RT Journal Article
SR Electronic
T1 Preconception counseling for preventable risks
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 737
OP 739
VO 59
IS 7
A1 Weerawadee Chandranipapongse
A1 Gideon Koren
YR 2013
UL http://www.cfp.ca/content/59/7/737.abstract
AB Question A healthy woman of reproductive age complained that when she saw me before pregnancy I did not advise her that she could check her varicella immunity and get vaccinated. She contracted chickenpox and endured unnecessary anxiety. This led me to think that it would be useful to have a summary of all the preconception counseling advice we should give to our patients to ensure the best pregnancy outcomes possible. Could Motherisk provide such a summary? Answer Although favourable pregnancy outcomes cannot be guaranteed, when a pregnancy is planned, many risk factors can be reduced and modified to enhance pregnancy outcomes. In the summary provided we will discuss optimization of diet, weight, and exercise; discontinuation of smoking and drinking; controlling chronic medical conditions; starting supplementation with multivitamins and folic acid; and ensuring proper immunization.