Table 3 Research priorities for preterm outcomes related to preconception

• Maintain and expand global databases on the prevalence of preconception risk factors and incidence of preterm birth

• Develop indicators to evaluate progress in scaling up coverage of preconception care

• Evaluate impact of preconception care programs on rates of preterm birth and other adverse pregnancy outcomes

Discovery

• Basic science research on preconception risk factors for preterm birth

Development

• Develop and test screening tool to assess risk of preterm birth based on risk factors in the preconception period

• Develop ways to increase demand for and access to preconception interventions

Delivery

• Define and test preconception care guidelines and intervention packages

• Explore means to integrate effective preconception interventions into broader programs and initiatives

• Adapt effective interventions to maximize uptake by adolescents

• Improve health systems -- including infrastructure, management, distribution of goods and training of providers -- to deliver preconception care