An article on pre conception care
Preconception care is considered as a critical component of health care for women during the time of reproduction.
Goals:
- 1. The main goal of pre conception care is to improve knowledge, attitude and behaviour of men and women related to preconception care.
- We have to Ensure that all women of child bearing age receive.
- Preconception care services that enables to enter pregnancy in optimal health
- We should Reduce risk indicated by a previous adverse pregnancy outcome through intervention during the interconception period.
- We have to Reduce disparities in adverse pregnancy outcome.
Recommendations:
- Individual responsibilities across the lifespan: each women,man and couple should be encouraged to have a reproductive health plan. That is most important.
- Consumer awareness: consumer awareness is also important . It
Increases public awareness of the importance of preconception health behaviour or preconception care services by using information and tools appropriate across various ages , literacy and cultural and linguistic context.
Preventive visits :
Preventive visits are also another part of primary care visit which provide risk assessment and educational and health promotion counseling to all women of childbearing age to reduce reproductive risks and improve pregnancy outcome.
Intervention for identified risks :
It also helps to Increase the proportion of women receiving follow up intervention to pre conception risk screening, focusing on high priority intervention.
Inter conception care:
It is also important. We have to use interconception period to provide additional intensive interventions to women who have had a previous pregnancy with an adverse outcomes.
Pre pregnancy check up:
Pre conception care which helps to offer as a component of maternity care.
Health insurance coverage for women with low income: It is the main point of this.
Through preconception care increase public and private health insurance coverage for women with low income to improve access to pre conception and interconception care.
Public health program and strategies:
Pre conception care helps to integrate component of pre conception health into existing local public health and related programs including emphasis on inter conception intervention for women with previous adverse outcomes.
Research:
During research Preconception care increase and promote the use of evidence based care to improve pre conception health.
Monitoring improvement:
we have to Maximize public health surveillance and related research mechanism to monitor pre conception health.
Component of pre conception care:
- 1.Risk assessment ( Productive life span).
- Health promotion ( family planning, healthy weight and nutrition, healthy behaviour, healthy environment, stress resilience inter conception care)
- Intervention:
(Physical exam, screening)
Reproductive life span
Benefits of preconception care:
- Reducing unintended pregnancy
- Prevent birth defects
- Prevent low birth weight and preterm birth
- Prevent poor pregnancy outcome and recurrence
- Promote healthy behaviour and prevent risk taking behaviour
- Prepares and reinforces parents for parenting
- Promote family planning
Barriers to pre conception care:
Patient aspect:
- High rate of unintended pregnancies
- Ignorance about impotence of good health habits prior to conception
- Limited access to health services in general
Provide aspect:
- Feeling of having in adequate knowledge
- Availability of contraceptive
- Out of pocket expenditure
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