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8/18/2019 Preconception Care Presentation Slides
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World Health Organization
Preconception care:Maximizing the
gains for maternaland child health
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Facts
• 4 out of 10 women reportthat their pregnanciesare unplanned
• Perinatal deaths are 50%higher among babiesborn to adolescentmothers
• Up to 10% ofpregnancies among
women with untreatedgonococcal infectionsresult in perinatal death
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Facts
• Maternal undernutritionand iron-deciencyanemia account for atleast 0% of maternal
mortality
• !emale genitalmutilation increases the
ris" of neonatal deathby 15% - 55%
• #n the absence of
inter$entions rates of' transmission from
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Life course – when tointervene
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What is preconception care
What is its aim
Preconception care is thepro$ision of biomedicalbeha$ioral and social healthinter$entions to women andcouples before conception
occurs(
• )ims at impro$ing healthstatus and reducing beha$iors
and indi$idual anden$ironmental factors thatcould contribute to poormaternal and child healthoutcomes(
• #ts ultimate aim is impro$edmaternal and child health
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Preconception care has a positivee!ecton a range of health outcomes:
diarrhoea
mental
retardation
congenital and neonatalinfections
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WHO has developed a pac"age ofpreconception care interventions
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#reas addressed $% the pac"age
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&vidence'$ased interventions:(elected examples
Areas addressed by the
preconception carepackage
Evidence-based interventions
• *creening for anemia• *upplementing iron and folic acid
• #nformation education andcounselling• Monitoring nutritional status• *upplementing energy- and
nutrient-dense food
•*creening for diabetes mellitus
• Management of diabetes mellitus• +ounselling people with diabetes
mellitus
• Monitoring blood glucose ,also inpregnancy
• Promoting e.ercise•
)utritionalconditions
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&vidence'$ased interventions:(elected examples
• *creening for anemia• a"ing a thorough family
history• !amily planning• enetic counselling• +arrier screening and testing• )ppropriate treatment
• Pro$iding community-basededucation
• +ommunity-wide or nationalscreening among populationsat high ris"
• Population-wide screening
*eneticconditions
Areas addressed by the
preconception carepackage
Evidence-based interventions
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&vidence'$ased interventions:(elected examples
• 2eeping girls in school• #n3uencing cultural norms that support early
marriage and coerced se.
• +reating $isible high-le$el support forpregnancy pre$ention programmes
• ducating girls and boys about se.ualityreproducti$e health and contracepti$e use
• uilding community support for pre$entingearly pregnancy and for contracepti$e pro$isionto adolescents
• nabling adolescents to obtain contracepti$eser$ices
• mpowering girls to resist coerced se.• ngaging men and boys to critically assess
norms and practices regarding gender-based$iolence and coerced se.
• ducating women and couples about thedangers to the baby and mother of short birth
+oo'earl%,unwanted
and rapidsuccessivepregnanc%
Areas addressed by the
preconception carepackage
Evidence-based interventions
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# (trateg% for -ountr%#ction
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(uccessful preconceptioncare initiatives
• here is growinge.perience in
implementingpreconception careinitiati$es6
• in high-income countriessuch as #taly the7etherlands and theUnited *tates
• - -
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.amples of successful preconception care initiati$es are a$ailable to informpolicy ma"ers
here is growing e.perience in implementing preconception care initiati$esboth in high-income countries such as #taly the 7etherlands and the United*tates and in low- and middle-income countries such as angladesh thePhilippines and *ri 8an"a
www.who.int
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