Preconception care: Challenge of the new millennium?

Schrander‐Stumpel, Connie

doi:10.1002/(sici)1096-8628(19990625)89:2<58::aid-ajmg2>3.0.co;2-t

Cited by 19 publications

(6 citation statements)

References 29 publications

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“…A pilot preconception clinic in Maastricht was developed as a forum in which women planning a pregnancy could address questions and concerns. Couples attending the clinic responded favorably to the program and indicated that they would not have asked their general practitioner such questions [ 35 ]. These findings are supported by the results of recent surveys of Dutch women in which more than 70% of the respondents reported an interest in preconception counseling when offered by their own general practitioner [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

Preconception Care in International Settings

Boulet

Parker

Atrash

2006

Matern Child Health J

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Objectives: This literature review briefly describes international programs, policies, and activities related to preconception care and resulting pregnancy outcomes. Methods: Electronic databases were searched and findings supplemented with secondary references cited in the original articles as well as textbook chapters, declarations, reports, and recommendations. Results: Forty-two articles, book chapters, declarations, and other published materials were reviewed. Policies, programs, and recommendations related to preconceptional health promotion exist worldwide and comprise a readily identifiable component of historic and modern initiatives pertaining to women's health, reproductive freedom, and child survival. Conclusions: The integration of preconception care services within a larger maternal and child health continuum of care is well aligned with a prevention-based approach to enhancing global health.

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Section: Resultsmentioning

confidence: 99%

Preconception Care in International Settings

Boulet

Parker

Atrash

2006

Matern Child Health J

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“…It has been recommended that physicians and other health-care professionals in other clinics caring for these patients should have an easy access to diagnostic consultations. 2,14 This could optimally happen so that the clinical geneticist comes to see the patient/family, gives diagnostic suggestions and helps the physician to find recent and reliable information on the disease. Whether or not the diagnosis can, according to this advice, be ascertained, the family should be offered the possibility of genetic counseling.…”

Section: Issuesmentioning

confidence: 99%

Provision of genetic services in Europe: current practices and issues

Godard

Kääriäinen²,

Kristoffersson

et al. 2003

Eur J Hum Genet

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This paper examines the professional and scientific views on the social, ethical and legal issues that impact on the provision of genetic services in Europe. Many aspects have been considered, such as the definition and the aims of genetic services, their organization, the quality assessment, public education, as well as the partnership with patients support groups and the multicultural aspects. The methods was primarily the analysis of professional guidelines, legal frameworks and other documents related to the organization of genetic services, mainly from Europe, but also from USA and international organizations. Then, the method was to examine the background data emerging from an updated report produced by the Concerted Action on Genetic Services in Europe, as well as the issues debated by 43 experts from 17 European countries invited to an international workshop organized by the European Society of Human Genetics Public and Professional Policy Committee in Helsinki, Finland, 8 and 9 September 2000. Some conclusions were identified from the ESHG workshop to arrive at outlines for optimal genetic services. Participants were concerned about equal accessibility and effectiveness of clinical genetic services, quality assessment of services, professional education, multidisciplinarity and division of tasks as well as networking. Within European countries, adherence to the organizational principles of prioritization, regionalization and integration into related health services would maximize equal accessibility and effectiveness of genetic actions. There is a need for harmonization of the rules involved in financial coverage of DNA tests in order to make these available to all Europeans. Clear guidelines for the best practice will ensure that the provision of genetic services develops in a way that is beneficial to its customers, be they health professionals or the public, especially since the coordination of clinical, laboratory and research perspectives within a single organizational structure permits a degree of coherence not often found in other specialties.

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“…Options available to couples before conception include adoption, surrogacy, use of donor sperm, pre-implantation genetic diagnosis after in-vitro fertilization, with transfer of unaffected embryos, and avoidance of pregnancy. Future technological advances will likely further broaden the choices available to couples 3, 4, 5, 6, 7…”

Section: All Individualsmentioning

confidence: 99%

The clinical content of preconception care: genetics and genomics

Solomon

Jack

Feero

2008

American Journal of Obstetrics and Gynecology

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The prevalence of paternal and maternal genetic conditions that affect pregnancy varies according to many factors, including parental age, medical history, and family history. While some genetic conditions that affect pregnancy are easily identified early in life, others are not and may require additional diagnostic testing. A complete three-generation family medical history that includes ethnicity information about both sides of the family is arguably the single best genetic “test” applicable to preconception care. Assessment of genetic risk by an experienced professional has been shown to improve the detection rate of identifiable risk factors. Learning about possible genetic issues in the pre-conception period is ideal, as knowledge permits patients to make informed reproductive decisions. Options available to couples before conception include adoption, surrogacy, use of donor sperm, in vitro fertilization after pre-implantation genetic diagnosis, and avoidance of pregnancy. Future technological advances will increase the choices available to couples.

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Preconception care: Challenge of the new millennium?

Cited by 19 publications

References 29 publications

Preconception Care in International Settings

Preconception Care in International Settings

Provision of genetic services in Europe: current practices and issues

The clinical content of preconception care: genetics and genomics

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