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Preconception Care

Jeremy Golding, MD, FAAFP Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Given that women often become pregnant without intending to, preconception care should be a critical aspect of primary care for all women of reproductive age.

  • Preconception care shoul...

DIAGNOSIS

HISTORY

For women who desire pregnancy, complete a well-woman history including the following (1),(2): 
  • Reproductive profile

    • Desires and timing for future pregnancy

    • Current and past use of con...

TREATMENT

GENERAL MEASURES

  • Many preconceptual interventions based on information gathering and counseling demonstrate improvement in measured outcomes (4)[A].

  • For women and men who are ambivalent or not...

ONGOING CARE

PATIENT EDUCATION

REFERENCES

1
Gavin L, Moskosky S, Carter M, et al; for Centers for Disease Control and Prevention. Providing quality family planning services: recommendations of CDC and the U.S. Office of Population A...

ADDITIONAL READING

  • Aids Info. Preconception counseling and care for women of childbearing age living with HIV: reproductive options for couples in which one or both partners are living with HIV. http:...

CODES

ICD10

  • Z31.9 Encounter for procreative management, unspecified

  • Z31.69 Encounter for other general counseling and advice on procreation

  • Z30.9 Encounter for contraceptive management, unspecified

  • Z31.61...

CLINICAL PEARLS

  • By asking women of reproductive age, “Would you like to become pregnant in the next year?” or “Would you like to have a child in the coming year?”, primary care clinicians better under...

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