Evidence mapPaperPMID 39791592Full record

ReviewJournal of advanced nursing2025

Preconception Care: A Concept Analysis of an Evolving Paradigm.

Yared Asmare Aynalem, Pauline Paul, Joanne Olson, Zohra S Lassi, Salima Meherali

Abstract readReview
In one paragraph

Review in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Effects of Age, Season, and Pregnancy History on Vitamin D Status in Women Seeking Preconception Care.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  2. Article
  3. Review
  4. Optimizing pre-conception care in South Asia.The Lancet regional health. Southeast Asia · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yared Asmare AynalemCollege of Health Sciences, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0002-3005-2296
Pauline PaulCollege of Health Sciences, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0002-7535-6250
Joanne OlsonCollege of Health Sciences, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Zohra S LassiRobinson Research Institute, The University of Adelaide, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-5350-6334
Salima MeheraliCollege of Health Sciences, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0002-8132-8600

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM(S): To clarify the concept of preconception care and develop a precise and inclusive definition to improve its implementation and impact on reproductive health outcomes.

designThis concept analysis paper employs Rodgers' evolutionary method to analyse the concept of preconception care, examining its historical evolution, attributes, antecedents and consequences.

methodsA comprehensive literature review was conducted using databases such as Cumulative Index to Nursing and Allied Health Literature, Scopus, MEDLINE and Google Scholar, covering publications from 2012 to 2024. Data extraction involved identifying surrogate and related terms, attributes, antecedents and consequences of preconception care. A total of 1520 publications were retrieved, with 166 meeting eligibility criteria. Using systematic random sampling, 40 articles were selected for in-depth analysis.

resultsThe analysis revealed that preconception care encompasses several attributes: period-related (biological, individual, public health and intergenerational), target population-related (individual, public and intergenerational) and pathway-related (universal, targeted and comprehensive). Antecedents include desires for a healthy baby and family planning decisions. Consequently, it improves pregnancy outcomes and health equity and enhances community and intergenerational health. The proposed operational definition highlights preconception care as a proactive strategy to optimise health before pregnancy through targeted and inclusive interventions.

conclusionPreconception care is a dynamic and multifaceted process that extends from immediate preconception periods to long-term health considerations. Addressing diverse needs and effectively improving health outcomes requires a tailored approach considering individual, public and intergenerational perspectives. IMPLICATIONS FOR PROFESSIONS AND PATIENT CARE: A transparent and inclusive definition of preconception care will enable healthcare professionals, particularly nurses, to deliver more effective, culturally sensitive and equitable care. It will support advocacy for policy changes, resource allocation and educational initiatives to enhance preconception health. IMPACT: Addressing preconception care's complexities and diverse needs will foster a more comprehensive understanding and implementation of preconception care, ultimately improving reproductive health outcomes and promoting health equity across generations. PATIENT OR PUBLIC CONTRIBUTION: As this concept analysis was derived from published articles, patients or the public were not involved in the study's design, conduct or reporting.

Indexed as

Preconception CareFemaleHumansPregnancyconcept analysishealth equityinclusive healthcareintergenerational healthnursingpreconception carereproductive health outcomesRodgers' evolutionary methodsocial determinants of healthtailored interventions

Identifiers

PMID39791592
PMCPMC12159401

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.