At the end of 2019 the Royal College of Obstetricians and Gynaecologists published the report Better for Women.
The executive summary and recommendations go on to recommend a life-course perspective which offers potential for early intervention with the aim of reducing the risk of certain conditions from developing. This includes, amongst others:
- cervical and breast screening
- improving reproductive health outcomes by appropriate access to LARC and preconceptual advice
- monitoring annual HbA1C levels in women with gestational diabetes
- earlier management of menstrual problems and menopausal concerns
- providing advice and support for weight management.
In the report, Dame Lesley Regan, immediate RCOG past-president, writes: ‘To provide advice and care for girls and women across their life-course helps them to remain healthy and not just intervene when they experience problems.’ There is a requirement for better access to standardised consistent information to allow women to make the decisions around their own health and wellbeing. There is also a requirement to design healthcare services around the needs of women. ‘When we get it right for girls and women, everyone benefits,’ Prof Regan adds.