- Health of parents prior to conception establishes foundation for child's health throughout their life
- Goal of preconception care is to improve health stsus of women & men b/f conception & reduce behav. & indiv. &
envir. factors that could contribute to poor maternal & child health outcomes
- Assoc. w/ lower risk of other birth defects (e.x. cleft palate, CV & urinary anomalies, & some pediatric cancers)
- At least 3 moths prior to pregnancy
Healthy Body Weight
- Both low & high preconception BMI can neg. affect pregnancy outcomes
- Preconception period ideal time to achieve optimal weight
Mental Health
- Maternal depression & anxiety has adverse effects on outcomes like:
-- Premature birth
-- Birth weight
-- Breastfeeding initiation
-- Cognitive & emotional development of infants
Physical Activity
- Exercise contributes to overall health & decr. risk of chronic conditions
- Important for weight reduction & maintenance
- Pos. effect on mental health
Smoking
, Solution 2024/2025
Pepper
- Quitting smoking during preconception period can eliminate most neg. impacts on future pregnancies
- In addition to prov. benefits for woman
Immunizations
- Immunizations prior to pregnancy can prevent adverse pregnancy outcomes
- Prevent infections from being transmitted to fetus & prov. protection
Nutrition
Nutritional needs change in pregnancy & pre-existing pattern of healthy eating helps optimize maternal & fetal health
Environmental Hazards
- Person's envir. incl. home, community, workplace, & other places where exposure to potential chemical & physical
hazards may occur
- Health Impacts of preconception exposure to toxins are complex & difficult to verify
6 Functions of Placenta
- Respirator: Exchange O2 & CO2
- Excretory: Excrete waste products
- Endocrine: Secretes 4 hormones nec. to maintain pregnancy & support embryo/fetus
- Nutrition: Nutrients pass from mother's to fetal blood
- Storage: Carbs, proteins, Ca+, & Fe+ for ready access to meet fetal needs
- Barrier: Barrier from harmful substances
4 Hormones Secreted by Placenta
- Human chorionic gonadotropin (hCG)
- Estrogen
- Progesterone
- Human placental lactogen (hPL)
CHEAPTORCHES
- Infections in utero
- C: Chickenpox & shingles
- H: Hep. B, C, D, & E
- E: Enteroviruses (incl polio)
- A: AIDS
- P: Parvovirus B19 (aka 5th disease)
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