ArticleThe journal of obstetrics and gynaecology research2025
Preconception health assessments in occupational settings: Counseling versus written feedback.
Article in The journal of obstetrics and gynaecology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Preconception health assessments in occupational settings: Counseling versus written feedback.The journal of obstetrics and gynaecology research · 2025Article
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7 authors.
Funding
Abstract
aimOur preconception care (PCC) initiative in Akita (Japan) was previously reported to improve health literacy and motivate behavioral changes. To make the check-up widely available, a more feasible and sustainable system is necessary. Our aim was to evaluate a resource-efficient preconception check-up implemented in Ehime Prefecture.
methodsThe Ehime PCC check-up included female employees aged 18-39 and took place between July 2023 and January 2024. Participants attended a lecture, underwent blood tests, and received written feedback. Pre- and post-intervention surveys were conducted for check-up evaluation.
resultsFifty-nine women (median age: 31 years) participated. The results revealed that their health was inadequate for future pregnancies, with 23% exhibiting anemia (hemoglobin <12.0 g/dL) and 29% iron deficiency (serum ferritin <12 ng/mL). Furthermore, all participants had low 25-hydroxyvitamin D levels (<30 ng/mL). After receiving written feedback, 66% manifested an intention to improve their lifestyle, 21% an intention to consult an obstetrician and gynecologist, and 32% expressed a desire to become pregnant sooner. The proportion of those without intention to change their future behavior was significantly higher in Ehime (23.7%) compared to Akita (4.9%, p = 0.018). Recommendation ratings were significantly lower in Ehime (strongly recommend: 18.2% vs. 65.9%, p < 0.001), with more reporting anxiety (10.5% vs. 4.9%, p = 0.02).
conclusionsPreconception check-ups improved the intention to change behavior, even in resource-efficient settings. However, individual counseling may be more effective than written feedback in increasing the intention to change behavior and satisfaction. A resource-efficient feedback method that effectively motivates behavioral change and improves satisfaction is required.
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