{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:46:38Z","timestamp":1787071598092,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Preconception care (PCC) is a series of biomedical, mental, and psychosocial health services provided to women and a couple before pregnancy and throughout subsequent pregnancies for desired outcomes. various unfavourable pregnancy outcomes continue to be a major health issue in India. PCC services used by mothers have the ability to prevent a great deal of negative consequences. In the Indian healthcare system, the use of this service and its contributing factors are not well understood. Therefore, this study was conducted to assess the utilization and determinants of PCC among recently delivered mothers and barriers of its underutilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A community-based retrospective cohort study was conducted among 391 recently delivered mothers in Khordha district, Odisha, South-Eastern community of India. A two-stage sampling technique was being used to select the desired sample. Data were collected by using a pretested interview schedule and structured questionnaire which included sociodemographic variables, knowledge on preconception health and factors associated with preconception health service utilization. Data were entered using Epi-data version 1.4.4.0 and exported to SPSS version 20 for analysis (IBM Corporation, New York, USA). Bivariate and multiple logistic regressions were applied to identify candidate and predictor variables, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>This study revealed that, 59 (15.1%) mothers had used at least one component of the World Health Organization (WHO) package of PCC services before their previous pregnancy, whereas none of them received all ten selected items of WHO package of PCC services. The most commonly used component of PCC in this study was folic acid supplementation, and the least used was utilization of psychological health. Mothers\u2019 knowledge on PCC (adjusted odds ratio [AOR]: 24.0; 95% confidence interval [CI]: 12.37, 46.65), husbands having higher education and better employment (AOR: 20.22; 95% CI: 0.80, 510.83), (AOR: 5.31; 95% CI: 0.05, 528.17) respectively, history of adverse birth outcomes (AOR: 0.82; 95% CI: 0.28,0.23), history of preexisting health problems (AOR: 1.31; 95% CI: 1.18, 1.52), husband\/partner support (AOR: 2.59;95% CI; 0.70, 9.60) were significantly associated with PCC service utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The utilization of WHO-recommended PCC service packages in the present study area was found to be very poor. Health professionals and stakeholders will be trained and improve PCC practice by integrating PCC service with existing MNCH service. In addition, maternal awareness need to be focused for enhancing PCC utilization for preventing adverse pregnancy outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1724_24","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T15:01:33Z","timestamp":1758639693000},"page":"3412-3420","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Preconception care knowledge and factors associated with preconception care utilization among married women in South-Eastern community of India: A cohort study"],"prefix":"10.4103","volume":"14","author":[{"given":"Dharitri","family":"Swain","sequence":"first","affiliation":[{"name":"Obstetric and Gynaecological Nursing, College of Nursing, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmina","family":"Begum","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swayam Pragyan","family":"Parida","sequence":"additional","affiliation":[{"name":"Department of CM and FM, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somyaranjan","family":"Senapati","sequence":"additional","affiliation":[{"name":"College of Nursing, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"issue":"(Suppl 3)","key":"R2-20250924","first-page":"1","article-title":"Preconception care:Advancing from 'important to do and can be done'to 'is being done and is making a difference.'","volume":"11","author":"Mason","year":"2014","journal-title":"Reprod Health"},{"key":"R4-20250924","doi-asserted-by":"crossref","first-page":"e0272316","DOI":"10.1371\/journal.pone.0272316","article-title":"Knowledge, attitude, and practice of preconception care and associated factors among obstetric care providers working in public health facilities of West Shoa Zone, Ethiopia:A cross-sectional study","volume":"17","author":"Abayneh","year":"2022","journal-title":"PLoS One"},{"key":"R5-20250924","first-page":"1","article-title":"Knowledge on preconception care among reproductive age women","volume":"2","author":"Gautan","year":"2016","journal-title":"Saudi J Med Pharm Sci"},{"key":"R6-20250924","first-page":"224","article-title":"Knowledge and practice regarding preconception care among antenatal mothers","volume":"1","author":"Nepali","year":"2017","journal-title":"Int J Perceptions Public Health"},{"key":"R8-20250924","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s12905-020-00906-w","article-title":"Prevalence and risk factors of obstetric fistula:Implementation of a need-based preventive action plan in a South-eastern rural community of India","volume":"20","author":"Swain","year":"2019","journal-title":"BMC Women's Health"},{"key":"R9-20250924","first-page":"665","article-title":"ACOG Committee Opinion number 313, September 2005. The importance of preconception care in the continuum of women's health care","volume":"106","year":"2005","journal-title":"Obstet Gynecol"},{"key":"R10-20250924","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1001\/jama.2023.23727","article-title":"Women and Infants Integrated Interventions for Growth Study (WINGS) Group. Child neurodevelopment after multidomain interventions from preconception through early childhood:The WINGS Randomized Clinical Trial","volume":"331","author":"Upadhyay","year":"2024","journal-title":"JAMA"},{"key":"R11-20250924","doi-asserted-by":"crossref","first-page":"102796","DOI":"10.1016\/j.pmedr.2024.102796","article-title":"Implementation of preconception care for preventing adverse pregnancy outcomes in rural and tribal areas of Nashik District, India","volume":"43","author":"Doke","year":"2024","journal-title":"Prev Med Rep"},{"key":"R13-20250924","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/s12978-019-0758-x","article-title":"Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia","volume":"16","author":"Demisse","year":"2019","journal-title":"Reprod Health"},{"key":"R14-20250924","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1186\/s12884-019-2478-1","article-title":"Mothers'utilization and associated factors in preconception care in northern Ethiopia:A community based cross sectional study","volume":"19","author":"Asresu","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"key":"R15-20250924","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s12905-020-00900-2","article-title":"Knowledge, uptake of preconception care and associated factors among reproductive age group women in West Shewa zone, Ethiopia, 2018","volume":"20","author":"Fekene","year":"2020","journal-title":"BMC Womens Health"},{"key":"R16-20250924","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1111\/ppe.12218","article-title":"Survey on the implementation of preconception Care in Shanghai, China","volume":"29","author":"Ding","year":"2015","journal-title":"Paediatr Perinat Epidemiol"},{"key":"R17-20250924","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4038\/sljog.v35i1.5996","article-title":"Preconception care received by women attending antenatal clinics at a Teaching Hospital in Southern Sri Lanka","volume":"35","author":"Patabendige","year":"2013","journal-title":"Sri Lanka J Obstet Gynaecol"},{"key":"R18-20250924","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4103\/2230-8229.181012","article-title":"Preconception care in Saudi women with diabetes mellitus","volume":"23","author":"Madanat","year":"2016","journal-title":"J Fam Community Med"},{"key":"R19-20250924","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.4172\/2167-0420.1000445","article-title":"Preconception care utilization and its associated factors among pregnant women in Adet, North-Western Ethiopia (implication of reproductive health)","volume":"7","author":"Goshu","year":"2018","journal-title":"J Women's Health Care"},{"key":"R20-20250924","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1186\/1471-2458-10-786","article-title":"Improving the uptake of preconception care and periconceptional folate supplementation:What do women think?","volume":"10","author":"Mazza","year":"2010","journal-title":"BMC Public Health"},{"key":"R21-20250924","doi-asserted-by":"crossref","first-page":"888708","DOI":"10.3389\/fpubh.2022.888708","article-title":"Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India:A qualitative study using focus group discussion","volume":"10","author":"Chutke","year":"2022","journal-title":"Front Public Health"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1724_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:49:13Z","timestamp":1787068153000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1724_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1724_24","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2024-10-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-22","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}