planned parenthood; preconception planning; preconception risk assessment
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Introduction
While Planned Parenthood is the name of an organization that provides a variety of women's health services[2], the term is used here literally, that is planning of parenthood, including preconception planning & preconception risk assessment.
Assessment:
- desire for pregnancy
- number & timing of pregnancies
- understanding of reproductive fitness
- exposures to environmental hazzards & toxins
- nutrition
- folic acid (+)
- mercury-containing fish (-)
- family history (genetic disease)
- substance abuse - alcohol, tobacco, illicit drugs
- medical history
- obstetric history
- medications
- over the counter medications
- prescription medications
- potential teratogens*
- immunizations
- psychosocial stress
- depression
- interpersonal or family stress
- risk for domestic violence
* teratogens commonly prescribed by internists
- ACE inhibitors
- androgens & testosterone analogs
- carbamazepine
- folate antagonists
- lithium carbonate & other lithium saltss
- phenytoin
- primodone
- statins
- tetracyclines, including doxcylcine
- valproic acid
- vitamin A analogs - isotretinoin, retinoids, etretinate
- warfarin
Laboratory
- carrier screening for
- complete blood count to quantify the risks for thalassemias & hemoglobinopathies[4]
- consider screening for
Notes
- also see prenatal care
- in 2017 Republicans in congress planned to ban Planned Parenthood from access to Medicaid reimbursements & federal family-planning funds
- the Republican plan would prohibit Planned Parenthood from billing the federal government for contraception & other reproductive health care services, tests for STDs, & primary care[3]
More general terms
Additional terms
References
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 17, 18. American College of Physicians, Philadelphia 2015, 2018.
- ↑ 2.0 2.1 Callegari LS, Ma EW, Schwarz EB. Preconception care and reproductive planning in primary care. Med Clin North Am. 2015 May;99(3):663-82. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/25841606
- ↑ 3.0 3.1 Ciccariello C Defunding Planned Parenthood - The Stakes for America's Women. JAMA Internal Medicine. Feb 3, 2017 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28158330 <Internet> http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2600545
- ↑ 4.0 4.1 4.2 American Congress of Obstetrics & Gynecologists Carrier Screening in the Age of Genomic Medicine. Committee Opinion Number 690, March 2017 http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Genetics/Carrier-Screening-in-the-Age-of-Genomic-Medicine
American Congress of Obstetrics & Gynecologists Carrier Screening for Genetic Conditions. Committee Opinion Number 691, March 2017 http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Genetics/Carrier-Screening-for-Genetic-Conditions - ↑ Planned Parenthood https://www.plannedparenthood.org