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Preconception Counseling: Identifying Ways to Improve Services.

Khyla Burrows1, Jeanelle Sheeder2, Virginia Lijewski3

  • 1Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado.

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Summary
This summary is machine-generated.

Preconception services at University of Colorado MFM addressed various maternal conditions, with most patients cleared for conception. Standardization of these services can improve patient care and outcomes.

Keywords:
MFMconceptionmaternal-fetal medicinepreconception counselingprenatal

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Area of Science:

  • Reproductive Medicine
  • Maternal-Fetal Medicine
  • Obstetrics

Background:

  • Preconception counseling is crucial for optimizing maternal health before pregnancy.
  • Identifying specific maternal conditions and demographic factors influencing counseling is essential.
  • Standardization of preconception services can enhance patient care and outcomes.

Purpose of the Study:

  • To evaluate maternal conditions and services provided through preconception care at a Maternal Fetal Medicine (MFM) group.
  • To determine variations in services and recommendations based on maternal condition, demographics, and reproductive history.
  • To identify areas for standardization in preconception counseling.

Main Methods:

  • Retrospective chart review of patients receiving preconception counseling in 2018.
  • Categorization of patients by referral reason (maternal disease, infertility, obstetric history, age, gynecologic abnormalities).
  • Analysis of counseling recommendations: proceed with conception, defer conception, or do not conceive.

Main Results:

  • Referral reasons included maternal disease (52%), infertility (40%), poor obstetric outcomes (32%), advanced maternal age (30%), and gynecologic abnormalities (15%).
  • 58% of patients were cleared for immediate conception.
  • 7% of patients were advised not to conceive.

Conclusions:

  • Significant variation exists in reasons for preconception referrals and counseling outcomes.
  • Standardizing preconception counseling services and recommendations is needed.
  • Improved standardization can ensure equitable and effective patient care.