2 Health Promotion

Pre-conception / Inter-conception Care
Training Curriculum 2

2 Health Promotion

Factors that could change timing of or choice to conceive include:

Domestic violence

Birth spacing

Genetic disease

Disease with poor prognosis (e.g) AIDS)

Diseases dangerous to pregnancy (e.g. CHF)

Conflict between needed maternal care and fetal well-being

Barriers to Preconception Care Include the Following:

Unintended pregnancy - Incidence if unplanned pregnancy is 49%

Usual entry into prenatal care in the 3rd month after LMP

Planned pregnancies are seldom planned with a health care provider

Unpreparedness of health care providers

Ignorance about the importance of good health habits prior to conception

Limited access to health services

Role of Providers in Preconception Health Care

Every provider of health care services, should provide preconception information and counseling to women of child-bearing age, and should take advantage of opportunities to recruit women into preconception care. These include advising:

  • Patients with a negative pregnancy test about preconception care
  • Patients having evaluation of irregular menses about preconception
  • All sexually active women of child-bearing age to be available for preconception care.
  • Creating public awareness by stimulating consumer demand for preconception and inter-conception care. (Recommendations from Perinatal Guidelines, Georgia 1999)

When should Pre-conception care be offered

Since so few pregnancies are planned, preconception care issues must be addressed at all encounters with reproductive aged individuals, and should be offered:

  • As part of a routine health maintenance care
  • At a defined preconception visit
  • To women with chronic illness