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Clinical Tools

Preconception Checklist

Most pregnancies are unplanned; therefore, it is beneficial to assess preconception health with all female patients of childbearing age during routine checkups. The March of Dimes in conjunction with the Greater Adirondack Perinatal Network has developed a screening and counseling tool for health care providers to use with their patients.

Just Download and Use
Providers can use this one-page tool to initiate discussions about preconception care. This list offers a series of essential questions that help providers develop good clinical management plans. Patients are given the checklist at the reception desk and are asked to fill it out before seeing the provider.
Click here to download the Preconception Screening and Counseling Checklist (PDF, 41k)
Information specialists at the March of Dimes answer your questions by e-mail.

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© 2009 March of Dimes Foundation. All rights reserved. The March of Dimes is a not-for-profit organization recognized as tax-exempt under Internal Revenue Code section 501(c)(3). Our mission is to improve the health of babies by preventing birth defects, premature birth, and infant mortality.