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The negative pregnancy test. An opportunity for preconception care
B W Jack1, C Campanile, W McQuade
1Department of Family Medicine, Brown University School of Medicine, Providence, RI, USA.
Archives of Family Medicine
|April 1, 1995
Summary
A study found most women visiting for a negative pregnancy test have risks impacting pregnancy. This highlights the need for preconception care and risk assessment during routine visits.
Area of Science:
- Obstetrics and Gynecology
- Preventive Medicine
- Public Health
Background:
- Preconception care is crucial for optimizing maternal and infant health outcomes.
- Identifying women at risk before pregnancy allows for timely interventions.
- Routine healthcare visits present opportunities for assessing reproductive health risks.
Purpose of the Study:
- To identify women who would benefit from preconception care.
- To assess the prevalence of various risk factors among women presenting for pregnancy tests.
Main Methods:
- A comprehensive preconception risk survey was administered to 136 women during structured interviews.
- The survey included self-reported medical, reproductive, genetic, infectious disease, substance use, and psychosocial risk factors.
- Data were collected during visits for negative pregnancy tests in a family practice setting.
Main Results:
- Over half of the women (51.5%) reported medical or reproductive risks.
- Significant percentages reported genetic risks (50%), human immunodeficiency virus (HIV) risk (28.7%), and need for hepatitis B vaccination (25.7%).
- A high prevalence of psychosocial risks (92.6%) and cigarette smoking (58.5%) was observed; 94% had at least one risk factor even without psychosocial considerations.
Conclusions:
- A substantial number of women possess obstetric risk factors.
- Negative pregnancy test visits are opportune moments for preconception risk assessment and counseling.
- Findings will inform the development of practical preconception care protocols.
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