ArticleCureus2025
Exploring the Unmet Need for Preconception Care and Its Effect on Biomarkers Among Married Nulliparous Women in Guntur, Andhra Pradesh: A Community-Based Cross-Sectional Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn India, preconception care (PCC) is vital because the high rate of unplanned pregnancies raises the risk of complications for both mothers and newborns, and many young women lack adequate vaccination coverage before pregnancy. PCC is crucial for reducing adverse maternal-fetal outcomes. Still, knowledge and utilization of PCC remain very limited in many low- and middle-income settings. Evidence on the unmet need of PCC along with vaccination, lifestyle-related PCC, and biomarker associations in young women is limited in the Indian setting. This study explores the prevalence of PCC along with vaccination and nutrition-related PCC in nulliparous women. METHODOLOGY: A community-based cross-sectional study was conducted from February to April 2025 in the outreach area of a primary health center in Guntur, Andhra Pradesh. Married nulliparous women aged 18-30 years were recruited using systematic sampling (n = 220). Data collection tools used included a pretested semi-structured questionnaire (including FIGO preconception checklist) and anthropometry. Statistical analysis included χ² tests and multivariable logistic regression to identify predictors of PCC awareness (IBM SPSS Statistics for Windows, Version 29 (Released 2024; IBM Corp., Armonk, New York, United States); p < 0.05 as statistically significant). Results
conclusionsAwareness and utilization of vaccination and lifestyle-related PCC remain significantly low among young nulliparous women in South India. Integrating vaccination and lifestyle counseling into routine PCC at primary health centers, supported by frontline worker training, policy mandates, and community awareness campaigns targeting young women, could bridge critical gaps and improve pre-pregnancy health outcomes.
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