PRECONCEPTION CARE The following family planning visits require that preconception health care be routinely provided: Initial family planning examination visit Annual family planning examination visit Initial preventive health examination if of childbearing age without a permanent women’s method of contraception (hysterectomy or tubal ligation) Pregnancy test visit (only if negative test results) Preconception interventions may include the following: A dialogue regarding the reproductive life plan and readiness and desire a for patient’s pregnancy An evaluation of her overall health and opportunities to improve her health Education about the significant impact that social, environmental, occupational, behavioral, and genetic factors may have on a future pregnancy Identification of women at high risk for an adverse pregnancy outcome with appropriate referrals to a health care professional Assessment and counseling should be provided only by a qualified provider who has training in risk identification with the ability to provide appropriate counseling and referrals. Assessment/counseling/referrals of pregnancy related risk factors include: Advanced maternal age (pregnancy at or over the age of 35)––poses a higher risk of chromosomal abnormalities in the fetus and medical problems to the mother during pregnancy Ethnic backgrounds––a family history that is positive for certain diseases may indicate the need for additional screening treatment decreases the risk of transmission to the fetus and preterm delivery STD’s––early Vaccination history (Refer to Immunizations Section) Chronic disease (hypertension, diabetes, obesity, epilepsy, DVT, depression) Alcohol, Tobacco, Other Drugs (ATOD) Domestic violence Exercise Nutrition References: FOLIC ACID SUPPLEMENTATION ALL female patients of childbearing age who have not had a hysterectomy or tubal ligation should be offered one three month supply of a multivitamin containing 0.4 mg folic acid free of charge and should
PRECONCEPTION CARE The following family planning visits require that preconception health care be routinely provided: Initial family planning examination visit Annual family planning examination visit Initial women’s preventive health examination if of childbearing age without a permanent method of contraception (hysterectomy or tubal ligation) Pregnancy test visit (only if negative test results) Preconception interventions may include the following: A dialogue regarding the patient’s reproductive life plan and readiness and desire a for pregnancy An evaluation of her overall health and opportunities to improve her health Education about the significant impact that social, environmental, occupational, behavioral, and genetic factors may have on a future pregnancy Identification of women at high risk for an adverse pregnancy outcome with appropriate referrals to a health care professional Assessment and counseling should be provided only by a qualified provider who has training in risk identification with the ability to provide appropriate counseling and referrals. Assessment/counseling/referrals of pregnancy related risk factors include: Advanced maternal age (pregnancy at or over the age of 35)––poses a higher risk of chromosomal abnormalities in the fetus and medical problems to the mother during pregnancy Ethnic backgrounds––a family history that is positive for certain diseases may indicate the need for additional screening STD’s––early treatment decreases the risk of transmission to the fetus and preterm delivery Vaccination history (Refer to Immunizations Section) Chronic disease (hypertension, diabetes, obesity, epilepsy, DVT, depression) Alcohol, Tobacco, Other Drugs (ATOD) Domestic violence Exercise Nutrition References: FOLIC ACID SUPPLEMENTATION ALL female patients of childbearing age who have not had a hysterectomy or tubal ligation should be offered one three month supply of a multivitamin containing 0.4 mg folic acid free of charge and should
FamilyPlanningCCSGFY2018.docx