Preconceptional care

Preconceptional care

1. PRECONCEPTIONAL CARE PRESENTED BY:- MS.SANTOSH KUMARI

2. INTRODUCTION Preconception care is the provision of biomedical, behavioural and social health interventions to women and couples before conception occurs.

3. DEFINITION

4. COMPONENTS Early detection and prevention of health risks. Management of high risks before conception. Active management of fertility. Creation of awareness regarding contraception among women.

5. ELEMENTS

6. NUTRITIONAL NEED A Womens nutritional status may have a profound effect on reproductive outcome. Obesity Underweight

7. Cont … Supplements that may be recommended include A balanced multivitamin/mineral supplement. I ron (if stores are low ). Z inc (if a deficiency exists ). C alcium if your diet is lacking.

8. Cont… Eating a well balanced diet is ideal and drinking plenty of water (10 to 12 glasses per day) is ideal. To take at least 500 micrograms of folic acid per day for at least one prior to pregnancy. A research has found that by taking a folic acid supplement , birth defects such as spina bifida are reduced.

9. Genetic family history Patient's risk of chromosomal or genetic disorders based on family history . ethnic background . It offer cystic fibrosis and other carrier screening as indicated; discuss management of known genetic disorders before and during pregnancy

10. Maternal age factor Age of mother before conception that mother is below age of 17 years or above the age of 35 years. Advice about the good and appropriate age of conception that is 22 to 29 years.

11. Avoid environmental hazards According to a research study conducted on Reducing Exposure to Environmental Toxicants Before Birth: Moving from Risk Perception to Risk Reduction by Holly A. Grason , MA and Dawn P. Misra , PhD

12. Cont.. Environmental toxicants with the potential for harming reproductive or perinatal health are numerous. There is evidence that these toxicants may increase risks of low birth weight , intrauterine growth restriction, preterm birth, and birth defects.

13. Maternal history Reproductive life plan Reproductive history Medical history Medication use Infections and immunizations

14. BENEFITS Reducing unintended pregnancy. Prevent birth defects. Prevent LBW and pre maturity. Prevent poor pregnancy outcomes and reoccurrences. Promote healthy behaviour and reduce risk taking behaviour. Prepare and reinforces parents for parenting. Promote family planning.  

15. ROLE OF A MIDWIFE Identify women of reproductive age. Educate women and men regarding preconceptional health. Screen for risk factors of all identified women under their care. Encourage each women and every couple to have a reproductive life plan.

16. Cont.. Plan for interventions to promote health and address the risk identified. Educate and create awareness in the families and community about preconception care. Provide follow up care. Provide intensive care during interconception period.

17. CONCLUSION Preconceptional care is very essential to improve the maternal health and pregnancy outcomes as well as it helps to detect any pregnancy abnormality which affect mother and baby.

18. SUMMARY We have discussed about the Definition Elements Components B enefits and Role of midwives in preconceptional care.

19. Research article Title :- Preconception care: Maximizing the gains for maternal and child health . Result :- A new WHO study report shows that preconception care has a positive impact on maternal and child health outcomes. A report provides a foundation for implementing a package of promotive , preventive and curative health interventions shown to have been effective in improving maternal and child health.