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Risk Reduction and Health Promotion in Preparation for Pregnancy

Brian W. Jack, MD; Larry Culpepper, MD, MPH

JAMA. 1990;264(9):1147-1149.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE BIRTH of a healthy baby to a healthy woman and family depends, in part, on a woman's general health and well-being before conception as well as on the amount and quality of prenatal care. Health care before pregnancy can ameliorate disease, improve risk status, and help prepare a family for childbearing. Some interventions that are available prior to conception are not possible once a woman conceives. The trend among women who are in middle- and upper-income levels to delay pregnancy until they are 30 years of age or older has led to increased consumer demand for assistance in preparation for pregnancy. In recent years, the idea has emerged of an organized, comprehensive program that identifies and reduces women's reproductive risks before conception. This concept has been called "preconception care."¹

Development of this concept has been identified as a priority for the 1990s.² The Institute of Medicine's Preventing . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Family Medicine, Brown University, Memorial Hospital of Island, Pawtucket.

Footnotes
Reprint requests to Department of Family Medicine, Brown University, Memorial of Rhode Island, 111 Brewster St, Pawtucket, RI 02860 (Dr Jack).

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