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Preconeption care or Prepregnancy Care

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Preconeption care or Prepregnancy Care

  1. 1. Consultant & Unit Head, Dept. Of Obstetrics & Gynecology PRECONEPTION CARE Dr Nupur Gupta
  2. 2. WHAT IS PRE-CONCEPTION? • Starts before conception • Promoting health of women of childbearing age • Helps to improve maternal health • Step towards desired outcome
  3. 3. WHAT IS PRE-CONCEPTION? • Health of baby highly related to parents health • Trying to have a baby- understand it • Prepare for safe pregnancy & a healthy baby • Speak with the doctor about this • Critical development period of baby- starts- before mother know pregnancy
  4. 4. Mission of Preconception • Improve & manage maternal health conditions • Improve & manage early fetal development • Encourage emotional well being • Modify risk factors
  5. 5. Aim of Preconception Care • Finding & taking care of any problems • Steps to reduce risk of birth defects • Care of health issues before pregnancy • Prevent many future problems for mother & baby
  6. 6. Planning your pregnancy • Best thing to plan ahead • Planning a pregnancy means • To have a healthy baby • Making decisions with partner about future family
  7. 7. Planning your pregnancy • Whether you are ready for pregnancy? • Life changes during pregnancy & after delivery • Planning for this- much easier to handle it- both partners
  8. 8. Understanding your fertile period • With regular cycles- D9-D16 • Timed intercourse- 1- 2 days prior to ovulation • Best time to conceive- • Life span of ovum is 24hrs, sperms is 3-5 days • How to predict ovulation- • Temperature chart • LH kit
  9. 9. Effect of weight on fertility • BMI • Positive effect of weight loss (10%)
  10. 10. Effect of age • Fertility goes down with age , specially after mid 30s • Less chances of success in fertility treatment Time to consult your doctor when • Age >35 yrs- no conception till 6 months • Age< 35yrs- no conception till 1 yr
  11. 11. Why is planning important? • Help to have a healthy baby • Planned babies are more healthy than unplanned babies • By more early & regular prenatal care, we can achieve a healthier pregnancy
  12. 12. How can you plan your pregnancy? • Interact with your partner • Decide number of children to have • Spacing between two births • Care for mother’s health
  13. 13. Things to consider • Sexually active but one partner not ready - use contraception • Consult your doctor • Think about what it is like to be a good parent • Becoming parent is a big responsibility
  14. 14. Financial Planning • Talk to your partner freely about having a baby • Financial planning for your baby • Having a baby can be expensive • Look for health insurance & financial schemes
  15. 15. Finding emotional readiness • Why to have a baby? • Are both partners ready for the changes affecting your relationship? • If you’re not in a relationship, are you prepared to raise a child alone? • How will a baby affect your education or career plans?
  16. 16. Finding emotional readiness for newborn care • How to take care of a child? • Are you prepared to parent a child who is sick or has special needs? • Are you ready to have less free time for yourself? • Can you see yourself enjoying your time as a parent? • What do you want for your baby's childhood that may have been missing from your childhood?
  17. 17. Elements in Preconception care • Visit to doctor ( 3-6 months prior to conception) • Risk assessment • Education & health promotion • Medical & psychosocial care
  18. 18. Components of Preconception Care • Medical history • Psychosocial issues • Physical examination • Investigations • Family or genetic history • Nutrition • Occupational or environmental risk factors
  19. 19. Risk Assessment • STD evaluation • Genetic issues • Domestic violence • Substance abuse  Alcohol, Tobacco  Drugs
  20. 20. Environmental teratogens • Exposure to hazardous materials  Home, workplace, environment • Physical or chemical hazards  Ionizing radiation, lead, mercury, hyperthermia, herbicides, pesticides
  21. 21. Health Education • Stop smoking • Start intake of folic acid • Multivitamins • Genetic counselling • Dietary & nutritional advice • Rubella Immunisation
  22. 22. Things to control • Weight • Alternate medications • Stop Alcohol/ tobacco • Correction of cardiac problems • Sugar control • R/o safe anticonvulsants if epileptic • Unhealthy diet & sedentary life style
  23. 23. Diseases that affect mother & baby • Diabetes • Hypertension • Cardiac problems • Epilepsy • Thyroid disorders • HIV infection/ STDs • SLE • Renal disorders • Blood disorders & cancers
  24. 24. Interventions to be avoided during pregnancy • Rubella & varicella vaccination • Narcotic detoxification • Certain radiological procedures • Thyroid ablation with radioactive iodine
  25. 25. Factors affecting conception • Birth spacing • Genetic diseases • Diseases with poor prognosis ( HIV/AIDS) • Life threatening diseases • Poor maternal care • Repeated fetal loss or abortions
  26. 26. Benefits of Preconception Care • Improved outcome • Decreases fetal or infant mortality & morbidity • Decreases maternal mortality & morbidity
  27. 27. Factors that lower birth defects • Optimal glycaemic control • No alcohol consumption • No smoking • Preconception rubella immunization • Folic acid supplementation
  28. 28. Barriers to Preconception Care • High rate of unintended pregnancies • Unawareness about preconception health • Ignorance about health issues • Limited access to health services • Inadequate knowledge
  29. 29. Preconception care for men • Stop alcohol  Causes physical & emotional abuse  Decrease fertility • Genetic counselling • Decrease fertility with age • No hot bath, hot tub or sauna • No tight undergarments • Occupational hazards awareness • Knowledge & information about STDs, Syphilis, Herpes, HIV/AIDS
  30. 30. Overview of preconception care • Take care of oral health • Quit smoking and drinking • Cut off caffeine intake • Healthy nutritious diet • Weight control, Up to date vaccine • Care of medications • Exercise
  31. 31. Early Signs of Pregnancy • Missed period • Frequency of urine • Feeling of tiredness easily • Nausea in the morning • Breast tenderness & enlargement
  32. 32. THANK YOU
  • SuvekshyaBasnet

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    Mar. 27, 2019
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    Mar. 7, 2019
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    Nov. 26, 2018
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    Sep. 27, 2018
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    Jul. 21, 2018
  • SumanaNikhar

    Feb. 10, 2018
  • drfarraj

    Jan. 4, 2016
  • arunmnpatil

    Aug. 27, 2015
  • vrashmi

    Aug. 7, 2015

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