MD, MBBS, FRACGP, DRANZCOG, Grad Dip Women’s Health, Joint Head of Discipline of Obstetrics, Gynaecology and Neonatology, Central Clinical School, University of Sydney, NSW
While clinical guidelines recommend increasing the use of long-acting reversible contraceptives, current contraceptive use and management in Australia do not reflect these recommendations.
Improvements in perinatal outcomes and intergenerational health can be achieved by optimising the maternal environment before conception, during pregnancy and in the first two years of a child’s life.
Women’s intentions to use condoms, and their confidence in their ability to negotiate condom use, can be thwarted by lack of partner compliance, as well as various situational factors.
Interconception care is becoming increasingly important, with rising rates of overweight, obesity, diabetes and hypertension among people of reproductive age.
Medical abortion is a more accessible and less invasive option than surgical termination and can be provided in primary care settings.
Preconception care addresses the biomedical, behavioural and social health of women and their partners prior to pregnancy, and has far-reaching benefits for mothers and children.
Despite being aware of the risks of diabetes in pregnancy, less than half of women with diabetes had sought preconception care, and many had poor knowledge of the most reliable contraceptive methods.
Adverse maternal and neonatal outcomes can be ameliorated through antenatal and postnatal care that attends to the special needs of this group.