PRECONCEPTIONAL

CARE
PRESENTED BY:MS.SANTOSH
KUMARI
ROLL NO -1915726

INTRODUCTION
Preconception care is the provision of
biomedical, behavioural and social health
interventions to women and couples before
conception occurs.

DEFINITION

COMPONENTS
Early detection and prevention of health risks.
Management of high risks before conception.
Active management of fertility.
Creation of awareness regarding contraception
among women.

ELEMENTS

NUTRITIONAL NEED
A Womens nutritional status may have a profound
effect on reproductive outcome.
Obesity
Underweight

Cont

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
Eating a well balanced
diet is ideal and drinking
plenty of water (10 to 12 glasses per day) is ideal.
To take at least 500 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.

Genetic family history

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

Maternal age factor

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.

Avoid environmental hazards

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

Cont..
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.

Maternal history

Reproductive life plan

Reproductive history
Medical history
Medication use
Infections and immunizations

BENEFITS

Reducing unintended pregnancy.

Prevent birth defects.
Prevent LBW and pre maturity.
Prevent poor pregnancy outcomes and reoccurrences.
Promote healthy behaviour and reduce risk taking
behaviour.
Prepare and reinforces parents for parenting.
Promote family planning.

ROLE OF A MIDWIFE

Identify women of reproductive age.

Educate women and men regarding
preconceptional health.
Screen for risk factors of all identified women
under their care.
Encourage each women and every couple to
have a reproductive life plan.

Cont..
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.

CONCLUSION
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.

SUMMARY
We have discussed about the
Definition
Elements
Components
Benefits and
Role of midwives in preconceptional care.

Research article
Title :- Preconception care: Maximizing the gains
for maternal and child health.
Result:- A new WHO study report shows that
preconception care has a positive impact on
maternal and child health outcomes. A report
provides a foundation for implementing a package
of promotive, preventive and curative health
interventions shown to have been effective in
improving maternal and child health.