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MINERVA GINECOLOGICA

A Journal on Obstetrics and Gynecology


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Minerva Ginecologica 2013 June;65(3):253-69

language: English

Preconception care and fertility

Kermack A. J. 1, 2, Macklon N. 1, 2

1 Unit of Human Development and Health Faculty of Medicine, University of Southampton, Southampton, UK;
2 Department of Obstetrics and Gynecology Princess Anne Hospital, Southampton, UK


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Preconceptional health has been shown to be an important determinant of fertility, fecundity and perinatal outcomes. In recent years the impact of periconceptional factors on developmental programming, and the health of the resultant child have become increasingly clear. Since fertility specialists care for couples during this critical phase, they have a unique opportunity to collaborate with the couple to optimise preconceptional health and thus fertility and pregnancy outcomes. In this review article, the current evidence available for the importance of preconceptional health care is considered, specific lifestyle and dietary interventions are described and the care of the medically complicated patient prior to fertility treatment is discussed. Finally strategies for overcoming challenges in implementing preconceptional care into the fertility clinic are addressed.

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n.s.macklon@soton.ac.uk