Pregnancy planning, prevention, and risk evaluation clinics: rethinking the traditional preconception consult.

Autor: Dahl CM; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT (Drs Dahl and Heuser). Electronic address: Carly.dahl@hsc.utah.edu., Fay KE; Division of Family Planning, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA (Drs Fay and Wright)., Wright S; Division of Family Planning, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA (Drs Fay and Wright)., Heuser C; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT (Drs Dahl and Heuser); Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Intermountain Medical Center, Salt Lake City, UT (Dr Heuser).
Jazyk: angličtina
Zdroj: American journal of obstetrics & gynecology MFM [Am J Obstet Gynecol MFM] 2024 Jun; Vol. 6 (6), pp. 101376. Date of Electronic Publication: 2024 Apr 12.
DOI: 10.1016/j.ajogmf.2024.101376
Abstrakt: The preconception consultation has traditionally centered pregnancy as desired and preordained. Separating preconception and contraceptive visits burdens patients and further fragments reproductive healthcare. We argue that the creation of a combined preconception and complex contraception clinic for individuals with significant medical and obstetrical comorbidities is one approach to promoting reproductive autonomy. Pregnancy planning, prevention, and risk evaluation clinics are designed to review pregnancy-related risks in the setting of patients' medical and obstetrical comorbidities, recommend strategies to reduce risks, and, if desired, provide contraceptive methods. Consultations for pregnancy risk evaluation and pregnancy prevention should not be considered mutually exclusive. Combining these visits is crucial for obstetrically and/or medically complex patients. Rethinking the traditional preconception consultation is a change in healthcare delivery that centers comprehensive reproductive healthcare.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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