Preconception Care and Reproductive Planning in Primary Care

Callegari, Lisa S.; Erica, W.; Schwarz, Eleanor Bimla

doi:10.1016/j.mcna.2015.01.014

Cited by 20 publications

(15 citation statements)

References 84 publications

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“…Rheumatologists infrequently addressed broader aspects of FPCC, such as contraception or abortion counseling, screening for nonrheumatic maternal risk factors (e.g., cigarette smoking), or promoting folic acid supplementation or maternal vaccination . Currently, no guidelines exist to clarify the FPCC topics for which rheumatologists should be responsible; thus, the content, quality, and even frequency of these conversations may vary substantially between rheumatologists.…”

Section: Discussionmentioning

confidence: 99%

“…The American College of Rheumatology (ACR) and European League Against Rheumatism recommend that all reproductive‐age female patients with rheumatic diseases receive family planning counseling and reproductive health care (FPCC) to optimize their pregnancy, maternal, fetal, and overall health outcomes . FPCC may help providers to clarify patients’ reproductive goals, provide contraception and/or explore perspectives about abortion among women who wish to avoid pregnancy or childbearing, and provide preconception care for women who desire pregnancy, that is, optimizing their medical conditions, ensuring the compatibility of their medications with pregnancy, screening for additional risk factors (e.g., tobacco use), and providing folic acid or maternal vaccinations .…”

Section: Introductionmentioning

confidence: 99%

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Perspectives of Adult Rheumatologists Regarding Family Planning Counseling and Care: A Qualitative Study

Talabi

Clowse

Blalock

et al. 2020

Arthritis Care & Research

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Objective Little is known about whether and how rheumatologists provide family planning counseling and reproductive health care (FPCC) to reproductive‐age women with rheumatic diseases. This qualitative study sought to assess rheumatologists’ perspectives, attitudes, and practices regarding FPCC. Methods Semistructured interviews were conducted with a geographically diverse US sample of rheumatologists (n = 12). Interviews were transcribed verbatim, and a code book was inductively developed based on transcript content. Two coders applied the code book to all transcripts, and coding differences were adjudicated to full agreement. The finalized coding was used to conduct a thematic analysis. Results Six themes were identified across interviews. Rheumatologists said that they 1) feel responsible for providing some FPCC to patients, 2) experience tension between respecting patients’ autonomy and their own anxieties about managing high‐risk pregnancies, 3) view patient‐initiated conversations as FPCC facilitators, and they regard lack of guidelines and the presence of competing clinical priorities as barriers to FPCC, 4) are reluctant to prescribe contraception, 5) desire greater access to resources to help guide FPCC, and 6) recognize the benefits of multidisciplinary collaboration with gynecologists. Conclusion Rheumatologists feel a sense of responsibility to provide some aspects of FPCC to reproductive‐age female patients. However, their own apprehensions about managing complicated pregnancies may negatively influence how they advise patients about pregnancy planning or avoidance. Rheumatologists do not prescribe contraception but rarely refer patients to gynecologists for contraceptive care. Future work should focus on eliminating barriers and identifying solutions that support rheumatologists’ efforts to provide high‐quality FPCC to patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perspectives of Adult Rheumatologists Regarding Family Planning Counseling and Care: A Qualitative Study

Talabi

Clowse

Blalock

et al. 2020

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…35 A growing body of literature suggests that preconception health interventions can reduce modifiable risks and may improve pregnancy outcomes. 36 Reproductive life planning can facilitate increased use of preconception care. 35,37 In reproductive planning conversations, clinicians ask women about their reproductive intentions and goals and then tailor counseling regarding preconception health and contraception for each individual.…”

Section: Preconception Carementioning

confidence: 99%

Reproductive Health Management for the Care of Women Veterans

Zephyrin

2016

Obstetrics & Gynecology

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There are more than 2 million women veterans living in the United States. Many women do not identify themselves as veterans. As women's health care providers, it is important to understand and recognize the potentially complex health and social needs of women veterans and the role of military service on their lives. The reproductive health needs of women veterans may be shaped by their military experiences and coexisting medical or mental health conditions. Military sexual trauma and combat exposure are common causes of posttraumatic stress disorder and can affect overall health and well-being. Screening for military service is important in all women, and inclusion of this as a key demographic variable in research and clinical encounters can further inform health care considerations. The following key topics are addressed: who are women veterans, health and social risk factors associated with a history of military service, reproductive health across the life course, military sexual trauma and reproductive health of women veterans, how to take a military history, and the essential role of women's health providers, including obstetrician-gynecologists, in enhancing health systems and providing high-quality care to veterans.

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“…Gebe kalmak isteyenler için ise risk değerlendirilmesi yapılmalı ve buna uygun danışmanlık verilmelidir. 13,14 Gebelik öncesi bakım; yaşam tarzı faktörlerinin kontrol edilmesi (kilo kontrolü, aktif veya pasif sigara içiciliği konusunda danışmanlık gibi), annede önceden var olan tıbbi bozuklukların yönetimi, kullanılan ilaçların incelenmesi, enfeksiyonların taranması ve belirtilen aşıların sağlanması, folik asit (FA) takviyesini içeren beslenme düzenlemesi, genetik hastalıklar için tarama ve önceki gebelik komplikasyonlarının gözden geçirilmesi gibi bir dizi müdahaleyi içerir. 2,15 Nöral tüp hasarlarını önlemek amacıyla, günlük 0,4 mg FA takviyesinin konsepsiyon öncesi başlanması ve gebeliğin 3. ayına kadar sürdürülmesi önerilmektedir.…”

Section: Introductionunclassified

Gebelik Öncesi Bakım Alma ve Gebeliklerin Planlı Olma Durumunun Folik Asit ve Sigara İle İlişkisi: Kesitsel Bir Araştırma

Yurtsever¹,

Set²

2018

Turkish Journal of Family Medicine and Primary Care

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Introduction: In this study, it was aimed to evaluate preconception counseling and pregnancy planning status and to determine the relationship between these status and knowledge about folic acid (FA), use of FA and smoke exposure in pregnant women. Methods: This study was carried out as a cross-sectional study between January-April 2015 among women who applied to Karadeniz Technical University Medical Faculty for pregnancy follow-up (n=199). Participants' demographic characteristics, preconception counseling and pregnancy planning status, knowledge and use of FA, smoking and passive smoking were evaluated by applying a questionnaire face to face interview method. Descriptive statistics, Student t test, Mann-Whitney U test and Chi square test were performed. Statistical significance level was taken as p <0,05. Results: The mean age of participants was 30.2 ± 5.8 years. Twenty-six percent of the participants had consulted by any doctor for preconception care. The proportion of women who indicated that they planned current pregnancy was 63.8%. While rate of those who stated that they use regular FA was %62,8, ten percent of them started to use it before conception. The rate of those who continued to smoke during pregnancy was 6,5% and 32% of the participants were exposed to smoke. In pregnants with preconception counseling; rate of pregnancy planning, using FA before pregnancy and knowing that FA prevented birth defects were higher (p<0,05). There was no statistically significant relationship between demographic characteristics, regular FA use and smoking exposure and preconception counseling (p> 0,05). Conclusion: Preconception care services, a very important opportunity in terms of improving the health of women and possible children, have been found to be inadequate in our study. All health workers who serve women in the reproductive age should be encouraged to have preconception counseling.

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Preconception Care and Reproductive Planning in Primary Care

Cited by 20 publications

References 84 publications

Perspectives of Adult Rheumatologists Regarding Family Planning Counseling and Care: A Qualitative Study

Perspectives of Adult Rheumatologists Regarding Family Planning Counseling and Care: A Qualitative Study

Reproductive Health Management for the Care of Women Veterans

Gebelik Öncesi Bakım Alma ve Gebeliklerin Planlı Olma Durumunun Folik Asit ve Sigara İle İlişkisi: Kesitsel Bir Araştırma

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