1. Pre conceptual care

2. Lesson Objectives: To understand what pre-conceptual care is TASK:
What does is it Mean?

3. Pre-conceptual care
Pre-conceptual care is care before planned conception
Women hoping to get pregnant and have a healthy pregnancy should:
Avoid –
alcohol
smoking
recreational drugs

4. Be checked for:
STIs (especially chlamydia)
Immunity to rubella and polio
Should have:
A healthy diet
Regular exercise
Folic acid supplement

5. Pre-conceptual care
Give a reason why a couple who are considering starting a family should consider the following things:
Their maturity
Their finances
Their accommodation
Changes in their lifestyle

6. Give 4 advantages of planning when to start a family

7. The main features of preconceptual care are:
Good nutritious diet
What is folic acid?
Why should women hoping to get pregnant take folic acid tablets?

8. Fertility and Infertility
What is meant by fertility?
What is meant by infertility?
What can cause infertility?

9. Infertility Causes: Not enough sperm (low sperm count)
Poor quality sperm
Blocked fallopian tubes
Failure to ovulate
Cancer treatment
Thick cervical mucus
Hysterectomy

10. Treatment for infertility
IVF (In Vitro Fertilisation)
Hormone treatment stimulates egg production. Eggs are harvested and mixed with sperm outside the body. Up to 3 fertilised eggs replaced in uterus

11. GIFT (Gamete Intra-Fallopian Transfer)
- as IVF but fertilised eggs replaced into fallopian tube
Artificial Insemination by Husband (AIH)
- partner’s sperm placed directly into uterus
Donor insemination
-Donor sperm placed directly into uterus

12. Egg donation
ICIS (Intra-cytoplasmic Sperm Injection)
sperm injected directly into the ovum in a laboratory. Excess fertilised ovum can be frozen or used for embryo donation
Surrogacy

13. PGD (Pre-Implanted Genetic Diagnosis) used when a couple are identified as being carriers of a serious genetic disorder

14. Explain each of the following:
IVF (in Vitro Fertilisation)
Donor insemination
ICSI (intra-cytoplasmic sperm injection)
Surrogacy
Egg donation
PGD (Pre-Implantation Genetic Diagnosis) used when a couple are identified as being carriers if a serious genetic disorder.IVF

15. Multiple Pregnancies Identical/uniovular twins
fertilised egg splits into 2. These twins have identical genes
Non-identical/binovular or fraternal twins
two eggs fertilised by two sperm
Conjoined twins
fertilised egg partially splits into two resulting in twins that are joined together

16. Possible complications with multiple pregnancies:
Premature labour
Low birth weight babies
Need more frequent antenatal check ups
Increased risk of congenital abnormalities