Traditionally obstetric care has been focused on ensuring a 'healthy' baby was delivered alive, free of the effects of hypoxic ischaemic damage and of perinatal infection. It is an intimidating prospect to consider that in the next few decades, obstetric care may have to assume greater responsibilities that can shape the lifelong risk of acquired disease for the individual neonate rather than simply immediate neonatal morbidity. It is in this context that prepregnancy care currently takes place.
Specific pre-conception counselling arises in a number of different environments. For doctors in primary care it will be dominated by the low-risk woman for whom advice on diet and access to care will be most important. The quality of this advice may have the potential to significantly affect public health. In a hospital setting, it will mostly involve women with specific complications seeking advice on the potential for successful pregnancy and implications for background medical conditions.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.