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conception
Fertilization of an oocyte by a spermatozoa, resulting in the ontogeny of an embryo.
Management:
preconception risk assessment
- reproductive awareness
- desire for pregnancy
- number & timing of desired pregnancies
- age-related changes in fertility
- sexuality
- contraception
- environmental hazzards & toxins
- radiation exposure
- heavy mean exposure, lead, mercury
- nutrition
- healthy diet
- folic acid consumption
- restriction of fish high on the food chain
- shark, swordfish ...
- genetics
- family history of inherited disease
- substance abuse
- alcohol, tobacco, illicit drugs
- medical conditions
- diabetes mellitus, seizure disorder, hypertension,asthma, thyroid disease, HIV1, lupus erythematosus
- medications
- prescription drugs & OTC medications
- immunity & vaccinations
- varicella, rubella, pertussis, tetanus, hepatitis B
- psychosocial concerns
- depression
- risk for abuse
- physical abuse
- sexual abuse
- emotional abuse
- interpersonal or family relationship concerns
- live birth rates similar for women who conceive within 3 months of a miscarriage compared with those who waited longer [3]
Related
assisted reproduction technology (ART)
pregnancy (gestation)
References
- Dorland's Medical Dictionary, 23rd ed., WB Saunders,
Philadelphia, 1990
- Medical Knowledge Self Assessment Program (MKSAP) 16
American College of Physicians, Philadelphia 2012
- Schliep KC et al.
Trying to conceive after an early pregnancy loss: An
assessment on how long couples should wait.
Obstet Gynecol 2016 Feb; 127:204
PMID: 26942344
http://journals.lww.com/greenjournal/pages/articleviewer.aspx?year=2016&issue=02000&article=00004&type=abstract