PhD defence M.K. (Meertien) Sijpkens

The overall aim of this thesis is to evaluate and advance the implementation of preconception care and interconception care in primary care settings, since preconception care is still an uncommon opportunity for prevention. The studies described in the thesis were conducted within or parallel to the national Healthy Pregnancy 4 All (HP4All 1&2) programs. In community-based intervention studies, we have evaluated opportunities to advance the outreach and effects of preconception care and interconception care. This included promotion by municipalities, general practitioners, preventive child health services and peer educators, as well as showing the positive effect of preconception care consultations by general practitioners and midwives on for instance folic acid supplementation. In qualitative studies with women and healthcare professionals, we have explored factors influencing the implementation of preconception care and interconception care. The results suggest that a broad educational campaign and proactive offering of preconception care, including information on fertility, could stimulate preparation for pregnancy in order to increase the chances of a healthy pregnancy.

The public defence will take place at the Prof. Andries Queridoroom, 3rd floor Education Center, Erasmus MC. The ceremony will begin exactly at 15.30 hrs. In light of the solemn nature of the ceremony, we recommend that you do not take children under the age of 6 to the first part of the ceremony.