GP-initiated preconception counselling in a randomised controlled trial does not induce anxiety
2006

Preconception Counselling and Anxiety in Women

Sample size: 466 publication 10 minutes Evidence: moderate

Author Information

Author(s): de Jong-Potjer LC, Elsinga J, le Cessie S, van der Pal-de Bruin KM, Knuistingh Neven A, Buitendijk SE, Assendelft WJJ

Primary Institution: Leiden University Medical Center

Hypothesis

Does GP-initiated preconception counselling induce anxiety in women?

Conclusion

Preconception counselling from a GP reduced anxiety after participation, without increasing anxiety during pregnancy.

Supporting Evidence

  • Women who attended preconception counselling reported lower anxiety levels after the session.
  • Anxiety scores decreased significantly after counselling, especially among women with lower education.
  • Women of non-Dutch origin showed a significant reduction in anxiety after counselling.

Takeaway

This study shows that talking to your doctor about pregnancy before you get pregnant can help you feel less worried.

Methodology

Randomised trial comparing usual care versus GP-initiated preconception counselling, measuring anxiety levels before and after counselling.

Potential Biases

Potential selection bias due to GPs excluding women they deemed emotionally burdened.

Limitations

The study may have selection bias as participants were relatively well-educated and self-selected for interest in PCC.

Participant Demographics

Women aged 18-40 from 54 GP practices in the Netherlands.

Statistical Information

P-Value

0.02

Confidence Interval

[2.4–4.8]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-7-66

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