title: The clinical content of preconception care: infectious diseases in preconception care.
abstract: A number of infectious diseases should be considered for inclusion as part of clinical preconception care. Those infections strongly recommended for health promotion messages and risk assessment or for the initiation of interventions include Chlamydia infection, syphilis, and HIV. For selected populations, the inclusion of interventions for tuberculosis, gonorrheal infection, and herpes simplex virus are recommended. No clear evidence exists for the specific inclusion in preconception care of hepatitis C, toxoplasmosis, cytomegalovirus, listeriosis, malaria, periodontal disease, and bacterial vaginosis (in those with a previous preterm birth). Some infections that have important consequences during pregnancy, such as bacterial vaginosis (in those with no history of preterm birth), asymptomatic bacteriuria, parvovirus, and group B streptococcus infection, most likely would not be improved through intervention in the preconception time frame.
authors.affiliation: Department of Obstetrics and Gynecology, Maricopa Medical Center, Phoenix, AZ 85008, USA. dean_coonrod@MedProDoctors.com
authors.forename: Dean V
authors.initials: DV
authors.lastname: Coonrod
authors.forename: Brian W
authors.initials: BW
authors.lastname: Jack
authors.forename: Phillip G
authors.initials: PG
authors.lastname: Stubblefield
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Hollier
authors.forename: Kim A
authors.initials: KA
authors.lastname: Boggess
authors.forename: Robert
authors.initials: R
authors.lastname: Cefalo
authors.forename: Shanna N
authors.initials: SN
authors.lastname: Cox
authors.forename: Anne L
authors.initials: AL
authors.lastname: Dunlop
authors.forename: Kam D
authors.initials: KD
authors.lastname: Hunter
authors.forename: Mona R
authors.initials: MR
authors.lastname: Prasad
authors.forename: Michael C
authors.initials: MC
authors.lastname: Lu
authors.forename: Jeanne A
authors.initials: JA
authors.lastname: Conry
authors.forename: Ronald S
authors.initials: RS
authors.lastname: Gibbs
authors.forename: Vijaya K
authors.initials: VK
authors.lastname: Hogan
mesh_terms: D001424:Bacterial Infections / Q000517:prevention & control*; D005260:Female; D006801:Humans; D010272:Parasitic Diseases / Q000517:prevention & control*; D016742:Preconception Care; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D011295:Prenatal Care; D014777:Virus Diseases / Q000517:prevention & control*