Preconceptional care: opportunities and challenges

The aim of the study was to identify the opportunities required for straightening of preconceptional health and care, according to medical literature. Benefits and potential risks were mentioned. Some international experiences related to preconceptional care management were analyzed, by making refer...

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Main Authors: D. Shishcanu, A. Y. Marianian, C. Iliadi-Tulbure
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2018-05-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/586
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author D. Shishcanu
A. Y. Marianian
C. Iliadi-Tulbure
author_facet D. Shishcanu
A. Y. Marianian
C. Iliadi-Tulbure
author_sort D. Shishcanu
collection DOAJ
description The aim of the study was to identify the opportunities required for straightening of preconceptional health and care, according to medical literature. Benefits and potential risks were mentioned. Some international experiences related to preconceptional care management were analyzed, by making references especially to those from US, including the actions initiated by Centers for Disease Control and Prevention (CDC). In this article the WHO position is mentioned which develops a global consensus on preconceptional care to reduce maternal and childhood mortality and morbidity, proving a "menu of interventions" which lists the health problems, behavioral problems and risk factors in thirteen domains, evidence-based interventions to address them and mechanisms of delivering them. A special section is dedicated to some controversies in preconceptional care management, priority at the medical primary care. The WHO recommendations and the international experience represent a good support for health care systems from different countries to improve the access to the care before getting pregnant and overcoming inequalities. In this context, authors consider that the improving of preconceptional care in each country depends, first of all, on the wish of governors and health care providers. In conclusion, the hypothesis to review the family planning concept is suggested, considering that it has equally to include two main components - contraception and preconceptional care. It will provide real opportunities for people to achieve their reproductive life plan to have not only wanted, but also healthy children.
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spelling doaj.art-6106cfa2c5724aa5901604cfbfe7545f2024-03-28T07:49:20ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962018-05-0133697410.29413/ABS.2018-3.3.10586Preconceptional care: opportunities and challengesD. Shishcanu0A. Y. Marianian1C. Iliadi-Tulbure2Perinatological Center of Public Medical Institution “Municipal Clinical Hospital N 1”Scientific Centre for Family Health and Human Reproduction Problems; Irkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional EducationState University of Medicine and Pharmacy “Nicolae Testemitanu”The aim of the study was to identify the opportunities required for straightening of preconceptional health and care, according to medical literature. Benefits and potential risks were mentioned. Some international experiences related to preconceptional care management were analyzed, by making references especially to those from US, including the actions initiated by Centers for Disease Control and Prevention (CDC). In this article the WHO position is mentioned which develops a global consensus on preconceptional care to reduce maternal and childhood mortality and morbidity, proving a "menu of interventions" which lists the health problems, behavioral problems and risk factors in thirteen domains, evidence-based interventions to address them and mechanisms of delivering them. A special section is dedicated to some controversies in preconceptional care management, priority at the medical primary care. The WHO recommendations and the international experience represent a good support for health care systems from different countries to improve the access to the care before getting pregnant and overcoming inequalities. In this context, authors consider that the improving of preconceptional care in each country depends, first of all, on the wish of governors and health care providers. In conclusion, the hypothesis to review the family planning concept is suggested, considering that it has equally to include two main components - contraception and preconceptional care. It will provide real opportunities for people to achieve their reproductive life plan to have not only wanted, but also healthy children.https://www.actabiomedica.ru/jour/article/view/586preconceptional care and healthfamily doctorfamily planningopportunitieschallenges
spellingShingle D. Shishcanu
A. Y. Marianian
C. Iliadi-Tulbure
Preconceptional care: opportunities and challenges
Acta Biomedica Scientifica
preconceptional care and health
family doctor
family planning
opportunities
challenges
title Preconceptional care: opportunities and challenges
title_full Preconceptional care: opportunities and challenges
title_fullStr Preconceptional care: opportunities and challenges
title_full_unstemmed Preconceptional care: opportunities and challenges
title_short Preconceptional care: opportunities and challenges
title_sort preconceptional care opportunities and challenges
topic preconceptional care and health
family doctor
family planning
opportunities
challenges
url https://www.actabiomedica.ru/jour/article/view/586
work_keys_str_mv AT dshishcanu preconceptionalcareopportunitiesandchallenges
AT aymarianian preconceptionalcareopportunitiesandchallenges
AT ciliaditulbure preconceptionalcareopportunitiesandchallenges