{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:53:50Z","timestamp":1793174030979,"version":"4.5.0"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","award":["RG\/15\/17\/3174"],"award-info":[{"award-number":["RG\/15\/17\/3174"]}],"id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["598488\u2010EPP\u20101\u20102018\u20101\u2010DE\u2010EPPKA2\u2010CBHE\u2010JP"],"award-info":[{"award-number":["598488\u2010EPP\u20101\u20102018\u20101\u2010DE\u2010EPPKA2\u2010CBHE\u2010JP"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["IS\u2010BRC\u20101215\u201020004"],"award-info":[{"award-number":["IS\u2010BRC\u20101215\u201020004"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["NF\u2010SI\u20100515\u201010042"],"award-info":[{"award-number":["NF\u2010SI\u20100515\u201010042"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MC_UU_12011\/4"],"award-info":[{"award-number":["MC_UU_12011\/4"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To present the first national\u2010level report card on the state of women's preconception health in England.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional population\u2010based study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Maternity services, England.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>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 (<jats:italic>n<\/jats:italic>\u00a0=\u2009652\u2009880).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analysed the prevalence of 32 preconception indicator measures in the overall population and across socio\u2010demographic subgroups. Ten of these indicators were prioritised for ongoing surveillance based on modifiability, prevalence, data quality and ranking by multidisciplinary UK experts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The three most prevalent indicators were the proportion of the 22.9% of women who smoked 1\u00a0year 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\u2010based 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\u2010existing mental health condition, pre\u2010existing physical health condition, previous pregnancy loss and previous obstetric complication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings suggest important opportunities to improve the state of preconception health and reduce socio\u2010demographic 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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17436","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T05:02:10Z","timestamp":1677042130000},"page":"1187-1195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Women's preconception health in England: a report card based on cross\u2010sectional analysis of national maternity services data from 2018\/2019"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7652-990X","authenticated-orcid":false,"given":"Danielle A. J. M.","family":"Schoenaker","sequence":"first","affiliation":[{"name":"School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine University of Southampton  Southampton UK"},{"name":"NIHR Southampton Biomedical Research Centre University of Southampton and University Hospital Southampton NHS Foundation Trust  Southampton UK"},{"name":"Department of Health and Social Care Office for Health Improvement and Disparities  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Stephenson","sequence":"additional","affiliation":[{"name":"Elizabeth Garrett Anderson Institute for Women's Health University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Health and Social Care Office for Health Improvement and Disparities  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Thurland","sequence":"additional","affiliation":[{"name":"Department of Health and Social Care Office for Health Improvement and Disparities  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Duncan","sequence":"additional","affiliation":[{"name":"Department of Health and Social Care Office for Health Improvement and Disparities  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith M.","family":"Godfrey","sequence":"additional","affiliation":[{"name":"NIHR Southampton Biomedical Research Centre University of Southampton and University Hospital Southampton NHS Foundation Trust  Southampton UK"},{"name":"MRC Lifecourse Epidemiology Centre University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Barker","sequence":"additional","affiliation":[{"name":"MRC Lifecourse Epidemiology Centre University of Southampton  Southampton UK"},{"name":"School of Health Sciences, Faculty of Environmental and Life Sciences University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Florence Nightingale Faculty of Nursing, Midwifery &amp; Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisreen A.","family":"Alwan","sequence":"additional","affiliation":[{"name":"School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine University of Southampton  Southampton UK"},{"name":"NIHR Southampton Biomedical Research Centre University of Southampton and University Hospital Southampton NHS Foundation Trust  Southampton UK"},{"name":"NIHR Applied Research Collaboration Wessex  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the UK Preconception Partnership","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30311-8"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30312-X"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2040174421000258"},{"issue":"3","key":"e_1_2_12_5_1","first-page":"157","article-title":"A systematic review of clinical guidelines for preconception care","volume":"40","author":"Dorney E","year":"2022","journal-title":"Semin Reprod Med"},{"key":"e_1_2_12_6_1","unstructured":"National Institute for Health and Care Excellence (NICE).Pre\u2010conception \u2013 advice and management.2021[cited 2022 Oct 27]. 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[cited 2022 Oct 27]. Available from:https:\/\/digital.nhs.uk\/Maternity\u2010Services\u2010Data\u2010Set"},{"key":"e_1_2_12_19_1","unstructured":"NHS Digital.Maternity Services Dataset v1.5 archived guidance documents. [cited 2022 Oct 27]. Available from:https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/data\u2010collections\u2010and\u2010data\u2010sets\/data\u2010sets\/maternity\u2010services\u2010data\u2010set\/archived\u2010guidance\u2010documents"},{"key":"e_1_2_12_20_1","unstructured":"National Institute for Health and Care Excellence (NICE).Antenatal care. NICE guideline [NG201].2021[cited 2022 Oct 27]. 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Available from:https:\/\/www.scotpho.org.uk\/behaviour\/tobacco\u2010use\/data\/adult\u2010smoking\u2010in\u2010scotland\/"},{"issue":"10","key":"e_1_2_12_28_1","first-page":"1","article-title":"Preconception and interconception health status of women who recently gave birth to a live\u2010born infant\u2013Pregnancy Risk Assessment Monitoring System (PRAMS), United States, 26 reporting areas, 2004","volume":"56","author":"D'Angelo D","year":"2007","journal-title":"MMWR Surveill Summ"},{"issue":"3","key":"e_1_2_12_29_1","first-page":"1","article-title":"Core state preconception health indicators \u2013 pregnancy risk assessment monitoring system and behavioral risk factor surveillance system, 2009","volume":"63","author":"Robbins CL","year":"2014","journal-title":"MMWR Surveill Summ"},{"key":"e_1_2_12_30_1","unstructured":"UK Government Department of Health and Social Care.Policy paper: our vision for the women's health strategy for England.2021[cited 2022 Oct 27]. 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