 16(96): 1-10.
  • Fekene DB, Woldeyes BS, Erena MM, Demisse GA. Knowledge, uptake of preconception care and associated factors among reproductive age group women in West Shewa zone, Ethiopia, 2018. BMC Womens Health 2020; 20(1): 1-8.
  • Du L, La X, Zhu L. et al. Utilization of preconception care and its impacts on health behavior changes among expectant couples in Shanghai, China. BMC Pregnancy Childbirth 2021; 21(1) 1-8.
  • Asresu TT, Hailu D, Girmay B, Abrha MW, Weldearegay HG. Mothers’ utilization and associated factors in preconception care in northern Ethiopia: a community based cross sectional study. BMC Pregnancy and Childbirth 2019; 19(1): 347.
  • Barutçu S, Özcan S, Bozdemir N. Evaluation of preconceptional care in the city centre of Adana. TJFMPC 2021; 15(2):390-397.
  • Jou HJ, Hsu IP, Liu CY, Chung SH, Chen SM, Gau ML. Awareness and use of folic acid among pregnant women in Taipei. Taiwan J Obstet Gynecol 2010; 49(3): 306-310.
  • Tort J, Lelong N, Prunet C, Khoshnood B, Blondel B. Maternal and health care determinants of preconceptional use of folic acid supplementation in France: results from the 2010 National Perinatal Survey. BJOG 2013; 120(13): 1661-1667.
  • Chivers BR, Boyle JA, Lang AY, Teede HJ, Moran LJ, Harrison CL. Preconception health and lifestyle behaviours of women planning a pregnancy: A cross-sectional study. J Clin Med 2020; 9(6): 1-14.
  • Yurtsal Z, Eroğlu V. Evaluation of the status of receiving routine antenatal care recommended by the world health organization for a positive pregnancy experience among pregnant women. STED 2020; 29(3): 197-206.
  • Paradis S, Ego A, Bosson JL. Preconception care among low-risk mothers in a French perinatal network: Frequency of utilization and factors associated. J Gynecol Obstet Hum Reprod 2017; 46(7): 591-596.
  • Zhou Q, Acharya G, Zhang S, Wang Q, Shen H, Li X. A new perspective on universal preconception care in China. AOGS 2016; 95(4): 377-381.
There are 33 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Article
Authors

Özkan Demir This is me 0000-0002-5259-7270

Emre Yanıkkerem 0000-0001-8909-3597

Project Number yok
Publication Date September 30, 2025
Submission Date November 21, 2023
Acceptance Date June 30, 2025
Published in Issue Year 2025 Volume: 9 Issue: 3

Cite

APA Demir, Ö., & Yanıkkerem, E. (2025). Utilization of Preconception Care and Associated Factors Among Turkish Women. Journal of Basic and Clinical Health Sciences, 9(3), 654-664. https://doi.org/10.30621/jbachs.1393249
AMA Demir Ö, Yanıkkerem E. Utilization of Preconception Care and Associated Factors Among Turkish Women. JBACHS. September 2025;9(3):654-664. doi:10.30621/jbachs.1393249
Chicago Demir, Özkan, and Emre Yanıkkerem. “Utilization of Preconception Care and Associated Factors Among Turkish Women”. Journal of Basic and Clinical Health Sciences 9, no. 3 (September 2025): 654-64. https://doi.org/10.30621/jbachs.1393249.
EndNote Demir Ö, Yanıkkerem E (September 1, 2025) Utilization of Preconception Care and Associated Factors Among Turkish Women. Journal of Basic and Clinical Health Sciences 9 3 654–664.
IEEE Ö. Demir and E. Yanıkkerem, “Utilization of Preconception Care and Associated Factors Among Turkish Women”, JBACHS, vol. 9, no. 3, pp. 654–664, 2025, doi: 10.30621/jbachs.1393249.
ISNAD Demir, Özkan - Yanıkkerem, Emre. “Utilization of Preconception Care and Associated Factors Among Turkish Women”. Journal of Basic and Clinical Health Sciences 9/3 (September2025), 654-664. https://doi.org/10.30621/jbachs.1393249.
JAMA Demir Ö, Yanıkkerem E. Utilization of Preconception Care and Associated Factors Among Turkish Women. JBACHS. 2025;9:654–664.
MLA Demir, Özkan and Emre Yanıkkerem. “Utilization of Preconception Care and Associated Factors Among Turkish Women”. Journal of Basic and Clinical Health Sciences, vol. 9, no. 3, 2025, pp. 654-6, doi:10.30621/jbachs.1393249.
Vancouver Demir Ö, Yanıkkerem E. Utilization of Preconception Care and Associated Factors Among Turkish Women. JBACHS. 2025;9(3):654-6.