It is defined as a ‘set of interventions that aims to identify & modify biomedical behavioral & social risks to a woman’s health or pregnancy outcome through prevention & management’.
Objective is to ensure that a woman enters pregnancy with an optimal state of health, which would be safe to herself & her foetus.
Preconceptional Visit, Risk Assessment & Education
- Identification of high risk factors by history, physical examination including BP & laboratory tests
- Rubella & Hepatitis immunization in non-immune woman
- Folic acid supplementation(4mg/d) for 4 weeks to decrease incidence of neural tube defects
- Problems of underweight, overweight, anemia; abnormal Pap test are evaluated for treatment
- Pre-existing chronic diseases (hypertension, diabetes, epilepsy) are stabilized before intervention
- Drugs should be changed to avoid any adverse effects on foetus.
- Couples with recurrent pregnancy loss or family history of congenital disease should undergo genetic testing
- Counseled for fear of pregnancy