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Preconception Care: A guide for optimizing pregnancy …

PreconceptionCareA guide for optimizing pregnancy outcomesThe American College of Obstetricians and Gynecologists, District II/NYThe American College of Obstetricians and Gynecologists recommend that all health encounters during a woman s reproductive years, particularly those that are a part of Preconception care, should include counseling on appropriate health behaviors to optimize pregnancy outcomes and prevent maternal mortality. CheCklIsT Of Preconception CAre TOpICs:education: Smoking, alcohol abuse and other drug use Folic acid supplementation, 400 mcg daily as a standard of careCounseling: Sexually transmitted infections including HIV Family planning and pregnancy spacing Healthy body weight and diet Importance of oral health Increased risk of hepatitis C in those with tattoos and/or body piercings Lead and other environmental and/or occupational exposures Genetic disorders (including cystic fibrosis and sickle cell genotypes)Assessment.

postpartum period. Screening women at least once in each trimester is recom-mended whenever bruising, improbable injury, or depressed mood is noted. 6 3. Drug Abuse: The use of illicit drugs and alcohol during pregnancy has adverse effects on the neonate, and these children are at risk for altered neu-rodevelopmental outcome and poor health status.

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