Home > Journals > Minerva Ginecologica > Past Issues > Minerva Ginecologica 2011 October;63(5) > Minerva Ginecologica 2011 October;63(5):411-9

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA GINECOLOGICA

A Journal on Obstetrics and Gynecology


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Scopus, Emerging Sources Citation Index


eTOC

 

  MATERNAL FETAL MEDICINE


Minerva Ginecologica 2011 October;63(5):411-9

language: English

Preconception counseling: rational, practice and challenges

Walfisch A., Koren G.

The Motherisk Program, Hospital for Sick Children, Department of Pharmacology, University of Toronto, Toronto, Ontario, Canada


PDF  


Preconception counseling (PCC) is aimed at identifying and modifying risks related to maternal health and pregnancy outcome, prior to pregnancy. The main components of PCC include: maternal risk assessment, maternal education, and initiation of interventions. It is an opportunity to provide essential information regarding pregnancy, possible risks and available management options. At times, PCC provides a unique “time window” for an intervention, prior to the pregnancy, which may reduce maternal and fetal risks. Specific maternal populations may benefit from PCC more than others with regard to optimizing pregnancy outcome. Although PCC has been recommended for years as standard of care, most providers do not offer it and most consumers do not ask for it. The present review discusses the essence of preconception counseling and the evidence for its effectiveness. In addition, specific topics are reviewed in depth including folic acid supplementation, obesity, depression, seizure disorders, and drug therapy during pregnancy.

top of page

Publication History

Cite this article as

Corresponding author e-mail

gidiup_2000@yahoo.com