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Chapter 9 - Medical care and pregnancy: common preconception and antepartum issues

from Section 2 - Sexuality

Published online by Cambridge University Press:  26 December 2009

By
Ellen L. Sakornbut
Edited by
Jo Ann Rosenfeld
Jo Ann Rosenfeld
Affiliation:
The Johns Hopkins University School of Medicine
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Summary

Incorporating preconception care into primary care of young women enhances the preventive aspects of care and may improve pregnancy outcomes. The preconception approach to medical care includes optimization of chronic health problems and risks that may impact negatively on pregnancy. Specific preconception issues regarding common chronic disorders are addressed along with antepartum medical care in this chapter. Preconception care of type I diabetic women results in earlier prenatal care, lower glycosylated hemoglobin levels, fewer antepartum hospitalizations and fewer hospital days, and decreased intensity and length of stay for newborns. Perinatal consultation may be helpful as a preconception event in a number of high risk medical conditions and in women with an unexplained history of poor reproductive outcomes. A growing list of metabolic problems and hematological disorders are associated with preeclampsia, growth retardation, abruption, and other complications in late pregnancy.

Keywords

dairy productsdiabetesmenopausal womenosteoporosisvitaminprotein intakeobesitynutritional resources
Type
Chapter
Information
Handbook of Women's Health , pp. 109 - 128
Publisher: Cambridge University Press
Print publication year: 2009

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