How effective is routine pre-pregnancy health promotion for improving pregnancy outcomes for mothers and babies?
For most outcomes, data were only available from individual studies. In only one study were women followed up through pregnancy. This review included only trials aimed at the general population of women of childbearing age, in developed countries, and excluded trials targeting specific high-risk women.
Smoking, drinking excess alcohol, poor nutrition and other lifestyle factors can lead to poor outcomes for mothers and babies. The provision of routine health promotion (including advice and education and sometimes screening tests) before conception may encourage changes to improve health, and may be an opportunity to identify risk factors, such as infection that can be treated before pregnancy begins.