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Preconception Visit Checklist
Know What the Doctor Will Ask
By David M. Barrere, M.D.
Want to know what will be covered at your preconception counseling session? Here's Dr. Barrere's list:
Medical History of Woman and Her Partner:
- Drug allergies
- Current medications
- Medical problems
Obstetrical History:
- Number of pregnancies
- Mode(s) of delivery
- Labor complications
- History of miscarriage or elective abortion
Surgical history:
- Abdominal surgery
- Pelvic surgery
Social History:
- Tobacco use
- Drug use
- History or risk of sexually transmitted diseases
Family History:
- Diabetes
- Hypertension
- DES exposure
- Thyroid disorders
- Tuberculosis
- Seizure disorders
- Blood disorders
- Twins or other multiples
- Birth defects
- Mental retardation
Thorough Physical Examination:
- Pelvic exam
- Pap smear
- Palpation of uterus and ovaries to note any anomalies
- Cultures for sexually transmitted diseases
Blood Tests:
- Blood type and RH factor
- Antibody screen
- Complete blood count
- Serologic testing for syphilis
- Serologic testing for rubella
- HIV (offered)
Urine Sample:
- Urinalysis
- Culture to rule out bacteria
- Screening for abnormal levels of glucose, protein or ketones
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