A common obstacle to pre-conception counseling and assessment is that many
pregnancies are still unplanned. Globally, 38% of pregnancies are unintended.
For
this reason, many experts recommend that all women of childbearing age be
offered
preconception care counseling regardless of intent to become pregnant.
Another common obstacle to pre-conception counseling and assessment is of women
not
knowing, realizing, or understanding the benefits of visiting their physician or
midwife before trying to become pregnant. Most women still take for granted the
biological aspects of becoming pregnant, and do not consider the value of
pre-screening before becoming pregnant. Most women who want and anticipate
having a
baby are naturally prone to thinking in terms of having a well baby. In the
majority
of cases, women do not think about having a baby who has any kind of problem.
Most
women do not know how their own medical history could pose risks to a developing
fetus. Likewise, they may not understand that pregnancy carries a certain number
of
risks as well. When family history risks and pregnancy risks are considered
together, it may point to potential problems for that particular woman, or to
her
unborn baby once she becomes pregnant.
HExisting or emerging illness or disease which may have gone undetected before
Existing risks for the woman who may become pregnant
Existing risks which may affect a fetus if the woman does become pregnant.