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All Risk, No Reward

Preconception Counseling

Molly Heublein, MD and Neda Frayha, MD
00:00
21:35
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Tags injury and illness prevention · OB Gyn Obstetrics and Gynecology · women's health

Preconception counseling is an important part of primary care visits and has been shown to improve maternal and fetal outcomes. In this segment, Neda Frayha and Molly Heublein discuss the importance of preconception counseling and the different components thereof so that we can best guide and treat our women of childbearing age.

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Kaitlyn L. -

I hadn't heard about the recommendation for 5mg of folic acid for BMI>35, and I'm having trouble finding it in the literature. That is a majority of my patients. Anyone know the source for that tidbit?

Thank you!

Neda F., MD -

Hi Kaitlyn! Here's where we first read it: https://www.aafp.org/afp/2013/1015/p499.html, and it looks like the original reference is:
Wilson RD, Davies G, Désilets V, et al.; Genetics Committee and Executive and Council of the Society of Obstetricians and Gynaecologists of Canada. The use of folic acid for the prevention of neural tube defects and other congenital anomalies. J Obstet Gynaecol Can. 2003;25(11):959–973.

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All Risk, No Reward Full episode audio for MD edition 187:18 min - 88 MB - M4AHippo PC RAP July 2018 Written Summary 362 KB - PDF