American Journal of Obstetrics & Gynecology
Volume 199, Issue 6, Supplement B , Pages S310-S327, December 2008

The clinical content of preconception care: women with chronic medical conditions

  • Anne L. Dunlop, MD, MPH

      Affiliations

    • Department of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, GA
    • Corresponding Author InformationReprints: Anne Dunlop MD, MPH, Department of Family and Preventive Medicine, Emory University School of Medicine, 1256 Briarcliff Road, Building A, Suite 238, Atlanta, GA 30322
    • ,
  • Brian W. Jack, MD

      Affiliations

    • Department of Family Medicine, Boston University Medical Center, Boston, MA
    • ,
  • Joseph N. Bottalico, DO

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine, Stratford, NJ
    • ,
  • Michael C. Lu, MD, MS, MPH

      Affiliations

    • Department of Obstetrics and Gynecology and Community Health Sciences, University of California, Los Angeles, Schools of Public Medicine and Public Health, Los Angeles, CA
    • ,
  • Andra James, MD, MPH

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC
    • ,
  • Cynthia S. Shellhaas, MD, MPH

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, OH
    • Bureau of Child and Family Health Services, State of Ohio, Columbus, OH
    • ,
  • Lynne Haygood-Kane Hallstrom, DO, CNM, MS

      Affiliations

    • Department of Obstetrics and Gynecology, Tulane University, New Orleans, LA
    • ,
  • Benjamin D. Solomon, MD

      Affiliations

    • National Human Genome Project Research Institute, National Institutes of Health, Bethesda, MD
    • ,
  • W. Gregory Feero, MD, PhD

      Affiliations

    • National Human Genome Project Research Institute, National Institutes of Health, Bethesda, MD
    • ,
  • M. Kathryn Menard, MD, MPH

      Affiliations

    • Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC
    • ,
  • Mona R. Prasad, DO, MPH

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, OH

Received 17 June 2008; accepted 8 August 2008.

This article reviews the medical conditions that are associated with adverse pregnancy outcomes for women and their offspring. We also present the degree to which specific preconception interventions and treatments can impact the effects of the condition on birth outcomes. Because avoiding, delaying, or achieving optimal timing of a pregnancy is often an important component of the preconception care of women with medical conditions, contraceptive considerations particular to the medical conditions are also presented.

Key words: chronic, medical condition, preconception

 

 This work was supported in part by the National Human Genome Research Institute, National Institutes of Health.

 Conflict of Interest: Anne L. Dunlop, MD, MPH; Brian W. Jack, MD; Michael C. Lu, MD, MS, MPH; Andra James, MD, MPH; Cynthia S. Shellhaas, MD, MPH; Lynne Haygood-Kane Hallstrom, DO, CNM, MS; Benjamin D. Solomon, MD; W. Gregory Feero, MD, PhD; and M. Kathryn Menard, MD, MPH have no conflict of interest including grants, honoraria, advisory board membership, or share holdings. Joseph N. Bottalico, DO, is a member of the CDC Select Panel on Preconception Care, a voluntary unpaid position in which he represents the American College of Osteopathic Ob-Gyn and the American Osteopathic Assn (no known conflict). He is also an (appointed, unpaid) volunteer member of the NJ DHSS Diabetes Advisory Council, also without conflict. With the New Jersey Chapter of the March of Dimes, he is a member of the annual conference planning committee (no known conflict) and has received one honorarium from the March of Dimes jointly with the Johnson and Johnson foundation (New Brunswick, NJ) for a grand rounds presentation on preconception care presented to the OB-Gyn Dept at UMDNJ-SOM in December 2007. He sits on the regional MCH consortium's BOD (Southern NJ Perinatal Cooperative) and chairs their Clinical/QA committee which also presents no known conflicts. Mona R. Prasad, DO, MPH is the recipient of a $25,000 service grant from the March of Dimes for the year 2008.

PII: S0002-9378(08)00933-2

doi:10.1016/j.ajog.2008.08.031

American Journal of Obstetrics & Gynecology
Volume 199, Issue 6, Supplement B , Pages S310-S327, December 2008

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