Preconception counseling

Preconception counseling.  Often preconception counseling is not done, as half of pregnancies are unplanned. But, when I have a woman come to the office to discuss what she should do in anticipation of pregnancy or I see a woman of childbearing age who is not using contraception… here are some points to follow.

  • Folic acid supplementation. Prenatal vitamins are available cheaply and over the counter.  Take one daily until a woman is done childbearing.3737405848_8a0ff61814_o
  • Chronic disease management. Hypertension, diabetes, depression and anxiety.
  • Teratogenic medications should be stopped.
  • Discuss family and genetic history (like sickle cell, hemophilia, Down’s syndrome).
  • Update vaccines as needed.
  • Assess for physical, sexual, and emotional abuse.
  • Sexually transmitted infection counseling and testing.
  • Weight should be maintained in a healthy BMI (between 20 and 25)
  • Advise to stop smoking, as this is linked with miscarriage and small for gestation age infants.
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About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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