Australian mothers often find managing their health care between pregnancies to be a confusing and challenging process, according to new research led by Monash University. The study, which highlights the gaps in interconception care, emphasizes the need for a more comprehensive approach to maternal health that addresses the health needs of mothers, not just their children.
While consultations between pregnancies typically focus on the health of babies and children, the health needs of mothers can be overlooked, potentially leading to negative consequences for both women and their future children. Interconception care, which refers to the care received between pregnancies, can help prevent and manage health issues such as gestational diabetes and hypertension.
The research paper, published in the journal BMJ – Sexual and Reproductive Health, notes that approximately 350,000 women die worldwide annually due to pregnancy and childbirth complications, with over 15 million living with lifelong disabilities and illnesses related to pregnancy and childbirth. In Australia, the maternal mortality rate is higher among women with modifiable risk factors, such as high body mass index and smoking, underscoring the importance of early risk reduction.
Dr. Sharon James, a supervisor of the study and part of the SPHERE Centre of Research Excellence at Monash University, emphasizes that tailored support to address obesity may facilitate a healthy pregnancy and birth, but it requires time for the benefits of lifestyle changes to manifest. If left unchecked, lifestyle risks can lead to conditions such as gestational diabetes and hypertension, increasing the risk of cardiovascular problems, preterm birth, and growth restriction of the fetus.
The interconception period is a critical time for addressing issues such as breastfeeding difficulties, mental health concerns, and the juggling of childcare and employment. Lead author Sarmitha Kodavaluru states, “A stronger focus on women’s health during the interconception period provides an opportunity to significantly improve the health of women, infants, and subsequent pregnancies.”
Interconception care includes reviewing conditions and outcomes from a previous pregnancy, providing and educating about postpartum contraception, optimal spacing between pregnancies, and identifying and managing maternal risk factors such as lifestyle, medical, environmental, occupational, and social risks.
The study involved detailed interviews with 15 mothers who had given birth to at least one child and were planning to have more children. The findings reveal a lack of understanding and access to interconception care among Australian mothers, highlighting the need for improved awareness and support systems.
Conclusion
The study from Monash University sheds light on the gaps in interconception care for Australian mothers and the potential negative consequences of neglecting maternal health between pregnancies. By addressing these gaps and providing comprehensive support, the health of women, infants, and subsequent pregnancies can be significantly improved. The research calls for a stronger focus on women’s health during the interconception period and emphasizes the importance of early risk reduction and lifestyle changes in ensuring healthy pregnancies and births.
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