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Do the concepts of ‘life course approach’ and ‘developmental origins of health and disease’ underpin current maternity care? Study protocol

Do the concepts of ‘life course approach’ and ‘developmental origins of health and disease’ underpin current maternity care? Study protocol
Do the concepts of ‘life course approach’ and ‘developmental origins of health and disease’ underpin current maternity care? Study protocol
Objective:
1. To explore the knowledge of the Developmental Origins of Health and Disease (DOHaD) concept among midwives and obstetricians; 2. To identify barriers and facilitators for clinicians to engage women and their partners before or early in pregnancy on risk factors associated with DOHaD, and thus to embed the concept of DOHaD in routine clinical practice.

Methods:
A qualitative study using semi-structured interviews will be conducted in Brazil, Ghana, India, Pakistan, the UK and USA in collaboration with the International Confederation of Midwives and the International Federation of Obstetricians and Gynecologists. Participants will be contacted via email and telephone interviews will be conducted until data saturation followed by inductive thematic analysis.

Results: Findings from this exploratory study will provide new knowledge about the perspectives of midwives and obstetricians on DOHaD and their role in preventing the intergenerational passage of NCD risk and improving preconception care.

Conclusion:
This study will help us understand the current use of DOHaD principles in international maternity care and how this can be improved. Bringing DOHaD to clinical practice will help health care practitioners adopt a long-term approach in the prevention of NCDs and childhood obesity, and will support women to enter pregnancy in optimum health.
non-communicable diseases, preconception, prevention, health care practitioners, life course, developmental origins
1879-3479
140-146
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
McAuliffe, Fionnuala M.
4338a5d7-8afc-4565-8edc-6c9928311c47
Killeen, Sarah Louise
de21cc0f-7735-43c8-9960-c6ad70d333b9
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
McAuliffe, Fionnuala M.
4338a5d7-8afc-4565-8edc-6c9928311c47
Killeen, Sarah Louise
de21cc0f-7735-43c8-9960-c6ad70d333b9
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f

Jacob, Chandni Maria, Lawrence, Wendy, Inskip, Hazel, McAuliffe, Fionnuala M., Killeen, Sarah Louise and Hanson, Mark (2019) Do the concepts of ‘life course approach’ and ‘developmental origins of health and disease’ underpin current maternity care? Study protocol. International Journal of Gynecology & Obstetrics, 147 (2), 140-146. (doi:10.1002/ijgo.12955).

Record type: Article

Abstract

Objective:
1. To explore the knowledge of the Developmental Origins of Health and Disease (DOHaD) concept among midwives and obstetricians; 2. To identify barriers and facilitators for clinicians to engage women and their partners before or early in pregnancy on risk factors associated with DOHaD, and thus to embed the concept of DOHaD in routine clinical practice.

Methods:
A qualitative study using semi-structured interviews will be conducted in Brazil, Ghana, India, Pakistan, the UK and USA in collaboration with the International Confederation of Midwives and the International Federation of Obstetricians and Gynecologists. Participants will be contacted via email and telephone interviews will be conducted until data saturation followed by inductive thematic analysis.

Results: Findings from this exploratory study will provide new knowledge about the perspectives of midwives and obstetricians on DOHaD and their role in preventing the intergenerational passage of NCD risk and improving preconception care.

Conclusion:
This study will help us understand the current use of DOHaD principles in international maternity care and how this can be improved. Bringing DOHaD to clinical practice will help health care practitioners adopt a long-term approach in the prevention of NCDs and childhood obesity, and will support women to enter pregnancy in optimum health.

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Accepted Manuscript IJGO CMJ et al 2019 - Accepted Manuscript
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More information

Accepted/In Press date: 15 August 2019
e-pub ahead of print date: 1 October 2019
Published date: November 2019
Keywords: non-communicable diseases, preconception, prevention, health care practitioners, life course, developmental origins

Identifiers

Local EPrints ID: 433898
URI: http://eprints.soton.ac.uk/id/eprint/433898
ISSN: 1879-3479
PURE UUID: 08f01117-1d55-487a-a3fc-1327318753eb
ORCID for Chandni Maria Jacob: ORCID iD orcid.org/0000-0002-2024-0074
ORCID for Wendy Lawrence: ORCID iD orcid.org/0000-0003-1264-0438
ORCID for Hazel Inskip: ORCID iD orcid.org/0000-0001-8897-1749
ORCID for Mark Hanson: ORCID iD orcid.org/0000-0002-6907-613X

Catalogue record

Date deposited: 05 Sep 2019 16:30
Last modified: 22 Nov 2021 07:39

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Contributors

Author: Wendy Lawrence ORCID iD
Author: Hazel Inskip ORCID iD
Author: Fionnuala M. McAuliffe
Author: Sarah Louise Killeen
Author: Mark Hanson ORCID iD

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