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ACOG Committee Opinion No. 762: Prepregnancy Counseling
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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“Effective preconception counseling could avert substantial health and associated cost (10) burdens in the offspring (11).”
From 15. Management of Diabetes in Pregnancy: Standards of Care in Diabetes—2024 (2024) · cites this paper as [10]
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Ancira‐Moreno, M., Burrola‐Méndez, S., Muñoz‐Manrique, C., Omaña‐Guzmán, I., Hoyos-Loya, E., Trejo-Domínguez, A., Hernández‐Cordero, S., Mazariegos, M., Smith, N., Colaizzi, L. T., et al. (2023) · Frontiers in Nutrition · doi:10.3389/fnut.2023.1122289
KADINLAR GEBELİKLERİNİ NASIL ÖĞRENİYOR? SAĞLIK ALGISI GEBELİK FARKINDALIĞINI ETKİLER Mİ?
Aksoy, S. D., Özdilek, R., & Dutucu, N. (2023) · Acta Medica Nicomedia · doi:10.53446/actamednicomedia.1339583
Wang, L., Huang, J., Yang, Y., Xie, W., Wu, S., Lei, J., Wu, H., Lyu, X., Zhao, C., Liu, M., et al. (2023) · doi:10.22541/au.169868235.53888163/v1
Pre-conception Planning for Patients with Neurological Disorders
Fields, J. C., & Rosen, T. (2023) · Springer eBooks · doi:10.1007/978-3-031-36490-7_1
Harris, S. T., Schieve, L. A., Drews‐Botsch, C., DiGuiseppi, C. G., Tian, L. H., Soke, G. N., Bradley, C., & Windham, G. C. (2024) · Maternal and Child Health Journal · doi:10.1007/s10995-023-03877-0
Fisher, S. C., Romitti, P. A., Tracy, M., Howley, M. M., Jabs, E. W., & Browne, M. L. (2024) · Preventive Medicine · doi:10.1016/j.ypmed.2024.107891
Non-Ob Treatment of the Pregnant Patient
Malone, M., & Heublein, M. (2024) · Springer eBooks · doi:10.1007/978-3-031-48569-5_13
CREATIVE BUSINESS MANAGEMENT AND IMPLEMENTATION OF NEW IDEAS
International Science Group, & Vladlenov, D. (2024) · doi:10.46299/isg.p.2024.1.19
The Organ Transplant Patient in the Obstetric Critical Care Setting
Holmgren, C. M., & Scott, J. R. (2024) · Wiley eBooks · doi:10.1002/9781119820260.ch54
Martins, K. C., Gjelsvik, A., & Monteiro, K. (2024) · Maternal and Child Health Journal · doi:10.1007/s10995-024-03976-6
Phillips, A. M., & Roy, K. B. (2024) · Oxford University Press eBooks · doi:10.1093/med/9780197677179.003.0005
Management and Postpartum Follow-Up of Gestational Diabetes
Savcı, G., & Serin, A. N. (2023) · doi:10.69860/nobel.9786053359111.26
Metadata
- Venue
- Obstetrics & Gynecology
- Published
- 2019-01
- Volume
- 133
- Issue
- 1
- Pages
- e78-e89
- ISSN
- 0029-7844 (ISSN-L)
- 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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