Preconception care 2020

preconception care

1. PRE CONCEPTIONCARE
PRESENTED BY
MRS.V.ELIZEBETHRANI
READER
Yasmine Mahmoud

2. Preconceptioncare

3. DEFINITION
Preconception care is the provision of biomedical,
behavioral and socialhealth interventions to women
and couples before conception occurs.
Preconception care is the provision of services directed
towards the identification of medical and social problems
prior to conception.

5. PreconceptioncareAIMS
Toimprovetheirhealthstatus,andreducingbehaviorsand
individualfactorsthatcontributetopoormaternaland
childhealthoutcomes.
Toimprovematernalandchildhealth,inboththeshort
andlongterm.
Opportunitiestopreventandcontroldiseases.
Toimprovematernalandchildhealth,itbringshealth
benefitstotheadolescents,womenandmen,irrespective
oftheirplanstobecomeparents.

6. PreconceptioncareAIMS
To secure optimal health & nutritional condition in both
parents not only improves the chances of conception but
reduces the possibility of prenatal death & manycongenital
anomalies.
To ensure that the women & her partner are in optimal state of
physical & emotional heath
Existing or emerging illness or disease which may have goneundetected
before.
Existing risk for the women who may becomepregnant.
Existing risk which may affect a foetus if the women doesn’tbecome
pregnant.

7. PreconceptioncareAIMS
To promote the prenatal health which include developing
positive attitude about sexuality , womanhood & child
bearing.
To benefit women being treated for a condition such as
sickle cell anaemia , hypertension , heartdisease
,diabetics this may cause a high riskpregnancy.

8. Purpose of Preconceptioncare
Establish lifestyle behaviours to maintain optimum
health.
Identify & treat risk ( e.g. medical condition, substance
abuse )before.
Conceive a pregnancy with out necessary riskfactors.
Prepare people psychologically for pregnancy & the
responsibilities to become withparenthhood.

10. Poor Pregnancy Outcomes Continue To Be At Un-
acceptable Levels
Women Enter Pregnancy “At Risk” For Adverse
Outcomes
We Currently Intervene Too Late
Intervening Before Pregnancy Has Been Recommended
There Is Consensus That We Must Act Before Pregnancy

16. Components of Preconception Care
Risk assessment
Health promotion
Counseling
Psychological intervention

17. Areas addressed by the preconception carepackage
Nutritionalconditions
Vaccine-preventablediseases
Geneticconditions
Environmentalhealth
Infertility/subfertility
Female genital mutilation
Tooearly,unwanted and rapid successivepregnancies
Sexuallytransmittedinfections
Humanimmunodeficiencyvirus(HIV)
Interpersonalviolence
Mentalhealth
Psychoactive substanceuse
Tobaccouse

19. Nutritionalconditions
Screeningfor anaemiaand
diabetesƒ
Supplementingiron and
folic acidƒ
Information, educationand
counsellingƒ
Monitoring nutritional statusƒ
Supplementingenergyand
nutrient-dense foodƒ
Management ofdiabetes,
including counsellingpeople
with diabetes mellitusƒ
Promotingexercise
 noitazidoIƒfotlas

32. The COMPONENTS of preconceptioncare
Tobaccouse
ƒScreening of women andgirls
for tobacco use (smokingand
smokeless tobacco) at allclinical
visits using “5 As ” ,ksa(
,esivda ,ssessa,tsissa)egnarra
 gnidivorPƒ feirb tobacco cessation
advice, pharmacotherapy
gnidulcni(enitocin tnemecalper
,ypareht fi)elbaliavadna
intensive behaviouralcounselling
servicesƒ
Screening of all non-smokers
(menand women) andadvising
aboutharmof second-hand
smokeandharmfuleffectson
pregnantwomenandunborn
children

33. The COMPONENTS of preconceptioncare
Geneticconditions Taking a thoroughfamily
history to identifyrisk
factors for genetic
conditions
Familyplanning
Geneticcounselling
Carrier screening and
testing
Appropriate treatment of
genetic conditions
Community-wideor
national screeningamong
populations at highrisk

34. The COMPONENTS of preconceptioncare
Environmentalhealth
Providing guidanceand
information onenvironmental
hazards andprevention
ƒProtecting fromunnecessary
radiation exposure in
occupational, environmentaland
medical settingsƒ
Avoiding unnecessarypesticide
use/providing alternatives to
pesticides ƒProtecting from lead
exposure
ƒInforming women of
childbearing age about levelsof
methyl mercury in fishƒ
Promoting use of improvedstoves
and cleanerliquid/gaseousfuels

35. The COMPONENTS of preconceptioncare
Infertility/sub-fertility Creating awarenessand
understanding of fertility and
infertility and their preventable
and unpreventable causes.ƒ
Defusing stigmatization of
infertility and assumption of fate.ƒ
Screening and diagnosis ofcouples
following 6–12 months of
attempting pregnancy, and
managementof underlyingcauses
of infertility/sub-fertility,
including past STIs.ƒ
Counsellingfor
individuals/couplesdiagnosed
with unpreventable causeof
infertility/sub-fertility.

36. The COMPONENTS of preconceptioncare
Interpersonalviolence Health promotion to preventdating
violenceƒ
Providing age-appropriatecomprehensive
sexuality education that addressesgender
equality, human rights, andsexual
relationsƒ
Combining and linkingeconomic
empowerment, gender equality and
community mobilization activitiesƒ
Recognizing signs of violenceagainst
womenƒ
Providing health care services(including
post-rape care), referral andpsychosocial
support to victims of violenceƒ
Changing individual and socialnorms
regarding drinking, screening and
counselling of people who areproblem
drinkers, and treating people whohave
alcohol usedisorders

37. The COMPONENTS of preconceptioncare
Too-early, unwanted and
rapid successive
pregnancies
ƒKeeping girls inschool
ƒInfluencing cultural norms thatsupport
early marriage and coerced sexƒ
Providing age-appropriate
comprehensive sexuality educationƒ
Providing contraceptives andbuilding
community support for preventingearly
pregnancy and contraceptive provision
toadolescents
ƒEmpowering girls to resist coerced sexƒ
Engaging men and boys tocritically
assess norms and practices regarding
gender-based violence and coerced sexƒ
Educating women and couples aboutthe
dangers to the baby and mother ofshort
birthintervals

38. The COMPONENTS of preconceptioncare
Sexuallytransmitted
infections(STIs)
ƒProvidingage-appropriate
comprehensive sexualityeducation
and servicesƒ
Promoting safe sexpractices
through individual, groupand
community-levelbehavioural
interventionsƒ
Promoting condom use fordual
protection against STIs and
unwanted pregnanciesƒ
Ensuring increased accessto
condomsƒ
Screening for STIsƒ
Increasing access to treatment and
other relevant healthservices

39. The COMPONENTS of preconceptioncare
HIV
Family planningƒ
Promoting safe sex practices anddual
method for birth control (withcondoms)
andSTI controlƒ
Provider-initiated HIV counselling and
testing, including male partner testingƒ
Providing antiretroviral therapy for
prevention and pre-exposure
prophylaxisƒ
Providing malecircumcision
ƒProviding antiretroviral prophylaxisfor
women not eligible for, or not on,
antiretroviral therapy to preventmother-
to-child transmissionƒ
Determining eligibility forlifelong
antiretroviraltherapy

40. The COMPONENTS of preconceptioncare
Mentalhealth ƒAssessing psychosocial problemsƒ
Providing educationaland
psychosocial counsellingbefore
and during pregnancyƒ
Counselling, treating and
managing depression inwomen
planning pregnancy and other
women of childbearing ageƒ
Strengthening community
networks and promoting women’s
empowerment
ƒImproving access to education for
women of childbearing ageƒ
Reducing economic insecurityof
women of childbearingage

41. The COMPONENTS of preconceptioncare
Psychoactive
substanceuse
ƒScreeningforsubstanceuseƒ
Providing brief interventions
and treatment when neededƒ
Treating substance use
disorders, including
pharmacological and
psychological interventionsƒ
Providing family planning
assistance for familieswith
substance use disorders
(including postpartumand
between pregnancies)ƒ
Establishing prevention
programmes to reduce
substance use inadolescents

42. The COMPONENTS of preconceptioncare
Vaccine-preventable
diseases
ƒVaccination against rubellaƒ
Vaccination againsttetanus
and diphtheriaƒ
Vaccination againstHepatitis
B

43. The COMPONENTS of preconceptioncare
Female genitalmutilation
(FGM)
ƒDiscussinganddiscouraging
thepracticewiththegirland
herparentsand/orpartnerƒ
Screening women and girls for
FGM to detect complicationsƒ
Informing women and couples
about complications of FGM
and about access to treatmentƒ
Carrying out defibulation of
infibulated or sealed girlsand
women before or early in
pregnancyƒ
Removing cysts andtreating
othercomplications

44. Promotion of a women for healthypregnancy
Folicacid
Proper immunization for thewomen
Healthybehaviours
Other nutritionalsupplements
Bloodtests
Other checkup

45. Stepscanthewomencantaketoimprovehealth
before pregnancy
Eat a well balanceddiet.
Drink plenty ofwater
Take nutritional supplementswisely
Quit or cut down smokingcigarettes Avoid
caffeine
Avoid alcohol Avoid
medication
Avoid contact withchemicals

46. If have a cat, get someone else to emptythe kitty litter
due to the risk of infection with toxoplasmosis.
If exercising make sure to wear cool , comfortable cloth
ing & drink plenty ofwater.
If do not exercise , try to start a reasonable& regular
exerciseroutine.
Visit a health care practitioner specializingin
preconceptioncare.

47. PRECONCEPTION CARE FORMEN
stopsmoking
use mobile phones only whenneeded
avoid increased temperature around genitals cut back on
caffeine
avoid medicines that impair fertility & desire sex desire
inculcate a relaxingschedule
stop consuming alcohol & steroids maintain a
healthyweight
plan forfinances
think aboutparenting