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  • © 2020

Preconception Health and Care: A Life Course Approach

  • The only practical guide of its kind on preconception health intended for health and care practitioners
  • Offers international and global perspectives
  • Addresses an important knowledge gap

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Table of contents (15 chapters)

  1. Front Matter

    Pages i-xiii
  2. Introduction

    • Jill Shawe, Eric A. P. Steegers, Sarah Verbiest
    Pages 1-4
  3. Preconception Health: An Overview

    • Sarah Verbiest
    Pages 5-20
  4. The Science of Preconception

    • Jeffrey Hoek, Régine Steegers-Theunissen, Kevin Sinclair, Sam Schoenmakers
    Pages 21-34
  5. Genetic Health Care Before Conception

    • Martina C. Cornel, Selina Goodman, Lidewij Henneman
    Pages 35-52
  6. Fertility

    • Ilse Delbaere, Jenny Stern
    Pages 53-79
  7. Nutrition

    • Zainab Akhter, Melissa van der Windt, Rianne van der Kleij, Nicola Heslehurst, Régine Steegers-Theunissen
    Pages 81-102
  8. Lifestyle: Weight

    • Annick Bogaerts, Amanda Bye, Margriet Bijlholt, Kate Maslin, Roland Devlieger
    Pages 103-128
  9. Lifestyle: Substance Use—Nicotine, Alcohol and Drugs

    • Jill Shawe, Kathryn Hart, Ann Robinson
    Pages 129-158
  10. Mental Health Conditions

    • Abigail Easter, Heather Hopper, Louise M. Howard, Maddalena Miele
    Pages 159-174
  11. Chronic Medical Conditions

    • Karl Neff, Kate Hunt, Jill Shawe
    Pages 175-210
  12. Infectious Diseases

    • Dean V. Coonrod, Celeste V. Bailey
    Pages 211-236
  13. Environment and Occupation

    • A. N. Rosman, Ch. Schaefer, T. Brand
    Pages 237-259
  14. Social Environment: Interpersonal Violence

    • Adja J. M. Waelput
    Pages 261-286
  15. Global Strategies for Change

    • Salimah R. Walani, Kelle H. Moley
    Pages 287-297
  16. Advancing Preconception Health Globally: A Way Forward

    • Sarah Verbiest, Jill Shawe, Eric A. P. Steegers
    Pages 299-308

About this book

This book provides a practical, multidisciplinary approach to support a broad range of health professionals, social workers, public health workers and others tasked with providing health and care to young adults. 

The continuum of life begins with the health and wellness of parents prior to conception, followed by embryonic and fetal development, and continues throughout life. Each person’s life stages prepare them for the next and determine their health outcome and wellbeing over time. 

The text highlights the importance of promoting health throughout the lifespan, the influence of intergenerational health, and the concept of the Developmental Origins of Health and Disease in epigenetic processes and embryology. Authors underscore the importance of advancing health equity and lift up some of the ethical considerations in this work. 

The authors explore specific interventions in four major categories: Lifestyle, Infections, Nutrition, and Contraception / Pregnancy Planning (LINC).  Preconception care is defined by the World Health Organization as the provision of biomedical, behavioural and social health interventions to women and couples before conception. Preconception care includes evidence-based interventions to improve health status, to reduce behaviours, individual and environmental factors that contribute to poor health outcomes. 

This book offers readers evidence-based guidance regarding fertility awareness and sperm health, genetic counselling and lifestyle assessments, as well as mental wellbeing, alcohol, tobacco and pharmacotherapy, and specialist care for those with chronic conditions, including a review of medications. It also covers relevant infections, including HIV and the Zika virus, as well as different types of environmental and occupational exposure. The book employs a framework focusing on health promotion, the social determinants of health, and the science behind preconception care. Strategies for improving preconception and interconception health, including examples from around the globe, are described in detail.

Editors and Affiliations

  • Faculty of Health, University of Plymouth, Plymouth, UK

    Jill Shawe

  • Department of Obstetrics and Gynaecology, Erasmus University Medical Center, Erasmus MC, Rotterdam, The Netherlands

    Eric A.P. Steegers

  • Center for Maternal and Infant Health, Jordan Institute for Families, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Sarah Verbiest

About the editors

Professor Jill Shawe is a clinical academic nurse/midwife in the Institute of Health & Community at the University of Plymouth, UK, with extensive experience of working in higher education and in clinical women’s health care.  Jill’s PhD focused on improving pregnancy outcomes for women with diabetes and she has developed a Programme of Research and Education in Periconception Care (PREPARE).  The programme aims to improve the health of women with medical conditions and their partners, before and between pregnancies and collaborates with colleagues across Europe. 

Professor Eric A.P. Steegers is a gynaecologist and head of the department of Obstetrics & Gynaecology at the Erasmus MC in Rotterdam. His current research interests relate to the pathophysiology of suboptimal embryonic development and malplacentation in the first trimester and the consequences for fetal and maternal health as well as disease in later life. New knowledge from translational research in these areas is being disseminated and translated in evidence-based local and national transmural preconception and early pregnancy programs for improved risk selection and general and personalized interventions with a special emphasis on high risk and socially deprived reproductive target groups. 

Professor Sarah Verbiest, DrPH, MSW, MPH is a public health social worker and the director of two Institutes at The University of North Carolina Chapel Hill. Her work focuses on research, coalition building, teaching, policy, equity and professional training to promote intergenerational approaches to improve health outcomes for families. She is the senior advisor to the national Preconception Health and Health Care Initiative, providing leadership across the US to advance preconception wellness. She recently edited a book titled Making Change Happen: Moving Life Course Theory into Action from APHA Press. 

Bibliographic Information

  • Book Title: Preconception Health and Care: A Life Course Approach

  • Editors: Jill Shawe, Eric A.P. Steegers, Sarah Verbiest

  • DOI: https://doi.org/10.1007/978-3-030-31753-9

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2020

  • Softcover ISBN: 978-3-030-31752-2Published: 27 June 2020

  • eBook ISBN: 978-3-030-31753-9Published: 26 June 2020

  • Edition Number: 1

  • Number of Pages: XIII, 308

  • Number of Illustrations: 1 b/w illustrations, 14 illustrations in colour

  • Topics: Obstetrics/Perinatology/Midwifery, Nursing Management, Maternal and Child Health, Clinical Nutrition

Buy it now

Buying options

eBook USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access