Professor

1. PRE CONCEPTIONCARE
PRESENTED BY
MRS.JOHN BRITTO MARY
ASSOCIATE PROFESSOR IN
(OBSTETRIC AND
GYNAECOLOGICAL NURSING)

2. Preconceptioncare
1. Definition of Preconception Care
2. Goal Of Preconception care
3. Why Preconception care
4. Need of Preconception care
5. Components
6. Elements
7. Preconception care for Men
8. Role of Midwife
9. Conclusion

3. • A set of prevention and
management interventions
that aim to identify and
modify biomedical ,
behavioral, and social risks
to a woman’s health or
pregnancy outcome
(CDC’s Select Panel on
Preconception Care, June 2005)
WHAT IS PRE-CONCEPTION CARE ?

4. • Optimize the woman’s health
• Minimize risks to
her and the fetus and
improve pregnancy
outcome
• Provide information
necessary to maked
informed decisions about
future reproduction

5. WHY PRE-CONCEPTION CARE ?

6.  Reduce maternal and child mortality
 Prevent unintended pregnancies
 Prevent complications during pregnancy and delivery
 Prevent stillbirths, preterm birth and low birth weight
 Prevent birth defects
 Prevent neonatal infections
 Prevent underweight and stunting
 Promote family planning
 Lowertheriskoftypediabetesandcardiovasculardiseaselaterinlife
WHY PRE-CONCEPTION CARE ?

7. NEED FOR PRE-CONCEPTION CARE :
• Currently
– Poor pregnancy outcomes
– Women enter pregnancy “at risk” for adverse outcomes
– We intervene too late
• There is consensus that we
must act before pregnancy
– Intervening before pregnancy
will help improve outcomes

8. COMPONENTS
Early Detection
and Prevention of
health risk
Management of
high risk before
conception
Creation of
awareness
Preconceptioncare

9. NUTRITIONAL
NEED
GENETIC
HISTORY
OF FAMILY
MATERNAL
AGE
FACTOR
MATERNAL
HISTORY
ENVIRONMENT
ALHAZARDS
Preconceptioncare
ELEMENTS

10. A Women's nutritional status may have a profound effect
on reproductive outcome.
• Obesity
• Underweight
NUTRITIONAL NEED

11. Supplements that may be recommended include
• A balanced multivitamin/mineral supplement.
• Iron (if stores are low).
• Zinc (if a deficiency exists).
• Calcium if your diet is lacking.
Cont…

12. • Eating a well balanced diet is ideal and
drinking plenty of water (10 to 12 glasses per
day) is ideal.
• To take at least 400 micrograms of folic acid
per day for at least one prior to pregnancy.
• A research has found that by taking a folic
acid supplement, birth defects such as
spina bifida are reduced.
Cont…

13. Patient's risk of chromosomal or genetic disorders
based on
• family history.
• ethnic background.
It offer cystic fibrosis and other carrier screening
as indicated; discuss management of known
genetic disorders before and during pregnancy
GENETIC FAMILY HISTORY

14. • Age of mother before conception that mother is
below age of 17 years or above the age of 35
years.
• Advice about the good and appropriate age of
conception that is 22 to 29 years.
MATERNAL AGE FACTOR

15. According to a research study conducted on
Reducing Exposure to Environmental Toxicants
Before Birth: Moving from Risk Perception to
Risk Reduction by Holly A. Grason, MA and
Dawn P. Misra, PhD
AVOID ENVIRONMENTAL HAZARDS

16. • Environmental toxicants with the potential for
harming reproductive or perinatal health are
numerous.
• There is evidence that these toxicants may
increase risks of low birth weight, intrauterine
growth restriction, preterm birth, and birth
defects.
Cont..

17. • Reproductive life plan
• Reproductive history
• Medical history
• Medication use
• Infections and immunizations
MATERNAL HISTORY

18.  STOPSMOKING
 USE MOBILEPHONESONLY WHEN NEEDED
 AVOIDINCREASED TEMPERATURE AROUND GENITALS
 INCULCATE ARELAXINGSCHEDULE
 STOP CONSUMINGALCOHOL &STEROIDS
 MAINTAIN AHEALTHY WEIGHT
 PLANFOR FINANCES
 THINK ABOUTPARENTING
PRECONCEPTION CARE FOR MEN

19. • Identify women of
reproductive age.
• Educate women and men
regarding periconceptional
health.
• Screen for risk factors of all
identified women under
their care.
• Encourage each women and
every couple to have a
reproductive life plan.
ROLE OF MIDWIFE

20. • Plan for interventions to promote health and
address the risk identified.
• Educate and create awareness in the families
and community about preconception care.
• Provide follow up care.
• Provide intensive care during interconception
period.

22. Preconceptional care is very essential to improve
the maternal health and pregnancy outcomes as
well as it helps to detect any pregnancy
abnormality which affect mother and baby.
CONCLUSION

23. PRECONCEPTION CARE

25. THANK YOU
STAY SAFE STAY HEALTHY

26. PARENTHOOD
PREPARATION

27. Parenthood brings about extensive changes to one’s life in its
entirely, having an impact on various aspects of life. The
mother experience significant physical changes all through the
period of pregnancy while a birth of a newborn can also
influence one’s home, job and financial options. By putting in
place an effective parenting plan will enable individuals to
tackle these points conveniently before they turn out to be
issues of major concern. Being a parent is the most unselfish
act of attention one can make. By becoming a parent it implies
that one is willingly dedicating ones entire life to look after the
child since a parent’s responsibility is an enduring task, which
has the biggest pleasure and reward but at the same time it is a
job from which one can never really quit.
Parenting can be one of life’s most challenging experience.
With proper guidance parenting also can be one of life’s most
rewarding experience. Communications with the partner is of
utmost importance in making decisions about child bearing.

28. • Some of the important facts to look for are:
1. Before the arrival of the baby it is vital to make the
necessary alterations in the house to enable more space.
2. Working mothers need to make an applications for
maternal leave and make proper endeavors to get hold
of financial funds as they will be certainly be required to
pay off the various expenses that parent have to incur
during the birth of baby as well the days following it.
3. Financial planning is extremely important and is
something that should be kept in place with the
progress of the child’s life. Necessary funds have to
made available to the child for his or her varied
requirements including the expenses that have to met
while the child goes to school, college and other such
activities.

29. Having a birth is a vital decision. There are some practical
issues that need to be looked at when planning pregnancy:
Financial, Emotional, the strength of couple’s relationship and
their values and belief concerning child rearing. As well,
pregnancy planning is an opportunity to focus on one’s
physical health. Some steps need to be taken care of, as the
couple is preparing for parenthood.

30. PARENTHOOD PREPARATION
It includes various aspects such as:
o Physical preparation
o Psychological preparation
o Functional preparation
o Physical preparation:
 Age more than 18 years for girls & 21 years for boys.
 Diet- She should not be anaemic or malnourished.
 No hazards exposure: She should not be exposed to hazardous substances before & during
pregnancy.
 Free of infections such as Rubella.
 Avoid contraceptive pills: She should discontinue oral contraceptives at least 3 and preferably 6
months before trying to get pregnant.
o Psychological preparation
 Mentally the couple should be prepared to have a baby.
 Loved & Secured
 Away from violence
 Mature enough by brain
o Financial preparation
 The couple should prepare themselves to meet the increasing need of finances for the care
required during pregnancy, delivery & the entry of the new corner i.e new born baby.

31. Thank you