Preconception Care Presentation Slides

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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• *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





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• 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%





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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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