Page 40 - كتاب تمريض نسا الاكتروني

38

OBSTACLES TO PRECONCEPTION COUNSELING

• Many pregnancies are still unplanned. Globally, 38% of pregnancies are unintended.

Many unintended pregnancies result from failure to use birth control or failure to use it

correctly; if a birth control method fails, there is no opportunity for pre-screening and

assessment

• Most women do not know, realize, or understand the benefits of visiting their physician

before trying to become pregnant.

• The third most common obstacle to pre-conception counseling and assessment may be

the lack of health insurance

COMPONENTS OF PRECONCEPTION CARE

• Physical assessment and risk screening

• Education

• Intervention or modification.

• Preconception counseling

MATERNAL PHYSICAL ASSESSMENT AND RISK SCREENING

• Family and genetic history

• Medical history

• Medication use

• Tobacco use

• Psychoactive substance use

• Environmental health

• Obstetric and reproductive history

• Interpersonal violence

Table of Content