Every mother and every fetus matters: A positive pregnancy test=multiple offerings of reproductive risk screening for personal, family, and specific obstetrical-fetal conditions.

Abstract

To focus on the evidence-based screening test options and timing as part of the overall "pregnant-woman-centered" preconception and prenatal care journey. The requirement and need for a focused "pregnant-woman-centered" prenatal care process with time for informed consent and shared decision making are important for optimal prenatal care. A structured quality improvement (QI) review (Squire 2.0) was undertaken to examine the appropriate reproductive screening process in the periods of preconception and during pregnancy. First, the broader prenatal care structure was evaluated which, second, enabled the directed reproductive risk screening processes to be offered within an informed consent process. Four international preconception and prenatal evidence-based guidance consensus would routinely offer specific gestational age reproductive risk screening elements: totaling 21screening elements (three preconception; nine first trimester; three second trimester; four third trimester; one intrapartum; and one postpartum). The best evidence-based opportunity for comprehensive and collaborative prenatal care with appropriate screening elements requires: a single national access healthcare system; expert evidence-based guideline creation; collaborative maternity care providers based for risk assessment, triage, and management; a pregnant-woman-centered care model of maternity care; clearly identified evidence-based gestational age directed screening elements; international preconception and prenatal guideline consensus.