Preconception care

Kitzmiller JL, Gavin LA, Gin GD, Jovanovic-Peterson L, Main EK, Zigrang WD. Preconception care of diabetes. Glycemic control prevents congenital anomalies. JAMA 1991 265 731-6. 

American College of Obstetricians and Gynecologists. Preconceptional care. ACOG Teclmical Bulletin No. 205. Washington, DC American College of Obstetricians and Gynecologists, 1995. 

American Diabetes Association. Preconception care of women with diabetes. Diabetes Care 2004 27(Suppl 1) S76-S78. 

Thus, contraceptive counseling should be an integrated part of the preconceptional care for all women with diabetes and is described in detail in two recent reviews [37,38]. In essence, barrier methods are well suited for the well-motivated couple, but when an increased risk of user s failure can be predicted, intrauterine devices or combined oral contraceptives may be the only acceptable reversible alternative. Intrauterine devices are very efficient and without metabolic side effects and can be used on the same indications and with the same reservations as in nondiabetic women. Intrauterine devices are therefore well suited for women with diabetes, especially parous women. 

Moos MK, Cefalo RC. Preconceptional health promotion a focus for obstetric care. Am J Perinatol 1987 4 63-7. 

It is therefore necessary, in every historical period, to pay careful attention to the dominant world view through which men observe their physical surroundings, their society, and themselves. The nineteenth century was an age of physical preconceptions. It was an age, when, as Wayland Young puts it,... 

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