WOMENS-HEALTH Messages for March, 1997: Re: Pre

Re: Pre_Conception Visit

From: Pat (anonymous@obgyn.net)
Sat, 29 Mar 1997 10:41:05 -0600 (CST)

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In reply to: Renee: "Pre_Conception Visit"

At Thu, 27 Mar 1997, Renee wrote: >
>I telephoned my OB/GYN's office today to shedule a preconception visit
>(we plan to try in May) and was told the doctor doesn't make these kind
>of appointments unless you've had a problem in the past. I was really
>surprised and disappointed, becase that practice seems contradictory to
>everything I've been reading about pregancy. In fact she didn't even
>offer to have the nurse call in a prescription for prenatal vitamins. I
>really like him, he's young (5 yrs out of resisdency), and very gentle)
>but I already feel like we're not on the same wavelength in regards to
>pregnancy. I am thinking about finding a new doctor. Do you think I'm
>being too harsh?
> Opinions from MDs especially welcolm here.

The idea of a Preconception visit has not caught on with some obstetrical providers. It essentially is an annual exam with a focus on what sorts of things one needs to consider before planning a pregnancy. In our office we do have Preconception appointments, and also periodically offer a Preconception Class that allows a group to meet together and ask questions. We review the essentials with them. One of our OBGYN's teach the class with me and we have a blast. It's wonderful to see motivated folks who want to have healthy pregnancies. We talk about smoking, decreasing stress and appropriate nutritiion. Look in your area for such a class being offered by particular providers or by hosptials. Also, CNMs and ARNPs are very supportive of Preconception visits, and perhaps that is a nice place to start. These are not intented to be infertility consults, however, as that becomes a more specific focus of an office visit. Pat

--
Pat Sonnenstuhl, ARNP,CNM, Olympia, WA

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