Recommendations for Preconception Counseling and Care.
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Date
2014-04
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Abstract
Given that nearly one-half of pregnancies are unintended, preconception
care should be considered an integral part of primary
care for women of reproductive age. Common issues in preconception care include family planning, achieving a healthy body
weight, screening and treatment for infectious diseases, updating appropriate immunizations,
and reviewing medications for
teratogenic effects. Women who want to become pregnant should take folic acid supplements to reduce the risk of neural
tube defects. Control of chronic diseases is essential for optimizing pregnancy outcomes. Family physicians should work with
patients to control conditions such as diabetes mellitus, hypertension, and seizure disorders while simultaneously offering
family planning services to avoid unintended pregnancies. Bariatric surgery is increasingly common and may improve fertility
in many women with previous insulin resistance. Family physicians should counsel women undergoing bariatric surgery to
prevent pregnancy
during rapid weight loss and provide assistance with contraception.
In addition, patients have special
nutritional requirements after bariatric surgery.
Description
Keywords
Pregnancies, preconception care, chronic diseases, pregnancy outcomes, contraception
Citation
Farahi Narges, Zolotor Adam. Recommendations for Preconception Counseling and Care. Indian Journal of Clinical Practice. 2014 Apr; 24(11):1006-1012.