Substance Use, Preconception Care for Men, Defintion of Prenatal Care

Substance Use and Preconception care

Patient education must be directed to the:

  • The effects of substance on the fetus
  • Screening for substance use and abuse
  • Referrals to a treatment program
  • Pregnancy may be a strong motivator for change

Preconception Care as it Relates to Alcohol Intake in Pregnancy
Patient must be counseled that:

  • Fetal Alcohol Syndrome is the leading cause of preventable mental retardation
  • No level of alcohol consumption is considered safe
  • To abstain when attempting to conceive and during pregnancy
  • Assessment for problem drinking will be conducted with a standardized screening tool

Preconception care as it Relates to Tobacco Use
Patient must be counseled that:

  • Smoking is the leading preventable cause of low birth-weight- for every 10 cigarettes smoked daily, the risk of delivering an SGA infant increases by a factor of 1.5
  • Smoking is associated with placental abruption, pre-term delivery, placenta previa, miscarriage
  • Smoking cessation results in increased birth weight
  • Exposure to environmental smoke in the household is associated with SIDS, childhood respiratory illness, asthma and otitis media

Preconception Care for Men must include counseling regarding the following:

  • Alcohol - may be associated with physical and emotional abuse, as may decrease fertility
  • Genetic counseling - Sickle Cell trait/disease
  • Sexually transmitted diseases - syphilis, herpes, HIV, gonorrhea
  • Preparedness for parenthood - psychological, financial, life plans for education, career

Inter-conceptional Care -Prenatal Care

Definition of Prenatal Care

Regularly scheduled obstetric care beginning in early pregnancy and continuing through post-partum. Prenatal care involves the management of medical, nutritional. Psycho-social, and educational needs of the patient and her family. This is reevaluated at regular intervals, and revised in accordance with the progress of the pregnancy.