Preconception Care Lecture Powerpoint Flashcards
Risk factors for premature birth (5)
- previous premature birth
- late or no prenatal care
- drugs and alcohol
- infection
- High stress
Neonatal mortality in the US
Still higher than majority of comparable countries
REFRAMED acronym for preconception assessment with patient
Reproductive awareness Environmental toxins and teratogens Folic acid and nutrition Review of genetic history Alcohol, tobacco, and other substance Medical conditions and medications Evaluate immunizations and infectious diseases Domestic violence and psychosocial issues
Untreated maternal diabetes predisposes the infant to…
….macrosomia
Recall CAGE questions (use them during preconception care!)
Do you feel you need to Cut down?
Have you ever felt Annoyed by criticism of your drinking?
Have you ever felt Guilty about your use of…
Have you ever had a morning Eye opener?
Should a mother take vitamins during pregnancy?
Folic acid yes .4mg, with prior history of neural tube defect 4mg/day at elast 1 month before conception and during 1st 3 months of pregnancy, otherwise mixed evidence
Wait at least __ months after immunizaiton with rubella before attempting pregnancy
3 months
Complications of toxoplasmosis in pregnancy
Fetal growth retardation, congenital anomalies, chorioretinitis, etc.
Vit A in pregnancy
Limit to no more than 5000IU daily as it can be a teratogen
Common preconception labs (7)
- Gonorrhea chlamydia
- Hep B
- HIV
- RPR
- Pap smear
- Rubella and varicella titers
- Blood type and Rh screen
Most common cause of 2nd trimester spontaneous abortion
Uterine defects (scarring, ashermans, polyps, fibroids, etc)
