A systematic mapping review of the associations between pregnancy intentions and health-related lifestyle behaviours or psychological wellbeing

Briony Hill, Emily J. Kothe, Sinéad Currie, Meaghan Danby, Adina Y. Lang, Cate Bailey, Lisa J. Moran, Helena Teede, Madelon North, Lauren J. Bruce, Helen Skouteris

Research output: Contribution to journalReview ArticleResearchpeer-review

1 Citation (Scopus)

Abstract

The aim of this study was to conduct a systematic mapping review of the literature that explored associations of pregnancy intentions with health-related lifestyle behaviours and psychological wellbeing before and during pregnancy. Six databases were searched (May 2017) for papers relating to pregnancy intentions, health-related lifestyle behaviours, and psychological wellbeing. The literature was mapped according to the preconception or pregnancy period; prospective or retrospective variable assessment; and reported lifestyle behaviours and psychological wellbeing outcomes. Of 19,430 retrieved records, 303 studies were eligible. Pregnancy intentions were considered during the preconception period in 103 studies (only 23 assessed prospectively), and during the pregnancy period in 208 studies (141 prospectively). Associations between pregnancy intention and preconception behaviours/psychological wellbeing were primarily reported for supplement use (n = 58) and were lacking for diet/exercise, and psychological factors. For behaviours/psychological wellbeing during pregnancy, associations with pregnancy intention were focused on prenatal care (n = 79), depression (n = 61), and smoking (n = 56) and were lacking for diet/exercise. Only 7 studies assessed pregnancy intentions with a validated tool. Despite a large body of literature, there were several methodological limitations identified, namely assessment of pregnancy intentions with non-validated measures and the reliance on retrospective assessment. Future primary studies are needed to fill gaps in our understanding regarding energy-balance-related behaviours. Future studies (including reviews/meta-analyses) should take care to address the noted limitations to provide a comprehensive and accurate understanding of the relationships between pregnancy intentions and health-related lifestyle behaviours and psychological wellbeing before and during pregnancy.

Original languageEnglish
Article number100869
Number of pages8
JournalPreventive Medicine Reports
Volume14
DOIs
Publication statusPublished - Jun 2019

Keywords

  • Behaviour
  • Lifestyle
  • Preconception
  • Pregnancy
  • Pregnancy intention
  • Pregnancy planning
  • Psychological wellbeing

Cite this

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title = "A systematic mapping review of the associations between pregnancy intentions and health-related lifestyle behaviours or psychological wellbeing",
abstract = "The aim of this study was to conduct a systematic mapping review of the literature that explored associations of pregnancy intentions with health-related lifestyle behaviours and psychological wellbeing before and during pregnancy. Six databases were searched (May 2017) for papers relating to pregnancy intentions, health-related lifestyle behaviours, and psychological wellbeing. The literature was mapped according to the preconception or pregnancy period; prospective or retrospective variable assessment; and reported lifestyle behaviours and psychological wellbeing outcomes. Of 19,430 retrieved records, 303 studies were eligible. Pregnancy intentions were considered during the preconception period in 103 studies (only 23 assessed prospectively), and during the pregnancy period in 208 studies (141 prospectively). Associations between pregnancy intention and preconception behaviours/psychological wellbeing were primarily reported for supplement use (n = 58) and were lacking for diet/exercise, and psychological factors. For behaviours/psychological wellbeing during pregnancy, associations with pregnancy intention were focused on prenatal care (n = 79), depression (n = 61), and smoking (n = 56) and were lacking for diet/exercise. Only 7 studies assessed pregnancy intentions with a validated tool. Despite a large body of literature, there were several methodological limitations identified, namely assessment of pregnancy intentions with non-validated measures and the reliance on retrospective assessment. Future primary studies are needed to fill gaps in our understanding regarding energy-balance-related behaviours. Future studies (including reviews/meta-analyses) should take care to address the noted limitations to provide a comprehensive and accurate understanding of the relationships between pregnancy intentions and health-related lifestyle behaviours and psychological wellbeing before and during pregnancy.",
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author = "Briony Hill and Kothe, {Emily J.} and Sin{\'e}ad Currie and Meaghan Danby and Lang, {Adina Y.} and Cate Bailey and Moran, {Lisa J.} and Helena Teede and Madelon North and Bruce, {Lauren J.} and Helen Skouteris",
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A systematic mapping review of the associations between pregnancy intentions and health-related lifestyle behaviours or psychological wellbeing. / Hill, Briony; Kothe, Emily J.; Currie, Sinéad; Danby, Meaghan; Lang, Adina Y.; Bailey, Cate; Moran, Lisa J.; Teede, Helena; North, Madelon; Bruce, Lauren J.; Skouteris, Helen.

In: Preventive Medicine Reports, Vol. 14, 100869, 06.2019.

Research output: Contribution to journalReview ArticleResearchpeer-review

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AU - Kothe, Emily J.

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AU - Danby, Meaghan

AU - Lang, Adina Y.

AU - Bailey, Cate

AU - Moran, Lisa J.

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