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A preconception intervention that asks women to delay long-acting reversible contraception removal would be neither acceptable or feasible, but a preconception health programme that included weight management could be acceptable.

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Susan Channon 1,*, Elinor Coulman 1, Rebecca Cannings-John 1, Josie Henley 1, Mandy Lau 1, Fiona Lugg-Widger 1, Heather Strange 1, Freya Davies 2, Julia Sanders 3, Caroline Scherf 4, Zoë Couzens 5, Leah Morantz

1 Centre for Trials Research, Cardiff University, Cardiff, UK
2 The Welsh Centre for Primary and Emergency Care Research (PRIME), Division of Population Medicine, Cardiff University, Cardiff, UK
3 School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
4 Cardiff and Vale University Health Board, Department of Sexual Health, Cardiff Royal Infirmary, Cardiff, UK
5 Public Health Wales NHS Trust, Public Health Wales, Cardiff, UK
* Corresponding author Email: channons2@cardiff.ac.uk

Declared competing interests of authors: Rebecca Cannings-John was a National Institute for Health and Care Research (NIHR) Health Technology Assessment Associate Board member (16 May 2018 to 30 November 2020). Freya Davies was a co-applicant and named researcher at a research centre funded by Health and Care Research Wales [PRIME (Wales Centre for Primary and Emergency Care)]. Caroline Scherf received financial support from Gedeon Richter for attending the European Society of Contraception and Reproductive Health meeting in 2018 in Budapest. Julia Sanders acts as a self-employed independent midwifery expert witness and is chief investigator of the NIHR-funded POOL study, co-investigator of the NIHR-funded CHOICE study, co-investigator of the NIHR-funded iHOLDS study, co-investigator of the NIHR funded HOLDS study, co-investigator of the NIHR funded ANODE study and a funded co-investigator with Policy Research Unit NPEU, University of Oxford (Oxford, UK).

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