Preconception management of chronic diseases

Preconception counseling and evaluation are particularly important for women with chronic diseases. Women with diabetes and phenylketonuria should have their diseases under excellent control before conception to prevent miscarriage or birth defects. Counseling of women with asthma, epilepsy, hyperte...

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Bibliographic Details
Published inJournal of the South Carolina Medical Association Vol. 98; no. 6; p. 270
Main Authors Grubbs, Scott, Brundage, Stephanie C
Format Journal Article
LanguageEnglish
Published United States 01.10.2002
Subjects
Chronic Disease
Counseling
Female
Humans
Preconception Care
Pregnancy
Pregnancy Complications - prevention & control
Pregnancy Outcome
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Summary:Preconception counseling and evaluation are particularly important for women with chronic diseases. Women with diabetes and phenylketonuria should have their diseases under excellent control before conception to prevent miscarriage or birth defects. Counseling of women with asthma, epilepsy, hypertension, and depression can clarify concerns about possible adverse effects on the fetus of the medications used to treat their conditions. Women with a history of venous thrombosis should be assessed for prophylactic treatment during pregnancy, and this is best done before conception. Women with autoimmune diseases, cardiac disease, and renal disease should be assessed for severity of disease and advised of the risks of pregnancy.
ISSN:0038-3139