Cited by 272Maternal and Neonatal HealthcareReproductive Health and ContraceptionPregnancy and Medication Impact

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ACOG Committee Opinion No. 762: Prepregnancy Counseling

·2019·Obstetrics & Gynecology

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Abstract

The goal of prepregnancy care is to reduce the risk of adverse health effects for the woman, fetus, and neonate by working with the woman to optimize health, address modifiable risk factors, and provide education about healthy pregnancy. All those planning to initiate a pregnancy should be counseled, including heterosexual, lesbian, gay, bisexual, transgender, queer, intersex, asexual, and gender nonconforming individuals. Counseling can begin with the following question: “ Would you like to become pregnant in the next year ?” Prepregnancy counseling is appropriate whether the reproductive-aged patient is currently using contraception or planning pregnancy. Because health status and risk factors can change over time, prepregnancy counseling should occur several times during a woman's reproductive lifespan, increasing her opportunity for education and potentially maximizing her reproductive and pregnancy outcomes. Many chronic medical conditions such as diabetes, hypertension, psychiatric illness, and thyroid disease have implications for pregnancy outcomes and should be optimally managed before pregnancy. Counseling patients about optimal intervals between pregnancies may be helpful to reduce future complications. Assessment of the need for sexually transmitted infection screening should be performed at the time of prepregnancy counseling. Women who present for prepregnancy counseling should be offered screening for the same genetic conditions as recommended for pregnant women. All patients should be routinely asked about their use of alcohol, nicotine products, and drugs, including prescription opioids and other medications used for nonmedical reasons. Screening for intimate partner violence should occur during prepregnancy counseling. Female prepregnancy folic acid supplementation should be encouraged to reduce the risk of neural tube defects.

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Venue: Obstetrics & Gynecology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2019-01
Volume: 133
Issue: 1
Pages: e78-e89
ISSN: 0029-7844 (ISSN-L)
DOI: 10.1097/aog.0000000000003013
OpenAlex: W4234991052
Cited by: 272
References: 63
Citations by year: 2026: 55 · 2025: 47 · 2024: 41 · 2023: 31 · 2022: 32 · 2021: 29 · 2020: 31 · 2019: 6
FWCI: 33.56
Type: journal article
Language: en
Open access: closed
Locations: Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
Keywords: preconception counseling, preconception care, pregnancy planning, modifiable risk factors, pregnancy spacing, STI screening, genetic screening, substance use screening, intimate partner violence screening, folic acid supplementation, neural tube defects
MeSH terms: Contraception, Counseling, Female, Gynecology, Humans, Obstetrics, Pregnancy, Societies, Medical, United States, Preconception Care

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ACOG Committee Opinion No. 762: Prepregnancy Counseling

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