BACKGROUND Preexisting diabetes mellitus is associated with increased risk for maternal and fetal adverse outcomes. Despite improvement in the access and quality of antenatal care recent population based studies demonstrating increased congenital abnormalities and perinatal mortality in diabetic mothers as compared to the background population. This systematic review was carried out to evaluate...

Care for women with HIV infection has specific challenges before conception and during pregnancy that should be addressed in a comprehensive, standardized plan of care. Preconception care for HIV-infected women includes health recommendations and counseling for safer sexual practices, contraception, and pregnancy planning. The goals are: (1) to improve the health of the woman before conception;...

ABSTRACT Introduction: Preconception care, provides intervention for women in reproductive age, regardless of status or pregnancy, to improve health of women, newborns and children. Compared to developed countries, the preconception care coverage is lower in the developing world, and usually the first referral of women to health cares is after pregnancy. The purpose of this study...

This article reviews the medical conditions that are associated with adverse pregnancy outcomes for women and their offspring. We also present the degree to which specific preconception interventions and treatments can impact the effects of the condition on birth outcomes. Because avoiding, delaying, or achieving optimal timing of a pregnancy is often an important component of the preconception...

This session will focus on an Integrative approach to fertility and preconception care. Women having challenges getting pregnant often rely on integrative therapies to support them through conventional fertility management. A saying in TCM about fertility is that we must " cultivate the soil before planting the seed. " We will discuss the reproductive cycle as viewed through the lens of TCM and...

AIM A critical analysis of online public postings in response to the news about the ending of China's one-child policy was conducted. The specific study aims were to 1) identify the dominant public discourse in response to the news about the ending of the one-child policy and the beginning of the new two-child policy, and 2) explore implications for preconception care from the public discourse....

In the United States, Black infants have significantly worse birth outcomes than White infants. Over the past decades, public health efforts to address these disparities have focused primarily on increasing access to prenatal care, however, this has not led to closing the gap in birth outcomes. We propose a 12-point plan to reduce Black-White disparities in birth outcomes using a life-course ap...

INTRODUCTION In February 2015, the Flemish Minister of Welfare, Public Health and Family launched a website on preconception care: 'gezondzwangerworden.be'. The website was developed in response to the lack of comprehensive communication on preconception care and the inadequate intake of folic acid among Flemish women. Despite the international recommendation to take 400 μg folic acid on a dail...

OBJECTIVE The purpose of this research was to determine the prevalence of substance-exposed pregnancies at a hospital in the Great Lakes region of the U.S. METHOD Data were collected via retrospective chart abstractions of patients who were seen for delivery at one Great Lakes region hospital during a 1-year period who were given at least one of the International Classification of Diseases co...

Health care leaders in the United States have recently advised that preconception care be made available to all prospective parents because health in pregnancy depends on health status prior to pregnancy. Prenatal care usually begins after the early critical period of pregnancy has passed, and optimal early prenatal care can be achieved only through preconception care. Family physicians, who ar...