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Preconception Counseling: Identifying Ways to Improve Services
Objective The aim of this retrospective study was to evaluate the maternal conditions for which preconception services are provided and the routine services and recommendations offered through the Maternal Fetal Medicine group at the University of Colorado (CU). The study sought to determine how se...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical Publishers, Inc.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8816632/ https://www.ncbi.nlm.nih.gov/pubmed/35141036 http://dx.doi.org/10.1055/s-0041-1742272 |
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author | Burrows, Khyla Sheeder, Jeanelle Lijewski, Virginia Harper, Teresa |
author_facet | Burrows, Khyla Sheeder, Jeanelle Lijewski, Virginia Harper, Teresa |
author_sort | Burrows, Khyla |
collection | PubMed |
description | Objective The aim of this retrospective study was to evaluate the maternal conditions for which preconception services are provided and the routine services and recommendations offered through the Maternal Fetal Medicine group at the University of Colorado (CU). The study sought to determine how services and recommendations differ by maternal condition, demographics, and reproductive health history. Materials and Methods Charts of patients who received preconception counseling through the CU MFM department during 2018 were reviewed to evaluate maternal conditions and the type of counseling patients received. Patients were grouped by their referral reason and subsequently by counseling recommendations to either proceed with immediate conception, defer immediate conception pending completion of further recommendations or to not conceive. Results Of the fifty-nine patients referred to preconception counseling, 52% ( n = 31) of the women were referred for maternal disease, 40% ( n = 24) for infertility, 32% ( n = 19) for previous poor obstetric outcomes, 30% ( n = 18) for advanced maternal age and finally, 15% ( n = 9) for gynecologic anatomic abnormalities. Conclusion During the initial evaluation, 58% ( n = 34) of patients were determined to have no concern for immediate conception while 7% ( n = 4) were ultimately advised to not conceive. Using this data, we identified areas of preconception counseling that standardization will improve by ensuring patients receive comparable services and advice. |
format | Online Article Text |
id | pubmed-8816632 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Thieme Medical Publishers, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-88166322022-02-08 Preconception Counseling: Identifying Ways to Improve Services Burrows, Khyla Sheeder, Jeanelle Lijewski, Virginia Harper, Teresa AJP Rep Objective The aim of this retrospective study was to evaluate the maternal conditions for which preconception services are provided and the routine services and recommendations offered through the Maternal Fetal Medicine group at the University of Colorado (CU). The study sought to determine how services and recommendations differ by maternal condition, demographics, and reproductive health history. Materials and Methods Charts of patients who received preconception counseling through the CU MFM department during 2018 were reviewed to evaluate maternal conditions and the type of counseling patients received. Patients were grouped by their referral reason and subsequently by counseling recommendations to either proceed with immediate conception, defer immediate conception pending completion of further recommendations or to not conceive. Results Of the fifty-nine patients referred to preconception counseling, 52% ( n = 31) of the women were referred for maternal disease, 40% ( n = 24) for infertility, 32% ( n = 19) for previous poor obstetric outcomes, 30% ( n = 18) for advanced maternal age and finally, 15% ( n = 9) for gynecologic anatomic abnormalities. Conclusion During the initial evaluation, 58% ( n = 34) of patients were determined to have no concern for immediate conception while 7% ( n = 4) were ultimately advised to not conceive. Using this data, we identified areas of preconception counseling that standardization will improve by ensuring patients receive comparable services and advice. Thieme Medical Publishers, Inc. 2022-02-04 /pmc/articles/PMC8816632/ /pubmed/35141036 http://dx.doi.org/10.1055/s-0041-1742272 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Burrows, Khyla Sheeder, Jeanelle Lijewski, Virginia Harper, Teresa Preconception Counseling: Identifying Ways to Improve Services |
title | Preconception Counseling: Identifying Ways to Improve Services |
title_full | Preconception Counseling: Identifying Ways to Improve Services |
title_fullStr | Preconception Counseling: Identifying Ways to Improve Services |
title_full_unstemmed | Preconception Counseling: Identifying Ways to Improve Services |
title_short | Preconception Counseling: Identifying Ways to Improve Services |
title_sort | preconception counseling: identifying ways to improve services |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8816632/ https://www.ncbi.nlm.nih.gov/pubmed/35141036 http://dx.doi.org/10.1055/s-0041-1742272 |
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