Page 61 - ترم ثاني كتاب تمريض صحة الام الكتروني
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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
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