Please enable JavaScript.
Coggle requires JavaScript to display documents.
Pre-conception care (Pre-conception Care is.. (Related to (prenatal care,…
Pre-conception care
Pre-conception Care is..
disadvantages
none
concern & anxiety
Medicalizing more than need
more time than need
advantages
prevent complications
to mother
to baby
to improve mental & physical heath
source of information
USPSTF
NICE
AAFP
general knowledge
no institude guidelines
experiance
components
What
Assessment
Psycho
depression screening
readiness to conceive
ICE (hidden agenda)
Social
smoking
Bio
high risk patients
diabetes
hypertension
dyslipidemia
epilepsy
family hx
weight
high BMI
low BMI
medication hx
oral health
sleep hygiene
past ob/gyn hx
counselling
Family planning
desire to concive
contraception
Nutrition
Excercise
medication use
safety netting
prevention
genetic screening
thalasemia
sickle cell disease
investigations
Anemia
vitamin d deficiency
screen for chronic ones
prescription
folic acid
immunization status & vaccination
HBV
tetanus
Rubella
toxoplasmosis
Support patient
for whom
family
female only
couples
When
reporoductive age
Related to
prenatal care
premarital care
family medicine
preventive care
postpartum care
Interconception care
we might add..
early US if suspect PCOS
hgb electrophoresis according to region patient came from
Influnces
Barriers
Patient factors
not motivated/ not interested
not aware
in hurry
spouse not willing to wait
child presence during consultation
hesitant
not willing
not encouraged by parent
Institute related
lack of chronic diseases medications
no recommendation
lack of investigation
delyaed results of investigation
lost specimen
busy clinics
complicated system in capital cities
difficult referring system
inflexability in prescriptions
physicians factors
lack of knowledge
mulifacatorial
loss of documention
patient forgot his file number
physicians aren't documenting enough
Lack of staff/personnel
gender barrier
Facilitators/overcome barriers
institute related
provide lecture room
sponsor/ support education activities
investigation/facilites avaliability
enough experianced staff
clear recommendation to follow
pre-conception care clinic
runs by
FM
nurses
for counselling
GPs
use appointment system/decrease walk in visits
to allow spending more time w/ patient
e-medical record
integrated if married patient
patients related
rise community awareness
national program
Social media network
media e.g. TV
monitors in primary centers
schools/universities visits
instant messaging app
visit as couple
phyiscians related
giving the patient a copy of medical paper based file summerzing intervention
screen for desire to concive
if yes, refer to pre-conception care clinic
building a rapport
using checklists
education for phyiscian
lectures
conferances
workshops
source for reading
physicians as patients
male physicians
will ask thier wives to seek care
won't seek pre-conception except if..
have seek pre-conception care
female phyicians
never seek pre-conception
will visit physician if she plan to conceive
have seek pre-conception care
Encounters
role of whom
FM
GPs
obgyn
midwives
nurses
health educators
psychatrists
over other specialty
dermatologists
internal medicine
Experiance
in SA
who are the care seekers
young patients
before 1st child
patient with chronic disease
patients' attiude
motivated & interested
not movitated & careless
setting
big cities health centers effect
better care
1st application of new systems
fast care
patients with fewer complication
low resources and bad health care systems
low patient trust
practice depends on
physician experiance
avaliability of electronic medical records
avaliability recommended guideline/checklist by institute
patients load on clinic
out SA
care seekers
patient with chronic disease
patients' attiude
they care more
setting
no such a care if healthy
no previous experiance
common presentations
another complaint
opportunistic care
to remove IUD
presence of chronic disease
commonest presentation in private sector
infertility
premarital care
do we provide pre-conception care?
no
rarely
yes, but not focused
Satisfaction
not happy
satisfied