tailieunhanh - Preconception Care: A guide for optimizing pregnancy outcomes

Employment can be an important way to empower women, especially when women can control their own money and resources. Women are more likely than men to have physically demanding work, which can have negative efects on their health. he vast majority of women (78 percent) work in agriculture. he next most common line of work for women is unskilled manual labour. Even the wealthiest wom- - en are more likely to work in unskilled manual la- - bour (32 percent) and agriculture (23 percent) than in other occupations. Agriculture is also the most common occupation for men (71 percent). Men, however, are. | cỵ AMER c STATE OF NEW YORK DEPARTMENT OF HEALTH 2 08 Preconception Care A guide for optimizing pregnancy outcomes The American College of Obstetricians and Gynecologists District n NY The American College of Obstetricians and Gynecologists recommend that all health encounters during a woman s reproductive years particularly those that are a part of preconception care should include counseling on appropriate health behaviors to optimize pregnancy outcomes and prevent maternal mortality. CHECKUST OF PRECONCEPTION CARE TOPICS Education o Smoking alcohol abuse and other drug use o Folic acid supplementation 400 mcg daily as a standard of care Counseling o Sexually transmitted infections including HIV o Family planning and pregnancy spacing o Healthy body weight and diet o Importance of oral health o Increased risk of hepatitis c in those with tattoos and or body piercings o Lead and other environmental and or occupational exposures o Genetic disorders including cystic fibrosis and sickle cell genotypes Assessment o Physical assessment including physical examination and medical and family history o Carrier screening racial ethnic background family history o Immunization record including rubella hepatitis B and varicella o Complications with past pregnancies postpartum hemorrhage thrombotic event preeclampsia eclampsia PIH gestational diabetes Rh incompatibility etc. o Identification and assistance for victims of domestic violence o Psychosocial screening for parent readiness TABLE OF CONTENTS A. Behavioral_4 1. Alcohol 2. Domestic 3. Drug Abuse__4 4. Folic Acid__4 5. Over-the-Counter Medications .4 6. Prior Pregnancy 7. Psychosocial Concerns------5 8. Smoking__5 B. Chronic Diseases-------------5 1. 2. 3. Heart Disease_ 6 4. 5. 6. Oral Health----------------6 c. Genetics7 1. Cystic 2. .

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