Prepregnancy Counseling and Infertility

Flashcards on prepregnancy counseling guidelines and infertility

What is the goal of prepregnancy care?

Reduce the risk of adverse health effects for the woman, fetus, and neonate by working with the woman to optimize health, address modifiable risk factors, and provide education about healthy pregnancy.

Which individuals should receive prepregnancy counseling?

Heterosexual, lesbian, gay, bisexual, transgender, queer, intersex, asexual, and gender nonconforming individuals.

How often should prepregnancy counseling occur?

Several times during a woman’s reproductive lifespan.

What chronic medical conditions should be optimally managed before pregnancy?

Diabetes, hypertension, psychiatric illness, and thyroid disease.

Why should women seek medical care before attempting to become pregnant?

To aid in correct dating and to be monitored for any medical conditions in which treatment should be modified during pregnancy.

What immunization status should women of reproductive age have assessed annually?

Status for tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap); measles–mumps–rubella; hepatitis B; and varicella.

How do bariatric surgical procedures cause weight loss?

Restricting amount of food that the stomach can hold, causing malabsorption of food, or by a combination of restriction and malabsorption.

What bariatric surgery works via reducing the amount of food consumed, and altering gut hormones?

Laparoscopic sleeve gastrectomy.

The detection of antibodies to what bacteria indicates possible tubal pathology?

Chlamydia trachomatis.

When should infertility evaluation be initiated?

12 months in women <35 years of age and at 6 months in women aged ≥35 years.

What serum test can identify thyroid disorders?

Serum thyroid-stimulating hormone

what should be used in the committee for a good opinion

Tuning and interpreting measures of ovarian reserve

what should we used for the ovarian reserve?

Antimullerian hormone and antral follicle count

a poor predictor of fertility but can be used to guide fertility treatments.

Ovarian reserve

If the thyroid-stimulating hormone is abnormal, assessment of free T4 and thyroid autoantibodies is warranted.

thyroid-stimulating hormone

what is recommended if the uterus is abnormal?

Transvaginal ultrasonography and Saline infusion ultrasonography

what is adequate to establish an ovulatory menstrual pattern?

Menstrual history