Family planning and preconception consultation

<b>Family planning and preconception consultation<br> </b><br> E.I. Borovkova<br> <br> Pirogov Russian National Research Medical University, Moscow, Russian Federation<br> <br> The improvement of population health and demographic indicators, in p...

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Bibliographic Details
Main Author: Borovkova E.I.
Format: Article
Language:Russian
Published: LCC «Medicine-Inform» 2019-07-01
Series:РМЖ. Мать и дитя
Online Access:http://wchjournal.com/upload/iblock/0b7/0b79c5be2f160084b970234be102b170.pdf
Description
Summary:<b>Family planning and preconception consultation<br> </b><br> E.I. Borovkova<br> <br> Pirogov Russian National Research Medical University, Moscow, Russian Federation<br> <br> The improvement of population health and demographic indicators, in particular, active support of family, maternity, and childhood are of great importance. To achieve positive growth rate, all links of obstetrics (from out-patient consultative departments to perinatal centers) should be reorganized. In addition, women’s health should be improved. The aims of preconception consultation are to determine reproductive life plans, to avoid unplanned pregnancy, and to provide adequate prepregnancy preparation.<br> Currently, indications for using hormonal contraceptives are very broad. Contraceptive effect of these medications is based on their central action, i.e., they suppress gonadotropin production. Therapeutic effect of combined oral contraceptives is mediated by the peripheral action of gestagenic component. Personalized approach to the prescription of combined oral contraceptives is determined by their benefits and potential adverse reactions. Adequate choice of combined contraceptives considering their potential effects minimizes the risk of adverse reactions and provides safe contraception and, if necessary, therapeutic effect. Currently, combined oral contraceptives containing levonorgestrel and ethinyl estradiol are available.<br> <br> <b>Keywords</b>: preconception consultation, prepregnancy preparation, family planning, combined oral contraceptives, levonorgestrel, ethinyl estradiol.<br> <b>For citation:</b> Borovkova E.I. Family planning and preconception consultation. Russian Journal of Woman and Child Health. 2019;2(2):131–134.<br>
ISSN:2618-8430
2686-7184