Evidence map›Paper›PMID 36810878›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2023

Women's preconception health in England: a report card based on cross-sectional analysis of national maternity services data from 2018/2019.

Danielle A J M Schoenaker, Judith Stephenson, Helen Smith, Kate Thurland, Helen Duncan, Keith M Godfrey, Mary Barker, Claire Singh, Nisreen A Alwan, UK Preconception Partnership

Open access · hybridAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Preconception indicators and associations with health outcomes reported in UK routine primary care data: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
  2. Trial
  3. Preconception Perceptions, Knowledge and Behaviours of Women With Gestational Diabetes Mellitus: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026
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  9. What Does 'Preconception Health' Mean to People? A Public Consultation on Awareness and Use of Language.Health expectations : an international journal of public participation in health care and health policy · 2024
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  17. Data Resource Profile: Maternity Services Dataset (MSDS).International journal of population data science · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Danielle A J M SchoenakerSchool of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0002-7652-990X
Judith StephensonElizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK.
Helen SmithDepartment of Health and Social Care, Office for Health Improvement and Disparities, London, UK.
Kate ThurlandDepartment of Health and Social Care, Office for Health Improvement and Disparities, London, UK.
Helen DuncanDepartment of Health and Social Care, Office for Health Improvement and Disparities, London, UK.
Keith M GodfreyNIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Mary BarkerMRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
Claire SinghDepartment of Midwifery, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Nisreen A AlwanSchool of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
UK Preconception Partnership
Department of Health and Social Care · GBUniversity Hospital Southampton NHS Foundation Trust · GBKing's College London · GBMRC Lifecourse Epidemiology Unit · GBUniversity College Hospital · GB

Funding

British Heart Foundation RG/15/17/3174Medical Research Council MC_PC_MR/R018545/1Medical Research Council MC_UU_12011/4Medical Research Council MR/N011848/1
6 · The paper itself

Abstract

objectiveTo present the first national-level report card on the state of women's preconception health in England.

designCross-sectional population-based study.

settingMaternity services, England. POPULATION: All pregnant women in England with a first antenatal (booking) appointment recorded in the national Maternity Services Dataset (MSDS) from April 2018 to March 2019 (n = 652 880).

methodsWe analysed the prevalence of 32 preconception indicator measures in the overall population and across socio-demographic subgroups. Ten of these indicators were prioritised for ongoing surveillance based on modifiability, prevalence, data quality and ranking by multidisciplinary UK experts.

resultsThe three most prevalent indicators were the proportion of the 22.9% of women who smoked 1 year before pregnancy who did not quit smoking before pregnancy (85.0%), those who had not taken folic acid supplementation before pregnancy (72.7%) and previous pregnancy loss (38.9%). Inequalities were observed by age, ethnicity and area-based deprivation level. The ten indicators prioritised were not taking folic acid supplementation before pregnancy, obesity, complex social factors, living in the most deprived areas, smoking around the time of conception, overweight, pre-existing mental health condition, pre-existing physical health condition, previous pregnancy loss and previous obstetric complication.

conclusionsOur findings suggest important opportunities to improve the state of preconception health and reduce socio-demographic inequalities for women in England. In addition to MSDS data, other national data sources that record further and possibly better quality indicators could be explored and linked to build a comprehensive surveillance infrastructure.

Indexed as

Abortion, SpontaneousPreconception CareCross-Sectional StudiesEnglandFemaleFolic AcidHumansPregnancyFolic Acidpreconception healthroutine health datasurveillance

Identifiers

PMID36810878
PMCPMC10952348
OpenAlexW4321523286

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.