Preconception care 2020

PRE CONCEPTION CARE
PRESENTED BY
MRS.V.ELIZEBETH RANI
READER
Yasmine Mahmoud

 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.

Preconceptioncare AIMS
 To improve their health status, and reducing behaviors and
individual factors that contribute to poor maternal and
child healthoutcomes.
 To improve maternal and child health, in both the short
and long term .
 Opportunities to prevent and control diseases.
 To improve maternal and child health, it brings health
benefits to the adolescents, women and men, irrespective
of their plans to become parents.

Tosecure optimal health &nutritional condition in both
parents not only improves the chances of conception but
reduces the possibility of prenatal death &many congenital
anomalies.
Toensure 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 become pregnant.
Existing risk which may affect a foetus if the women doesn’tbecome
pregnant.

Topromote the prenatal health which include developing
positive attitude about sexuality , womanhood &child
bearing.
Tobenefit women being treated for a condition such as
sickle cell anaemia , hypertension , heart disease
,diabetics this may cause a high riskpregnancy.

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

 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

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

Areas addressed by the preconception carepackage
 Nutritional conditions
 Vaccine- preventable diseases
 Genetic conditions
 Environmental health
 Infertility/ subfertility
 Female genital mutilation
 Too early, unwanted and rapid successive pregnancies
 Sexually transmitted infections
 Human immunodefi ciency virus (HIV)
 Interpersonal violence
 Mental health
 Psychoactive substance use
 Tobacco use

 Nutritional conditions  Screening for anaemia and
diabetes ƒ
 Supplementing iron and
folic acid ƒ
 Information, education and
counselling ƒ
 Monitoring nutritional status ƒ
 Supplementing energy and
nutrient-dense foodƒ
 Management of diabetes,
including counselling people
with diabetes mellitus ƒ
 Promoting exercise
 noitazidoIƒfotlas

The COMPONENTS of preconceptioncare
Tobaccouse  ƒScreeningof women and girls
for tobacco use (smoking and
smokeless tobacco) at all clinical
visits using “5 As ”,ksa(
,esivda,ssessa,tsissa)egnarra
 gnidivorPƒfeirb tobacco cessation
advice, pharmacotherapy
gnidulcni(enitocintnemecalper
,yparehtfi)elbaliavadna
intensive behavioural counselling
services ƒ
 Screening of all non-smokers
(menand women) andadvising
about harm of second-hand
smoke and harmful effects on
pregnant women and unborn
children

Genetic conditions  Takinga thorough family
history to identify risk
factors for genetic
conditions
 Familyplanning
 Geneticcounselling
 Carrierscreening and
testing
 Appropriatetreatment of
genetic conditions
 Community-wide or
national screening among
populations at high risk

Environmentalhealth Providing guidance and
information on environmental
hazards and prevention
 ƒProtectingfrom unnecessary
radiation exposure in
occupational, environmental and
medical settings ƒ
 Avoiding unnecessary pesticide
use/providing alternatives to
pesticides ƒProtecting from lead
exposure
 ƒInforming women of
childbearing age about levels of
methyl mercury in fish ƒ
 Promoting use of improvedstoves
and cleaner liquid/gaseous fuels

Infertility/sub-fertility  Creatingawareness and
understanding of fertility and
infertility and their preventable
and unpreventable causes. ƒ
 Defusing stigmatization of
infertility and assumption of fate. ƒ
 Screening and diagnosis of couples
following 6–12 months of
attempting pregnancy, and
management of underlying causes
of infertility/sub-fertility,
including past STIs.ƒ
 Counselling for
individuals/couples diagnosed
with unpreventable cause of
infertility/sub-fertility.

Interpersonal violence  Health promotion to prevent dating
violence ƒ
 Providing age-appropriatecomprehensive
sexuality education that addressesgender
equality, human rights, andsexual
relations ƒ
 Combining and linkingeconomic
empowerment, gender equality and
community mobilization activitiesƒ
 Recognizing signs of violenceagainst
women ƒ
 Providing health care services (including
post-rape care), referral and psychosocial
support to victims of violenceƒ
 Changing individual and social norms
regarding drinking, screening and
counselling of people who are problem
drinkers, and treating people whohave
alcohol use disorders

 Too-early, unwanted and
rapid successive
pregnancies
 ƒKeepinggirls in school
 ƒInfluencing cultural norms that support
early marriage and coerced sexƒ
 Providing age-appropriate
comprehensive sexuality educationƒ
 Providing contraceptives and building
community support for preventingearly
pregnancy and contraceptive provision
to adolescents
 ƒEmpowering girls to resist coerced sex ƒ
 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 of short
birth intervals

 Sexually transmitted
infections (STIs)
 ƒProviding age-appropriate
comprehensive sexuality education
and services ƒ
 Promoting safe sex practices
through individual, group and
community-level behavioural
interventions ƒ
 Promoting condom use for dual
protection against STIsand
unwanted pregnancies ƒ
 Ensuring increased access to
condoms ƒ
 Screening for STIsƒ
 Increasing access to treatment and
other relevant health services

 HIV  Family planning ƒ
 Promoting safe sex practices and dual
method for birth control (with condoms)
and STIcontrol ƒ
 Provider-initiated HIVcounselling and
testing, including male partner testingƒ
 Providing antiretroviral therapy for
prevention and pre-exposure
prophylaxis ƒ
 Providing male circumcision
 ƒProviding antiretroviral prophylaxis for
women not eligible for, or not on,
antiretroviral therapy to prevent mother-
to-child transmission ƒ
 Determining eligibility forlifelong
antiretroviral therapy

 Mental health  ƒAssessing psychosocial problems ƒ
 Providing educational and
psychosocial counselling before
and during pregnancy ƒ
 Counselling, treating and
managing depression in women
planning pregnancy and other
women of childbearing age ƒ
 Strengthening community
networksandpromotingwomen’s
empowerment
 ƒImproving access to education for
women of childbearing age ƒ
 Reducing economic insecurity of
women of childbearing age

 Psychoactive
substance use
 ƒScreening for substance use ƒ
 Providing brief interventions
and treatment when needed ƒ
 Treating substance use
disorders, including
pharmacological and
psychological interventions ƒ
 Providing family planning
assistance for families with
substance use disorders
(including postpartum and
between pregnancies) ƒ
 Establishing prevention
programmes to reduce
substance use in adolescents

 Vaccine-preventable
diseases
 ƒVaccination against rubella ƒ
 Vaccination against tetanus
and diphtheria ƒ
 Vaccination against Hepatitis
B

 Female genital mutilation
(FGM)
 ƒDiscussing and discouraging
the practice with the girl and
her parents and/ or partner ƒ
 Screening women and girls for
FGMto detect complications ƒ
 Informing women and couples
about complications of FGM
and about access to treatment ƒ
 Carrying out defibulation of
infibulated or sealed girls and
women before or early in
pregnancy ƒ
 Removing cysts and treating
other complications

Promotion of a women for healthypregnancy
 Folic acid
 Proper immunization for the women
 Healthy behaviours
 Other nutritional supplements
 Blood tests
 Other check up

Stepscanthewomencantaketo improvehealth
before pregnancy
Eat a well balanced diet.
Drink plenty of water
Take nutritional supplements wisely
Quit or cut down smokingcigarettes Avoid
caffeine
Avoid alcohol Avoid
medication
Avoid contact with chemicals

 If have a cat, get someone else to empty the 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
exercise routine.
 Visit a health care practitioner specializingin
preconception care.

PRECONCEPTIONCARE FORMEN
stop smoking
usemobilephonesonlywhen needed
avoid increasedtemperaturearoundgenitals cutbackon
caffeine
avoid medicinesthatimpairfertility&desiresex desire
inculcatearelaxingschedule
stopconsuming alcohol&steroids maintaina
healthy weight
planforfinances
thinkaboutparenting

Preconception care 2020

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