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Guidance and Assessment of Preconception Risk

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Perinatology

Abstract

Preconception care is a wide term which refers to the process of meeting with a woman and her partner, identifying risks to a woman’s health, fertility, and pregnancy outcome as they relate to a woman becoming pregnant. The goals of preconception care are to identify potential the risks to the mother, fetus, and pregnancy; educate women about these risks; provide options for intervention and management for risk reduction; advise on reproductive alternatives, and initiate interventions to provide optimum maternal, fetal, and pregnancy outcomes. The goals of preconception health care are to provide guidance; identify, address, and reduce potential risks; and provide an informed consent process to understand their risks prior to pregnancy. In addition, preconception care allows for counseling about delaying pregnancy until risks have been reduced.

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References

  1. https://www.cdc.gov/preconception/index.html.

  2. Johnson K, Posner SF, Biermann J, et al. Recommendations to improve preconception health and health care--United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep. 2006;55:1.

    Google Scholar 

  3. ACOG Committee Opinion No. 762: Prepregnancy Counseling. Obstet Gynecol. 2019;133:e78.

    Google Scholar 

  4. Moser R Jr, McCance KL, Smith KR. Results of a national survey of physicians’ knowledge and application of prevention capabilities. Am J Prev Med. 1991;7:384.

    Article  Google Scholar 

  5. Conway T, Mason E, Hu TC. Attitudes, knowledge, and skills of internal medicine residents regarding pre-conception care. Acad Med. 1994;69:389.

    Article  CAS  Google Scholar 

  6. Conway T, Hu TC, Mason E, Mueller C. Are primary care residents adequately prepared to care for women of reproductive age? Fam Plan Perspect. 1995;27:66.

    Article  CAS  Google Scholar 

  7. Hood KK. Preconception counseling for adolescent females with type 1 diabetes: the READY-Girls Program. Curr Diab Rep. 2010;10:393.

    Article  Google Scholar 

  8. Temple RC, Aldridge VJ, Murphy HR. Prepregnancy care and pregnancy outcomes in women with type 1 diabetes. Diabetes Care. 2006;29:1744.

    Article  Google Scholar 

  9. Tripathi A, Rankin J, Aarvold J, et al. Preconception counseling in women with diabetes: a population-based study in the north of England. Diabetes Care. 2010;33:586.

    Article  Google Scholar 

  10. Stagnaro-Green A, Abalovich M, Alexander E, et al. Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid. 2011;21:1081.

    Article  Google Scholar 

  11. Neural tube defects. Practice Bulletin No. 187 ACOG. Obstet Gynecol. 2017;130:e279–290.

    Google Scholar 

  12. Adam K. Pregnancy in women with cardiovascular diseases. Methodist Debakey Cardiovasc J. 2017;13(4):209–15.

    Article  Google Scholar 

  13. Fischer-Betz R, Specker C. Pregnancy in systemic lupus erythematosus and antiphospholipid syndrome. Best Pract Res Clin Rheumatol. 2017;31(3):397–414.

    Article  Google Scholar 

  14. Silver RM, Warren JE. Preconception counseling for women with thrombophilia. Clin Obstet Gynecol. 2006;49(4):906–19.

    Article  Google Scholar 

  15. Dudenhausen JW, Kunze M, Wittwer-Backofen U, Hagenah HP, Strauss A, Günther V, Alkatout İ, Grunebaum A, Voigt M. The relationship between maternal age, body mass index, and the rate of preterm birth. J Turk Ger Gynecol Assoc. 2018;19(4):182–6.

    Google Scholar 

  16. U.S. Preventive Services Task Force. Folic acid for the prevention of neural tube defects: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2009;150:626.

    Article  Google Scholar 

  17. National Health Service. Vitamins and nutrition in pregnancy. http://www.nhs.uk/conditions/pregnancy-and-baby/pages/vitamins-minerals-supplements-pregnant.aspx. Accessed on 5 Nov 2012.

  18. Goh YI, Bollano E, Einarson TR, Koren G. Prenatal multivitamin supplementation and rates of congenital anomalies: a meta-analysis. J Obstet Gynaecol Can. 2006;28:680.

    Article  Google Scholar 

  19. Nilsen RM, Vollset SE, Rasmussen SA, et al. Folic acid and multivitamin supplement use and risk of placental abruption: a population-based registry study. Am J Epidemiol. 2008;167:867.

    Article  Google Scholar 

  20. Oakley GP Jr, Erickson JD. Vitamin A and birth defects. Continuing caution is needed. N Engl J Med. 1995;333:1414.

    Article  Google Scholar 

  21. Rothman KJ, Moore LL, Singer MR, et al. Teratogenicity of high vitamin A intake. N Engl J Med. 1995;333:1369.

    Article  CAS  Google Scholar 

  22. Chandrasekaran S, Neal-Perry G. Long-term consequences of obesity on female fertility and the health of the offspring. Curr Opin Obstet Gynecol. 2017;29(3):180–7.

    Article  Google Scholar 

  23. Tabet M, Flick LH, Tuuli MG, et al. Prepregnancy body mass index in a first uncomplicated pregnancy and outcomes of a second pregnancy. Am J Obstet Gynecol. 2015;213:548.e1.

    Article  Google Scholar 

  24. https://www.acog.org/Patients/FAQs/Evaluating-Infertility?IsMobileSet=false.

  25. Stubblefield PG, Coonrod DV, Reddy UM, et al. The clinical content of preconception care: reproductive history. Am J Obstet Gynecol. 2008;199:S373.

    Article  Google Scholar 

  26. McDiarmid MA, Gardiner PM, Jack BW. The clinical content of preconception care: environmental exposures. Am J Obstet Gynecol. 2008;199:S357.

    Article  Google Scholar 

  27. Sathyanarayana S, Focareta J, Dailey T, Buchanan S. Environmental exposures: how to counsel preconception and prenatal patients in the clinical setting. Am J Obstet Gynecol. 2012;207:463.

    Article  Google Scholar 

  28. Waits JB, Smith L, Hurst DJ. Maternal pertussis vaccination during pregnancy. Am Fam Physician. 2019;99(7):454–5.

    Google Scholar 

  29. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: Summary recommendations of the Advisory Committee on Immunization Practices (ACIP). http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6204a1.htm#Tab3

  30. [https://www.cdc.gov/violenceprevention/intimatepartnerviolence/index.html].

  31. Pastor-Moreno G, Ruiz-Pérez I, Henares-Montiel J, Petrova D. Intimate partner violence during pregnancy and risk of fetal and neonatal death: a meta-analysis with socioeconomic context indicators. Am J Obstet Gynecol. 2020;222(2):123–133.e5.

    Article  Google Scholar 

  32. https://www.cdc.gov/violenceprevention/pdf/ipv/ipvandsvscreening.pdf .

  33. American Society for Reproductive Medicine; American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice. Prepregnancy counseling: Committee Opinion No. 762. Fertil Steril. 2019;111(1):32–42.

    Article  Google Scholar 

  34. Boggess KA, Edelstein BL. Oral health in women during preconception and pregnancy: implications for birth outcomes and infant oral health. Matern Child Health J. 2006;10(5 Suppl):S169–74.

    Article  Google Scholar 

  35. Dudenhausen JW, Grunebaum A, Staudinger UM. Optimization of women's health before conception when pregnancy has been postponed. J Perinat Med. 2013;41(1):23–5.

    Article  Google Scholar 

  36. Chervenak FA, McCullough LB, Brent RL. The perils of the imperfect expectation of the perfect baby. Am J Obstet Gynecol. 2010;203(2):101.e1–5.

    Article  Google Scholar 

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Grunebaum, A., Dudenhausen, J., Chervenak, F.A. (2022). Guidance and Assessment of Preconception Risk. In: Moreira de Sá, R.A., Fonseca, E.B.d. (eds) Perinatology. Springer, Cham. https://doi.org/10.1007/978-3-030-83434-0_3

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  • DOI: https://doi.org/10.1007/978-3-030-83434-0_3

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  • Online ISBN: 978-3-030-83434-0

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