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Article

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

1
The Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA 6725, Australia
2
Kimberley Aboriginal Medical Services, Broome, WA 6725, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(10), 3702; https://doi.org/10.3390/ijerph17103702
Received: 17 April 2020 / Revised: 12 May 2020 / Accepted: 15 May 2020 / Published: 24 May 2020
(This article belongs to the Special Issue Improving the Health of Rural, Minority Populations)
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. View Full-Text
Keywords: preconception; aboriginal health; reproductive health; primary care; preventive care preconception; aboriginal health; reproductive health; primary care; preventive care
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MDPI and ACS Style

Griffiths, E.; Marley, J.V.; Atkinson, D. Preconception Care in a Remote Aboriginal Community Context: What, When and by Whom? Int. J. Environ. Res. Public Health 2020, 17, 3702. https://doi.org/10.3390/ijerph17103702

AMA Style

Griffiths E, Marley JV, Atkinson D. Preconception Care in a Remote Aboriginal Community Context: What, When and by Whom? International Journal of Environmental Research and Public Health. 2020; 17(10):3702. https://doi.org/10.3390/ijerph17103702

Chicago/Turabian Style

Griffiths, Emma, Julia V. Marley, and David Atkinson. 2020. "Preconception Care in a Remote Aboriginal Community Context: What, When and by Whom?" International Journal of Environmental Research and Public Health 17, no. 10: 3702. https://doi.org/10.3390/ijerph17103702

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