Page 47 - كتاب تمريض نسا الاكتروني

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 Results of screening tests should be given to clients as the information becomes

available, taking care not to overload the couple with details. Verbal information is

supported by documents, information via the Internet and referral to others in the

multiprotection team. It is important not to assume a prior level of knowledge, particularly

in relation to issues such as basic anatomy, sexual health, or knowledge of support

services.

INTERVENTION OR MODIFICATION

Initiate the interventions, when possible, to provide optimum pregnancy outcomes.

This is done based on the results of risk assessment and tests done.

PRECONCEPTION COUNSELING

Preconception counseling defined as providing information and support to individuals of
childbearing age before pregnancy to promote health and reduce risks.

SUMMARY AND RECOMMENDATIONS

• All women of childbearing age should be offered preconception counseling and
evaluation.

• The goals of preconception counseling are to identify risks to the woman and her
pregnancy, educate the patient and initiate appropriate interventions.

• Good communication between primary and secondary care providers is vital to optimize
a woman’s health prior to conception and ensuring timely referral.

• A thorough history will help in identifying risk factors to the woman and her pregnancy.

• A pregnant woman with a BMI of greater 30kg/m2 should be referred to dietician and
specialist clinic.

• Women who are planning a pregnancy should be on folic acid 400μg/day. Women who
are diabetic or on antiepileptic medications should be given 5mg of folic acid/ day 26–29.

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