Preconceptional supplementation is impractical

Preconceptional folic acid supplementation in Japan

Although a recommendation for preconceptional folate supplementation was issued by the Japanese Ministry of Health and Welfare in 2000, and promotional efforts were made by various related academic societies, including the Japan Society of Obstetrics and Gynecology (JSOG) and the Japan Association of Obstetricians and Gynecologists (JAOG), uptake of folate supplementation has been insufficient....

Preconceptional Folate Supplementation and the Risk of Spontaneous Preterm Birth: A Cohort Study

BACKGROUND Low plasma folate concentrations in pregnancy are associated with preterm birth. Here we show an association between preconceptional folate supplementation and the risk of spontaneous preterm birth. METHODS AND FINDINGS In a cohort of 34,480 low-risk singleton pregnancies enrolled in a study of aneuploidy risk, preconceptional folate supplementation was prospectively recorded in th...

Impractical CME programs: Influential parameters in Iran

Background: Traditional approaches in Continuing Medical Education (CME) appear to be ineffective in any improvement of the patients' care, reducing the medical errors, and/or altering physicians' behaviors. However, they are still executed by the CME providers, and are popular among the majority of the physicians. In this study, we aimed to explore the parameters involved in the degree of effe...

Critics call quality report changes impractical, pay updates unfair.

Preconceptional Iron Intake and Gestational Diabetes Mellitus

Our objective was to assess the impact of preconceptional heme and non-heme iron on gestational diabetes mellitius (GDM) in the Boston University Slone Epidemiology Birth Defects Study (BDS). This retrospective cohort analysis included 7229 participants enrolled in the BDS between 1998 and 2008 who gave birth to non-malformed infants and were free of pre-existing diabetes. All data were collect...