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[Preventive activities in women. PAPPS update 2022]
Alberto López García-Franco1, José Antonio Baeyens Fernández2, M José Iglesias Piñeiro3
1Medicina Familiar y Comunitaria, Centro de Salud Dr. Mendiguchía Carriche, Leganés, Madrid, España.
This 2022 update provides guidance on preventive women's health activities, including contraception, preconception care, and menopause management. It emphasizes opportunistic screening for arterial hypertension and risk-based osteoporosis screening for women over 60.
Area of Science:
- Preventive medicine
- Women's health
- Primary care
Context:
- The 2022 update of the Spanish Association of Primary Care Pediatrics (PAPPS) guidelines addresses key preventive activities for women's health.
- Excludes cancer prevention and gender morbidity aspects, focusing on actionable primary care interventions.
Purpose:
- To provide evidence-based recommendations for family doctors on contraception, preconception care, pregnancy monitoring, and menopause management.
- To guide the screening and prevention of arterial hypertension and osteoporosis in women.
Summary:
- Recommends comprehensive counseling on contraceptive methods and emergency contraception, with opportunistic screening for arterial hypertension.
- Advocates for thorough preconception consultations, including folic acid supplementation and risk assessment, and emphasizes lifestyle promotion during pregnancy.
- Suggests osteoporosis prevention and treatment based on fracture risk assessment using tools like FRAX, recommending densitometry for women over 60 or those with high risk, and linking treatment to Z-scores.
Impact:
- Aims to improve the quality of preventive care for women in primary care settings.
- Empowers healthcare providers with updated guidelines for managing critical aspects of women's reproductive and long-term health.
- Contributes to better health outcomes by promoting timely interventions and informed decision-making regarding contraception and bone health.
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