Obstetrics - Preconception Flashcards
1
Q
Preconception
History
A
Previous pregnancies Gynaecological history (STIs screening) Menstruation history Contraceptive history Family history Social history (safety, environments) PMHx
2
Q
Preconception counseling
Supplements
A
Folic acid supplementation (prevent neural tube defects) Iodine supplementation (for foetal brain development)
3
Q
Preconception counseling
Smoking/Alcohol/Drugs
A
Quit smoking (impairs O2 transfer, increased perinatal mortality) Quit alcohol (foetal alcohol syndrome features include growth retardation, structural defects, joint anomalies, cardiac defects) Quit drugs (increased perinatal mortality, pre-term labour, foetal growth restriction, miscarriage, placental abruption)
4
Q
Preconception counseling
Diabetes
A
Diabetic control (decrease congenital malformations, miscarriage, preterm birth, abnormal birth weight)
5
Q
Preconception counseling
Meds
A
Medications (review, some teratogenic)
6
Q
Preconception counseling
Immunisations
A
Immunisations (rubella, varicella, pertussis, influenza)
CST