Co-designing preconception and pregnancy care for healthy maternal lifestyles and obesity prevention |
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| Institution: | 1. Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, 41-52 Kanooka Grove, Clayton, Victoria 3168, Australia;2. Department of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash University, Level 1 264 Ferntree Gully Road, Notting Hill, Victoria 3168, Australia;3. Department of Nursing and Midwifery, School of Clinical Sciences, Monash University, Clayton Road, Clayton, Victoria, 3168, Australia;4. Warwick Business School, Warwick University, Coventry, CV4 7AL, United Kingdom;1. School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, QLD, 4131, Australia;2. Transforming Maternity Care Collaborative, Southport, QLD, 4215, Australia;3. Women’s & Newborn & Children''s Services, Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD, 4215, Australia;1. Burnet Institute, Australia;2. University of Technology Sydney, Australia;3. Deakin University, Australia;1. Deakin University, Australia;2. Alfred Hospital, Melbourne, Australia;1. Safer Care Victoria, Australia;2. La Trobe University, Australia;1. Center for Perinatal Research, Research Institute at Nationwide Children’s Hospital, Columbus, OH;2. Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH;3. Department of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH;1. School of Public Health & Community Medicine, University of New South Wales, Gate 11, Botany Street, Randwick, NSW 2052, Australia;2. School of Nursing and Midwifery, University of Western Sydney, Building EB/LG Room 34, Parramatta South Campus, NSW, Australia;3. School of Public Health & Community Medicine, University of New South Wales, Gate 11, Botany Street, Randwick, NSW, Australia;1. Judith Lumley Centre, La Trobe University, Level 3 George Singer Building, Bundoora, VIC, 3086, Australia;2. School of Nursing and Midwifery, La Trobe University, Level 3 George Singer Building, Bundoora, VIC, 3086, Australia;3. Murdoch Children’s Research Institute, Flemington Road, Parkville, VIC, 3052, Australia;4. Department General Practice, University of Melbourne, Parkville, 3052, Australia |
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| Abstract: | ProblemA recognised gap exists between current and recommended practices in the provision of lifestyle advice and weight management support for women across preconception and pregnancy care.BackgroundPreconception and pregnancy are critical stages for promoting healthy maternal lifestyles and obesity prevention. Co-design is a novel approach with the potential to strengthen existing models of care to facilitate the implementation of clinical practice guidelines promoting preconception and pregnancy health, especially in relation to preconception weight management and preventing excessive gestational weight gain.Aim and methodsThe aims of this discussion paper are to (i) define co-design in the context of preconception and pregnancy care, (ii) outline key considerations when planning co-design initiatives and (iii) describe co-design opportunities in preconception and pregnancy care for promoting women’s health and obesity prevention.DiscussionWhile several definitions of co-design exist, one critical element is the meaningful involvement of all key stakeholders. In this discussion, we specifically identified the involvement of women and expanding the role of practice nurses in primary care may assist to overcome barriers to the provision of healthy lifestyle advice and support for women during preconception. Co-designing pregnancy care will involve input from women, nurses, midwives, obstetricians, allied health and administration and management staff. Additional attention is required to co-design care for women considered most at-risk.ConclusionThere is potential to enhance current provision of preconception and pregnancy care using co-design. Nursing and midwifery professions are active across both preconception and pregnancy and therefore, they have an important role to play. |
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| Keywords: | Preconception Pregnancy Antenatal care Co-design |
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