AI Snips
Chapters
Transcript
Episode notes
Start With A Thorough Preconception History
- Ask detailed history in preconception visits to identify risks from chronic disease, medications, family history, and lifestyle.
- Gather information first and then individualize counseling rather than trying to have all answers on the spot.
Start Folic Acid Early And Counsel Lifestyle
- Recommend folic acid any time someone is thinking about pregnancy and continue prenatals into breastfeeding as needed.
- Counsel to stop smoking and excessive alcohol and advise modest caffeine (1–2 cups/day).
Review Medications One-By-One
- Review every chronic medication individually and do a literature search plus specialist input when needed before conception.
- Individualize risk–benefit decisions; some high-risk meds may require multidisciplinary planning rather than automatic discontinuation.