The preconceptional period as an opportunity for prediction and prevention of noncommunicable disease

Preconceptional care is a set of interventions, aimed to identify and modify medical, behavioral, and social risks to a woman's health and her pregnancy outcome, prior to conception. Diagnosing and treating some of the common noncommunicable diseases (NCDs) may have an impact on pregnancy outco...

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Bibliographic Details
Published in:Best practice & research. Clinical obstetrics & gynaecology 2015-01, Vol.29 (1), p.54-62
Main Authors: Hadar, Eran, MD, Ashwal, Eran, MD, Hod, Moshe, MD
Format: Article
Language:English
Subjects:
Chronic Disease
diabetes
Diabetes Mellitus - diagnosis
Diabetes Mellitus - etiology
Diabetes Mellitus - prevention & control
Female
Fetal Development
Humans
Hypertension - diagnosis
Hypertension - etiology
Hypertension - prevention & control
non-communicable disease
obesity
Obesity - diagnosis
Obesity - etiology
Obesity - prevention & control
Obstetrics and Gynecology
Preconception Care - methods
preconceptional care
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - etiology
Pregnancy Complications - prevention & control
Pregnancy Outcome
Prenatal Exposure Delayed Effects - diagnosis
Prenatal Exposure Delayed Effects - etiology
Prenatal Exposure Delayed Effects - prevention & control
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Summary:Preconceptional care is a set of interventions, aimed to identify and modify medical, behavioral, and social risks to a woman's health and her pregnancy outcome, prior to conception. Diagnosing and treating some of the common noncommunicable diseases (NCDs) may have an impact on pregnancy outcome. Ample time should be allowed to properly intervene in some of the following situations: hypertension, diabetes, obesity, systemic lupus erythematosus, thyroid disease, anemia, epilepsy, asthma, and cardiac disease. Diabetes mellitus and obesity are common NCDs, with proven efficacy for preconceptional care, for both maternal and perinatal outcome. These primary components of the metabolic syndrome, if properly treated prior to pregnancy, will prevent long-term hazards for the mother, her children, and the next generations, by providing in utero primary prevention of NCDs.
ISSN:1521-6934
1532-1932
DOI:10.1016/j.bpobgyn.2014.05.011