Preconception Care: Risk Reduction and Health Promotion in Preparation for Pregnancy
Abstract
THE BIRTH of a healthy baby to a healthy woman and family depends, in part, on a woman's general health and well-being before conception as well as on the amount and quality of prenatal care. Health care before pregnancy can ameliorate disease, improve risk status, and help prepare a family for childbearing. Some interventions that are available prior to conception are not possible once a woman conceives. The trend among women who are in middle- and upper-income levels to delay pregnancy until they are 30 years of age or older has led to increased consumer demand for assistance in preparation for pregnancy. In recent years, the idea has emerged of an organized, comprehensive program that identifies and reduces women's reproductive risks before conception. This concept has been called "preconception care."1 Development of this concept has been identified as a priority for the 1990s.2The Institute of Medicine'sPreventing
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Preconception care has been discussed for over 20 years, but implementation in clinical practice has advanced only modestly despite broad interest.
“PCC concepts have been discussed for more than 20 years, but despite broad interest8 there has been only modest progress in implementing these concepts into clinical practice.”
From Reaching Women through Health Information Technology: The Gabby Preconception Care System (2013) · cites this paper as [8]
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- Authors
- Jack, B. W.
- Corresponding author
- Jack, Brian W.
- ORCID
- Jack, Brian W.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 1990-09-05
- Volume
- 264
- Issue
- 9
- Pages
- 1147
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W4214752513
- Cited by
- 78
- References
- 0
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 6 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 6 · 2015: 6 · 2014: 2 · 2013: 2 · 2012: 5
- FWCI
- 3.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- preconception care, maternal health, pregnancy preparation, maternal age, prenatal care, family planning
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