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DOI: 10.1055/s-0028-1088893
Prepregnancy Counselling in Lagos – A report on the first 1000 cases
Objective: To assess the activity of a prepregnancy counseling clinic in terms of investigations, counseling, treatment and subsequent pregnancy out.
Setting: Prenatal Diagnosis and Therapy Centre in a tertiary University Hospital in Lagos offering referral services for fetal medicine.
Design: Review of the first 1000 couples attending from 1992 to 2007.
Subjects: Couples referred to the centre from various sources.
Main Outcome Measures: Types of referral, value of diagnostic tests, and subsequent outcome of pregnancy.
Result: The main types of referral were: previous miscarriage (48.2%) previous fetal abnormality (10.8%) chronic maternal illness (25.1%) and other (15.9%). Routine investigation showed high serological TORCH positive antibodies carrier rate. Subsequent pregnancy outcome did improve in the chronic maternal disease group.
Conclusions: This study does illustrate the importance of making an accurate assessment of previous problem and current health as a means of determine both maternal and fetal risks in a subsequent pregnancy.