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. 2019 Dec 2;8(12):2119. doi: 10.3390/jcm8122119

Table 2.

Preconception rankings after round 1, 2 and 3.

Round 1 Round 2 Round 3
Preconception Priority Ranking Ranking Ranking Mean
(SD)
Median
(IQR)
Healthy diet and nutrition
  • Folic acid supplementation

  • Food security

1, 8 1 1 1.6
(0.9)
1.0
(1.0)
Physical activity 3 2 2 2.9
(1.3)
3.0
(1.0)
Weight management 2 3 3 3.4
(0.9)
4.0
(1.0)
Planned Pregnancy—awareness and optimising and fertility 5, 10 4 4 4.4
(2.3)
4.5
(2.8)
Pre-existing medical conditions *
  • Chronic disease including diabetes, hypertension

  • Pre-existing pregnancy conditions

4, 12 5 5 4.5
(2.1)
4.5
(3.2)
Substance use (including alcohol and tobacco) 6 7 6 6.4
(1.4)
6.0
(1.8)
Mental health * 7 6 7 5.6
(1.8)
6.5
(2.0)
Infections
  • Vaccine-preventable diseases

  • STIs and BBVs

  • Other infectious diseases

9, 11 9 ^ 8 8.6
(0.5)
9.0
(1.0)

* After the Round 3 ranking, it was discussed and decided via majority vote that mental health be combined with pre-existing medical conditions to form one priority of ‘physical, mental and psychosocial health’. Priorities were ranked individually in round 1, and then combined during the sense making process such that some separate priorities were amalgamated. ^ In Round 2, the 8th ranked priority was ‘healthy relationships’ but it was decided to this was covered in the overarching principles and it was removed from the ranking list.