1. PRECONCEPTION COUNSELING

2. PRECONCEPTION COUNSELING
Is an essential part of primary preventive care
Should be a standard part of maternity care together with postpartum counseling and care
Obstacles :
- Unplanned pregnancies as a result of unmet
contraceptive need
- Lack of knowledge of the benefits for the
mother and child

3. BENEFITS OF PRECONCEPTION COUNSELING
Improve knowledge, attitude and behaviour towards improving preconception health
Provide preconception care
Reduce risk indicated by a previous adverse pregnancy outcome
Reduce adverse pregnancy and labour outcomes

4. COMPONENTS OF PRECONCEPTION COUNSELING
Questionnaire
- Age of woman and husband
- Gynecological and menstrual history
- Obstetric history(pregnancies, abortions,
labors, peurperiums)
- Previous STI , Surgeries
- Medical history hypertension, diabetes, renal

5. Questionnaire (cont.)
- Previous blood transfusion, vaccination - Life style: smoking, coffee, exercise, diet, teeth care - Domestic pets - Exposure to irradiation, lead, mercury - Previous birth defects (herself or family) - Previous and future contraceptive use

6. Components of preconception counseling
Examination:
- General
- Breast and nipples
- Abdominal
- Vaginal : infections etc.

7. Components of preconception counseling
Tests:
- Blood picture: anaemia, infections
- Urine albumin, sugar
- Genetic screening if needed