Preconception health in the well woman TOG 2022

Question 1

What proportion of pregnancies are unplanned?

Answer 1

40%

Question 2

If exposure to lead how long should postpone conception?

Answer 2

3-6 months

Can be found in paint/soil/water.
Cause cognitive issues

Question 3

Folate (B9) function?

Answer 3

Manufacture RBCs and WBCs, conversion carbs to energy.

Question 4

What does deficiency in folate cause

Answer 4

Microcystic anaemia (fatigue, weakness, SOB)
Neutral tube defect, anencephaly, congenital heart defect, growth restriction, LBW, preterm delivery

Question 5

Taking folic acid from 3 month pre-conception to 12 weeks gestation. How much does this reduce to risk of neural tube defects?

Answer 5

70%

Question 6

World-wide what proportion of women in preconception period are anaemic?

Answer 6

40%
20% maternal deaths worldwide are from undernutrition and iron deficiency.

Question 7

How much does iron supplementation reduced risk of low birth rate and maternal anaemia?

Answer 7

LBW 20%
Anaemia 66%

Question 8

Other interventions to minimise risk of anaemia?

Answer 8

Fortification of food
Delayed cord clamping >1 mins (fetal anaemia)

Question 9

What is the function of zinc?

Answer 9

Protein synthesis, nucleic acid metabolism, cell division and immune system.

Risk: Infection, PTB, LWM, PPH, PIH

Question 10

What proportion of pregnant women worldwide are deficiency in zinc?

Answer 10

6%

Question 11

How much exercise is recommended in preconception period

Answer 11

Combination of aerobic and strength exercises

Minimum amount of aerobic activity:

150 minutes of moderate intensity activity per week, or
30 minutes of moderate activity per day, or
75 minutes of intense activity per week

Strength sessions twice per week on non-consecutive days