Preconception Issues for Well Women

Pre-conception / Inter-conception Care
Training Curriculum 2

Preconception Issues for Well Women

Family Planning

A short pregnancy interval may be associated with birth of an SGA infant in a subsequent pregnancy, (Lieberman 1989, Zhu 1999; and preterm birth in a subsequent pregnancy (Basso1998, Zhu 1999) Family Planning and pregnancy spacing assessment should include the following:

  • Family history
  • History of depression and the potential for PP depression
  • Maternal health risk
  • Genetic History (both maternal and paternal)
  • Medical, surgical, pulmonary and neurologic history

Current medication (prescriptions and nonprescription);

Social history, including alcohol, tobacco, and illicit drug use

Domestic abuse and violence

Physical and emotional stress

Nutritional status

Environmental and occupational exposures

Immunity and immunization status

Risk factors for sexually transmitted diseases

Obstetric history

Potential fetal health risks

Gynecologic history

General physical examination

Common Conditions Amenable to Preconception Care include, but not limited to:



Seizure disorder

Sickle Cell Trait /Disease

Thyroid disorder

Thrombo-embolic disease

Hemoglobin disorders


Repetitive pregnancy losses

Eating disorders

Alcohol, tobacco and other drug use and abuse

Domestic violence

Poor nutrition

Common Illnesses Amenable to Preconception Care Include:



Renal conditions

Rheumatic heart disease

Substance abuse

Thyroid abnormalities

Chronic hepatitis

HIV infection