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Published on: January 12, 2018
Promoting preconception health in primary care
Laura Fuehrer1, Elizabeth Buckler, Elizabeth Bowman
1Laura Fuehrer practices otolaryngology at Paparella Ear, Head & Neck Institute in Minneapolis, Minn. Elizabeth Buckler practices internal medicine at Novant Health Thomasville Medical Associates in Thomasville, N.C. Elizabeth Bowman practices primary care at Hartford HealthCare Medical Group in West Hartford, Conn. At Wake Forest School of Medicine's PA program in Winston-Salem, N.C., Tanya Gregory and Janie McDaniel are assistant professors. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Preconception care for all women of reproductive age should be integrated into primary care. This approach helps women improve their health and pregnancy outcomes by addressing potential risks before conception.
Area of Science:
- Women's Health
- Preventive Medicine
- Primary Care
Background:
- Since 1990, recommendations exist for integrating preconception care into primary care visits for women of reproductive age.
- Proactive health management before pregnancy is crucial for maternal and infant well-being.
Purpose of the Study:
- To emphasize the importance of preconception counseling within primary care settings.
- To highlight the role of primary care Physician Assistants (PAs) in optimizing women's health for pregnancy.
Main Methods:
- Review of existing recommendations and clinical practice guidelines.
- Conceptual framework for integrating preconception care into routine primary care for all premenopausal women.
Main Results:
- Primary care PAs can identify and address health issues in premenopausal women before conception.
- Routine screening and counseling can significantly improve health status and prepare women for pregnancy.
Conclusions:
- Integrating preconception care into primary care is a vital strategy for improving women's health outcomes.
- Viewing every premenopausal woman as a potential mother allows for targeted interventions that enhance both maternal health and pregnancy success.
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