– Stabilize medical condition – Optimize drug usage – Refer to Obstetricians
– Stabilize medical condition – Optimize drug usage – Refer to Obstetricians
– Check BMI – Advice weight gain or loss if BMI 30
– Advise both partner to stop smoking
– Should take 0.4mg daily – Advice 5mg daily if history of NTD or epilepsy
– Screen for Rubella immunity – Screen for HIV, Hep B, Hep C in high risk group
– Check couple’s understanding of ovulatory cycle and fertile date – Advise on regular intercourse (2-3 times a week)
– Discuss any factors that warrant early referral