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Complete Health Indicator Report of Preconception Health and Health Care

Definition

The number of women who reported having a preconception visit with a health care provider divided by the number of women who delivered a live birth.

Numerator

The number of women who reported having a preconception visit with a health care provider.

Denominator

The number of women who delivered a live birth in Utah.

Why Is This Important?

The CDC published 10 recommendations to improve childbearing women's health before conception that may contribute to healthier birth outcomes. One of these recommendations is to incorporate a prepregnancy checkup for women who are planning on becoming pregnant. The purpose of this checkup is to ensure that women are in optimal health for pregnancy and do not enter pregnancy with unmanaged health conditions, such as diabetes or hypertension, or unhealthy behaviors like tobacco use.[1] Studies have shown that eating a nutritious diet and being at an ideal body mass index prior to pregnancy can lead to healthier pregnancy outcomes.[2] Research also indicates that, for optimum effect on reducing the risk for neural tube defects, women should begin taking folic acid supplements at least three months before conception.[3],[4] During the first weeks of pregnancy, exposure to alcohol, tobacco, and other drugs can adversely affect fetal development and result in pregnancy complications and poor outcomes for both the mother and infant.[5] Research also indicates that improved control of hyperglycemia prior to pregnancy reduces perinatal mortality and congenital malformation rates in women with diabetes.[6] These risks can be reviewed and addressed in a preconception visit with a health care provider to reduce possible impact during pregnancy.

Healthy People Objective MICH-16.1:

(Developmental) Increase the proportion of women delivering a live birth who discussed preconception health with a health care worker prior to pregnancy
U.S. Target: Developmental

How Are We Doing?

In 2014, only 22.8% of women reported having a doctor, nurse, or other health care worker discuss how improve their health before pregnancy.

How Do We Compare With the U.S.?

National PRAMS Data collected in 2013 from 28 participating states found that 22.8% of women talked to a provider about improving health before pregnancy, compared to 21.7% of Utah women. The percentage of Utah women took a daily multivitamin is 50.5, this is significantly higher than the overall percentage of 39.4. The percentage of Utah women who smoked before pregnancy was 8.4, this significantly lower than the overall percentage of 22.1.

What Is Being Done?

The Maternal and Infant Health program in collaboration with Baby Your Baby; Women, Infants and Children (WIC); the Pregnancy Risk Line; Birth Defect Network; and the Tobacco Control and Prevention Program developed and implemented the "Power Your Life" social media campaign to promote preconception health messages. The Power Your Life website at [http://www.poweryourlife.org www.poweryourlife.org] is a great place for women of reproductive age to get information and encouragement about being at their healthiest prior to pregnancy. That will help to ensure the best possible outcomes for mom and baby. Connect with the Power Your Life program on Facebook: [https://www.facebook.com/poweryourlifeutah/] Pinterest: [https://www.pinterest.com/poweryourlifeut/] Twitter: [https://twitter.com/PowerYourLife2]

Available Services

Utah Medicaid Program: phone 1-800-662-9651, or visit [http://www.health.utah.gov/medicaid/] Utah Department of Health's Primary Care Network (PCN): [[br]] phone 1-888-222-2542 or visit [http://www.health.utah.gov/pcn/] UPP (Utah's Premium Partnership for Health Insurance):[[br]] phone: 1-888-222-2542 (M - F, 8 a.m. - 5 p.m.) [[br]] or visit [http://www.health.utah.gov/upp] The Association for Utah Community Health (AUCH) is the primary care association for the state of Utah. AUCH members include Federally Qualified Health Centers (FQHC) and other providers who strive to meet the needs of the medically underserved. AUCH and its member organizations are part of a statewide and national movement to reduce barriers to health care by enhancing primary care service delivery through prevention, health promotion, and community participation. Association for Utah Community Health [[br]] 860 East 4500 South Salt Lake City, UT 84107 [[br]] Phone: (801) 974-5522 [http://www.auch.org]


Related Indicators

Related Relevant Population Characteristics Indicators:




Graphical Data Views

Percentage of Women Who Reported a Preconception Visit With a Health Care Provider by Maternal Age, Utah PRAMS, 2013-2014

::chart - missing::
confidence limits

Age GroupPercentage of WomenLower LimitUpper LimitNote
Record Count: 7
17 or Under15.5%7.8%28.4%*
18-1913.4%8.4%20.8%
20-2418.9%15.5%22.8%
25-2923.2%20.0%26.7%
30-3422.7%19.2%26.7%
35-3926.9%20.9%33.9%
40+28.9%16.7%45.1%

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health


Percentage of Women Who Reported a Preconception Visit With a Health Care Provider by Year, Utah PRAMS, 2004-2014

::chart - missing::
confidence limits

PRAMS MethodologyYearPercentage of WomenLower LimitUpper Limit
Record Count: 11
Old Methodology200426.9%24.6%29.4%
Old Methodology200525.2%23.0%27.7%
Old Methodology200625.1%22.9%27.5%
Old Methodology200725.6%23.4%28.0%
Old Methodology200824.8%22.6%27.2%
Old Methodology200928.9%26.5%31.5%
Old Methodology201026.6%24.2%29.1%
Old Methodology201131.1%28.4%33.9%
New Methodology201217.7%15.4%20.1%
New Methodology201321.7%19.0%24.5%
New Methodology201422.9%20.3%25.6%

Data Notes

The preconception health visit question on the PRAMS survey was revised in 2012 so data cannot be compared to earlier years.

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health


Percentage of Utah Women Who Reported a Preconception Visit With a Health Care Provider by Prepregnancy Health Insurance Status, Utah PRAMS, 2013-2014

::chart - missing::
confidence limits

Health Insurance Plan TypePercentage of WomenLower LimitUpper Limit
Record Count: 4
Private/Employer Coverage24.1%21.8%26.6%
Medicaid27.8%21.8%26.6%
No Health Insurance Coverage12.7%10.0%16.1%
Some Other Insurance Coverage23.8%15.3%35.1%

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health


Percentage of Utah Women Who Reported a Preconception Visit With a Health Care Provider by Selected Maternal Characteristics or Behaviors, Utah PRAMS, 2012-2014

::chart - missing::
confidence limits

Yes or NoMaternal Characteristic or BehaviorPercentage of WomenLower LimitUpper Limit
Record Count: 10
YesOverweight26.1%21.8%30.4%
YesObese19.5%15.6%23.3%
YesSmoked9.1%6.5%11.8%
YesDrank Alcohol26.6%22.3%30.9%
YesDaily Multivitamin55.3%50.5%60.1%
NoOverweight21.7%19.5%23.8%
NoObese16.9%14.9%18.8%
NoSmoked10.0%8.6%11.3%
NoDrank Alcohol23.8%21.6%25.9%
NoDaily Multivitamin29.5%27.1%31.9%

Data Notes

The overweight and obese categories were derived from calculating a woman's prepregnancy Body Mass Index (BMI), and following the Centers for Disease Contol and Prevention's BMI classification guidelines. In reference to the rates of reported preconception smoking and drinking, the time period was during the three months before pregnancy. Regarding daily multivitamin consumption, the time frame was one month prior to pregnancy.

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health

References and Community Resources

References 1. Department of Health and Human Services, Centers for Disease Control and Prevention. Recommendations to Improve Preconception Health and Health Care--United States. MMWR. April 21, 2006 / 55(RR06);1-23 2. Kramer, M.S., Energy/protein restriction for high weight-for-height or weight gain during pregnancy. Cochrane Database Syst Rev, 2000. 2 (CD 000080.). 3. M.M. Werler, S.Shapiro, A.A. Mitchell, Periconceptional folic acid exposure and risk of occurrent neural tube defects. JAMA, 1993. 269: p. 1257-61. 4. A.E. Czeizel, I.Dudas, Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. N Engl J Med, 1992. 327: p. 1832-35. 5. R.L. Andres, M.C.Day, Perinatal complications associated with maternal tobacco use. Semin Neonatol, 2000. 5: p. 231-41. 6. S.S. McElvy, M.Miodovnik, B. Rosenn, et al, A focused preconceptional and early pregnancy program in women with type 1 diabetes reduces perinatal mortality and malformation rates to general population levels. J Matern Fetal Med, 2000. 9: p. 14-20.

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 03/10/2017, Published on 03/14/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 19 April 2018 14:59:02 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 26 May 2017 10:19:48 MDT