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Preconception Care

Kristina Gracey, MD, MPH and Madeleine P. Whitaker, DO Reviewed 05/2023
 


BASICS

DESCRIPTION

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

  • Disparities in access ...

DIAGNOSIS

HISTORY

For women who desire pregnancy, complete a reproductive history including the following (1,3): 
  • Reproductive profile

    • Desires and timing for future pregnancy

    • Current and past use of cont...

TREATMENT

GENERAL MEASURES

  • Many preconceptual interventions based on information gathering and counseling demonstrate improvement in measured outcomes (5).

  • For people who are ambivalent or not sure abo...

ONGOING CARE

PATIENT EDUCATION

Preconception health and health care: https://www.cdc.gov/preconception/planning.html 

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 ...

ADDITIONAL READING

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 people 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 can better u...

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