vendredi 1 novembre 2013

Pre- conceptual counseling

Pre- conceptual counseling

Recommended by the High Health Authority , the Syngof , National Union of Obstetricians and Gynecologists of France , and CNGOF , National French College of Gynaecologists and Obstetricians , pre conceptual consultation should be able to take place systematically from the decision to conceive a child . This consultation is routine in many countries, such as Great Britain , Scandinavia , Hungary and the United States . The disappearance of the prenuptial certificate mandatory for about 260,000 couples each year causes a lot of fear among professionals . In fact, this review was a genuine consultation screening and prevention.

The systematization of the pre- conceptual counseling would perform better prevention and replace the disappearance of the consultation which took place in the preparation of prenuptial certificate .
Advantages of this consultation

This consultation helps to identify risk factors that may hinder the success of a pregnancy. It includes:
Practice of a gynecological checkup :
Control of blood pressure ;
Weight control : It seems now established that the baby's weight is closely related to the weight of the mother as well as her pre-pregnancy BMI . It is therefore essential to convince women want to have a child to watch their weight and make a plan, if necessary, when making this decision.


Prescription of treatment with folic acid can decrease the risk of neural tube defects in the fetus.
In fact , a deficiency of folate or vitamin B9 may cause a failure of neural tube closure in the fetus.
Consider stopping smoking and alcohol
Contrindiqués identify drugs during pregnancy
Check immunization against toxoplasmosis , rubella , HIV
Consider vaccination against rubella if the mother is not protected
A blood group ... non-exhaustive list

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