EFPC Conference 9-10 September 2013, Istanbul Workshop Preconception Care Denhard de Smit, PhD, Health Care researcher/Epidemiologist Managing director.

Slides:

Advertisements

Similar presentations

World Health Organization

Advertisements

Jean Amoura, MD, MSc Marvin L.Stancil, MD.  Evaluate how fetal, infant, and childhood development is critical to understanding chronic diseases among.

Prevention of Birth Defects An Overview of Primary and Secondary Strategies.

Identifying the Prevalence of Perinatal Substance Abuse in Santa Clara County September 2004 Karen Miyamoto, PHN Maternal, Child & Adolescent Health Program.

Preconception Healthcare: What Men Know and Believe Keith A. Frey, MD Richard Engle, MD Brie Noble Department of Family Medicine Mayo Clinic in Arizona.

2.11 Conduct Medication Management University Medical Center Health System Lubbock, TX Jason Mills, PharmD, RPh Assistant Director of Pharmacy.

DECISION SUPPORT RESEARCH TEAM “Providing expertise to improve health & wellbeing of families” Retention in a Study of Prenatal Care: Implications of attrition.

Interconception Education and Counseling: Strategies from Florida Presented by: Betsy Wood, BSN, MPH Infant, Maternal & Reproductive Health Unit Florida.

Antenatal Care (ANC): Overview

Preventing Infant Mortality: What We Know, What We Don’t, and What You Can Do Tom Ivester, MD, MPH UNC School of Medicine Division of Maternal Fetal Medicine.

Improving Maternal and Perinatal Outcomes in North Carolina Patti Forest, MD Medical Director Division of Medical Assistance.

Health care system innovation in the Netherlands - with a special focus on primary care André Knottnerus, MD, PhD Chair, Scientific Council for Government.

Interconception and Preconception Health Jeff Rothenberg, MD, MS.

SUSTAINABLE DEVELOPMENT: A SOCIAL PERSPECTIVE Beverly Andrews Biostatistician Caribbean Epidemiology Centre Epidemiology Division.

Preconceptional Health.  Preconceptional health refers to your health prior to pregnancy.  With the introduction of birth control, couples are making.

Preconception Education in the Workplace Presented at the Third National Summit on Preconception Health and Health Care Steve Abelman Director, Educational.

Diabetes and Planning Pregnancy Alison Leyland Diabetes Specialist Midwife Blackpool Teaching Hospitals NHS Foundation Trust June 2012.

The introduction of social workers in the primary health care system and its impact on the reduction of baby abandonment in Kazakhstan 10 September 2014,

Ahmad Teebi, M.D. Professor of Pediatrics and Genetic Medicine

Genomics Alexandra Hayes. Genomics is the study of all the genes in a person, as well as the interactions of those genes with each other and a person’s.

The Hong Kong Declaration of The World Association of Chinese Public Health Professionals (WACPHP), 6 March 2004 The World Association of Chinese Public.

Overview of the School Health Program By Dr. O.O. Sekoni A presentation given at the training workshop on Improving Child Health in Ibadan Primary Schools.

Role of CBR Strategy on disability prevention and control Deepak Raj Sapkota Country Director Karuna Foundation Nepal.

Healthy Pregnancy Monica Riccomini, RN, MSN Lisa Lottritz RN, BSN.

9/7/2015Mahia Samaha Alkony1 Genetics By: Mrs. Mahdiah Samaha Alkony.

Screening Implementation: Referral and Follow-up What Do You Do When the Screening Test Is of Concern? Paul H. Lipkin, MD D-PIP Training Workshop June.

Pre- and periconception care Exploration of the relevance of EFPC involvement in the disclosure and exchange of expertise regarding pre- and preconception.

Secretary’s Advisory Committee on Infant Mortality August 10, 2015 Office of Minority Health Primary Activities Related to Preterm Birth Prevention Chazeman.

Needs Assessment: Young People’s Drug and Alcohol Services in Edinburgh City EADP Children, Young People and Families Network Event 7 th March 2012 Joanne.

An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Preconception Planning and Monitoring Fetal Health Twenty Questions.

Hertfordshire Health & Wellbeing Conference: Starting Well Dr SJ Louise Smith Sue Beck Public Health, Hertfordshire County Council.

Secretary’s Advisory Committee on Infant Mortality

PREVENTING FUTURE PROBLEMS SCOTTISH DRUGS FORUM 28th November 2005 Intervention at Birth Mary Hepburn Princess Royal Maternity Glasgow.

Croydon Children and Families Partnership Commissioning priorities 13 February 2013.

Recommendations and a Plan for Preventing Preterm Birth Secretary’s Advisory Committee on Infant Mortality (SACIM) August 10, 2015.

Integration Of Home Care; “How To Deal With This Difficult Task?” ÜNALAN C.Pemra, ÇİFÇİLİ Serap Marmara University Medical FacultyDepartment of Family.

Perinatal Health: From a women’s health lifespan perspective Diana Cheng, M.D. Medical Director, Women’s Health Center for Maternal and Child Health 1.

"Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr.

MILLENIUM DEVELOPMENT GOALS Board review Notes Dr. Theresita R. Lariosa.

Preterm Birth, Infant Mortality and Birth Defects National Center on Birth Defects and Developmental Disabilities Centers for Disease Control and Prevention.

An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Chapter 1 Birth Defects.

FEHB, Federal Worksites, and Women’s Health Aligning for Success 1 Christine Hunter MD December 2, 2015.

ORGANIZATION OF TERATOLOGY INFORMATION SPECIALISTS Sharon Voyer Lavigne, MS Coordinator, CT Pregnancy Exposure Information Service President, OTIS.

Nevada State Innovation Model (SIM) Patient-Focused Workgroup May 05,

HSE Public Health Workforce Dr Cate Hartigan, Assistant National Director, Health Promotion and Improvement, Health & Wellbeing Division, HSE.

Pre-Gestational Diabetes: A Public Health Growth Industry Evan Klass, MD, FACP Associate Dean, Statewide Initiatives Director, Project ECHO-Nevada.

Nevada State Innovation Model (SIM) Clinical Outcomes and Quality Workgroup May 06,

Concepts of Primary health care Ass.Prof:Dr:Essmat Gemaey

Primary Health Care (PHC). THE ALMA-ATA Conference 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 2 At Alma-Ata.

Corporate slide master With guidelines for corporate presentations Child Measurement Programme Third annual report – 19 May 2015 Welsh Government – the.

World Suicide Prevention Day 10 September, 2015 PREVENT SUICIDE: TEND THE HAND AND SAVE LIVES.

100 years of living science Chronic disease management in primary care: lessons to be learnt Dr Shamini Gnani November 2007, Mauritius.

PRIMARY HEALTH CARE BY: DR

PUTTING PREVENTION FIRST Vascular Checks Dr Bill Kirkup Associate NHS Medical Director.

Evan Klass, MD, FACP Associate Dean, Statewide Initiatives Director, Project ECHO-Nevada Pre-Gestational Diabetes: A Public Health Growth Industry.

Chapter 7: Epidemiology of Chronic Diseases. “The Change You Like to See….” (1 of 3) Chronic diseases result from prolongation of acute illness. – With.

Pharmacy White Paper Building on Strengths Delivering the Future Overview.

National Health Insurance Bahamas February, 2016.

Department of Human Services Self-management Improving care Caroline Frankland Senior Project Officer Health Independence Programs Department of Human.

THE HEALTH CHALLENGE Sheila Shribman National Clinical Director Children, Young People & Maternity.

Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

GARD/NCD Action Plan & 2011 UN Summit on NCDs

MODERN CONCEPTS OF CHILD CARE

NCD – Kingdom of Saudi Arabia

Intro to Maternity Nursing

Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

Ingredients of a Sustainable healthcare SYSTEM– the Cayman islands experience Lizzette Yearwood.

Presentation transcript:

EFPC Conference 9-10 September 2013, Istanbul Workshop Preconception Care Denhard de Smit, PhD, Health Care researcher/Epidemiologist Managing director Research and Projects, MediClara Projects BV, Abcoude NL Arzu Uzuner, MD PhD, Associate Professor of Family Medicine Marmara University Hospital Pendik Training and Research Hospital, Istanbul TR

1. Introduction

Today’s programme 1.Introduction01-05 a.Agenda b.Today’s participants WG 2.Preconception care: headlines06-15 a.The health issues of interest b.Involvement of PC, PH and specialist care c.Policy development: examples and events DS 3.Primary care involvement in preconception care16-55 a.Objectives for primary care b.Opportunities and requirements c.Role of EFPC-network Summary and closing56-60 Introduction

Today’s participants Who is who? Name, country Profession, current position and experience Main reason to attend this workshop? Introduction

2. Preconception care: headlines

General definition (1) “Preconception care is defined in this advisory report as the entire raft of measures to promote the health of the mother-to-be and her child. If they are to be effective, these measures should preferably be undertaken prior to conception. Preconception care is therefore multidisciplinary, encompassing lifestyle (including food, drink, tobacco and other recreational drugs), working conditions, illness, medication and genetic factors.” Health Council of the Netherlands. Preconception care: a good beginning. The Hague: Health Council of the Netherlands, 2007; publication no. 2007/19. Preconception care: headlines

General definition (2) Modified CDC definition by consensus: “A set of interventions and/or programme that aim to identify and enable informed decision-making to modify biomedical, behavioural, and (psycho) social risks to parental health and the health of their future child, through counselling, prevention and management, emphasizing those factors that must be acted on before conception or early in pregnancy to have maximal impact and/or choice.” Dutch consensus meeting on Preconception Care. January/April The Netherlands. [To be published]. An overwiew Preconception care: headlines

a. The health issues of interest Preconception care: headlines

The health issues … (1) From the Dutch health council report Food, alcohol, tobacco and other recreational drugs Folic Acid suppletion (general population 0,4 mg; increased risk 4,0 mg) Vitamin D suppletion (if needed) Vitamin A (prevent too high intake) Alcohol (fertility, FAS) Tobacco (fertility, birth weight) Working conditions Chemical agents (pesticides, solvents, …) Stress An overwiew Preconception care: headlines

The health issues … (2) Illness and medication Infectious diseases (Vaccination, treatment and prevention) Chronic diseases ilke diabetes, epilepsy, depression (optimization of medication) Teratogenic drugs (pregnancy prevention) Obesity, anorexia and maternal/paternal age Genetic factors Extend range of options in the case of unfavourable genetic background –Known increased risks (genetic diagnosis/counselling done previously) –Indications from family history –Carrier screening (cystic fibrosis, hemoglobinopathies) An overwiew Preconception care: headlines

The health issues … (3) Additional issues that can/should be dealt with in the preconception period Personal preparation for pregnancy? Prenatal screening options (Down screening, 20-wk ultrasound) Medical preparation for pregnancy Obstetric history Increased risks from pre-existing disease Timely uptake of prenatal care An overwiew Preconception care: headlines

b. Involvement of PC, PH and specialist care Preconception care: headlines

The involvement of primary care, public health and specialist care “Preconception care has various, complementary forms. Some are aimed at individual parents-to- be, while others may, for example, collectively target all women of child-bearing age”. and “ … the various components of the programme … should not be provided as separate elements but as an integrated healthcare concept.” An overwiew Preconception care: headlines

The involvement of … (1) Care sectors Folic acid  PH Genetic risk assessment  PC, SC “Lifestyle”  PH, PC, SC Preconception consultation  PC, SC Promotion of preconception consultation  PH, PC An overwiew Preconception care: headlines

The involvement of … (2) Primary care workers GP’s: (promotion of) preconception consultation and follow-up as appropriate Midwives, nurses: preconception consultation and follow-up as appropriate Pharmacists: FA-education, medication surveillance, promotion of preconception consultation An overwiew

The involvement of … (3) An overwiew

Prevalences of risks/disorders NTD’s Affected pregnancies: ~1 in 1000 In Europe ~4.500 cases/year 70% TOP Cystic fibrosis Cases: 1 in 3600 newborns Couples at risk: 1 in 900 Medication use first trimester 40 in 100 >= 1 prescription An overwiew

a. Developments: implementation and events Developments: ….

Developments: implementation and events Existing implementation in Hungary Programme development Current implementation by specialized nurses Developments in The Netherlands Ministry of Health reply to Health Council report (2007) Coordination of resources for public information (RIVM) Major role for midwives in preconception consultation? GP- Standard available (2011) Implementation in Italy Active implementation e.g. in Veneto region (2010) An overwiew Developments: ….

Developments … (2) Scientific events European congresses on Preconception Health and Prevention of Birth defects (Budapest, 2008; Brussels, 2010; Rotterdam, 2012; Budapest, 2014 ) Preparing for Life Initiative International initiative group 2010 Alignment with WHO objectives and strategies Global ambitions An overwiew Developments: ….

PfL Mission The overall objective of Preparing for Life is to initiate an international awareness and prevention program to reduce common known risks of adverse health effects for the parents-to-be, the fetus or neonate by addressing women and men at child-bearing age, in both developed and developing countries. This objective follows the 4th and 5th UN- millennium development goal to "reduce child mortality by two/thirds'' and “reduce the maternal mortality ratio by two three quarters”. Developments: ….

3. Primary care involvement in preconception care in Europe Primary care involvement

a. Objectives for primary care Primary care involvement

b. Opportunities and requirements Primary care involvement

c. Role of EFPC-network Primary care involvement

The End Thank you for your participation!