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Prepregnancy counselling: experience from 1,075 cases.

M Cox¹, M J Whittle, A Byrne

¹University Department of Midwifery, Queen Mother's Hospital, Yorkhill, Glasgow, UK.

British Journal of Obstetrics and Gynaecology

|November 1, 1992

Summary

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Prepregnancy counseling clinic assessments are important for identifying maternal and fetal risks, potentially improving outcomes in specific groups. Accurate risk assessment is key for better pregnancy results.

Area of Science:

Reproductive Medicine
Maternal-Fetal Medicine
Clinical Obstetrics

Background:

Prepregnancy counseling aims to optimize maternal health before conception.
Identifying and managing risks can improve pregnancy outcomes.

Purpose of the Study:

To evaluate the effectiveness of a prepregnancy counseling clinic.
Assessing investigations, counseling, treatment, and pregnancy outcomes.

Main Methods:

Retrospective review of 1,075 couples over nine years.
Analysis of referral categories, diagnostic test utility, and pregnancy outcomes.
Tertiary referral center for fetal medicine.

Main Results:

Referral reasons: previous miscarriage (44.4%), chronic maternal disease (22.3%), fetal abnormality (19.6%).

Related Experiment Videos

Routine investigations yielded low abnormality rates (1%); targeted investigations were more effective (12%).

Pregnancy outcomes improved in the chronic maternal disease group but not in miscarriage or fetal abnormality groups.

Conclusions:

Prepregnancy counseling's overall value requires further proof.
Accurate assessment of maternal health and past issues is crucial for determining risks.
Improved outcomes observed in selected groups highlight the importance of tailored risk assessment and continuity of care.