Interpregnancy Care - 26/12/18

Doi : 10.1016/j.ajog.2018.11.1098

This document is endorsed by the
American College of Nurse-Midwives and the National Association of Nurse Practitioners in Women’s Health
This document was developed by the
American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine
in collaboration withJudette Marie Louis, MD, MPH, Allison Bryant, MD, MPH, Diana Ramos, MD, MPH, Alison Stuebe, MD, MSc, Sean C. Blackwell, MD
Society for Maternal-Fetal Medicine, 409 12 St. SW, Washington, DC 20024, USA. pubs@smfm.org

Abstract

Interpregnancy care aims to maximize a woman’s level of wellness not just in between pregnancies and during subsequent pregnancies, but also along her life course. Because the interpregnancy period is a continuum for overall health and wellness, all women of reproductive age who have been pregnant regardless of the outcome of their pregnancies (ie, miscarriage, abortion, preterm, full-term delivery), should receive interpregnancy care as a continuum from postpartum care. The initial components of interpregnancy care should include the components of postpartum care, such as reproductive life planning, screening for depression, vaccination, managing diabetes or hypertension if needed, education about future health, assisting the patient to develop a postpartum care team, and making plans for long-term medical care. In women with chronic medical conditions, interpregnancy care provides an opportunity to optimize health before a subsequent pregnancy. For women who will not have any future pregnancies, the period after pregnancy also affords an opportunity for secondary prevention and improvement of future health.

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Plan

Background

Prepregnancy, Postpartum, Interpregnancy, and Well-Woman Care: The Intersection

Definition of Interpregnancy and Well-Woman Care

Existing Recommendations

Clinical Considerations and Management

• What Are the Clinical Components of Interpregnancy Care?

Interpregnancy Interval

Depression

Managing Other Medical Conditions

• What Is Role of Interpregnancy Care in Specific Populations?

History of High-Risk Pregnancy

Fetal Anomalies

Genetic Testing

Infertility

Prior Cesarean Delivery

For More Information

	Published online on December 20, 2018.
	Published concurrently in the January 2019 issue of Obstetrics & Gynecology.
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	American College of Obstetricians and Gynecologists, 409 12th Street, SW, PO Box 96920, Washington, DC 20090-6920.
	Interpregnancy care. Obstetric Care Consensus No. 8. American College of Obstetricians and Gynecologists. Obstet Gynecol 2019;133:e51–72.
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