Preconception Care

It is very important for us to counsel women who be in the age groups of greatest risk. It is cognise that women under age 19 and women over 44 stool a higher percentage of pregnancies involving aged gametes, resulting in ghoulish progeny. This basis so easily be retained with simple tuition made available to our clients who indicate that they are thinking of become pregnant (Taysi, 1988, p. 168).

It is also known that very short or very long intervals between pregnancies raise the likelihood of sister difficulties. Intelligent planning in this area with the prospective mothers loafer subjoin the chances of having wellnessy births.

Family histories can be taken during partiality care. We can ascertain the presence of fetal anomaly, Down syndrome, anxious tube defects, hemophilia, hemoglobinopathies, as well as mental retardation. scurrilous patients should be screened for sickle cell disease. Family history of diabetes, hypertension, tuberculosis, seizures, hematologic disorders, octuple pregnancies, or congenital abnormalities should be elicited from the patient (Lyden, 1988, p. 920).

We inquire to learn from the prospective mother herself whether there is anemia, urinary footpath infection, or hypothyroidism sooner gestation period. Such problems as systemic lupus erythematosus should be seen, evaluated, and counseled prior to pregnancy. Any significant maternal cardiovascular, renal, or metabolous disease should be defined. Infectious diseases and surgical h

Previous obstetric and reproductive history are essential, and the outcome for each prior pregnancy recorded in detail. If there were previous miscarriages, questions concerning events surrounding the preterm birth can prevent a recurrence.

* home visits to improve psychosocial risks;

* referral to community mental health if needed;

Taysi, K. (1988, June). Preconceptional counseling. Obstetrics and Gynecology Clinics of North America, 15 (2), 167-178.

Chromosome abnormalities, much(prenominal) as Down Syndrome, Turner Syndrome and balanced chromosomal rearrangements, as well as certain conditions associated with various ethnic groups may be checked prior to pregnancy (Taysi, 1988, p. 173).

Garner, P., Kramer, M. S., & Chalmers, I. (1992, October 24). Might efforts to increase birthweight in undernourished women do more harm than equitable? The Lancet, 340, 1021.

Physical and lab evaluations should determine every abnormalities which could create pregnancy difficulties (e.g., DES-related changes in the cervix or mitral valve prolapse). If there is any difficulty examining the uterus, an ultrasound study may be indicated.

Prepregnancy is the magazine to draw a rubella titer and immunize the persuasible patient. Such patients need to use contraception for three months bimestrial before becoming pregnant. Gestational age dating can be discussed with the patient, and women on oral contraceptives may be certified to stop their pills at least one month before attempting pregnancy to help regulate cycle length (Lyden, 1988, p. 922).

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