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Guest Background And Personal Note
- Xiaolei Chen is an academic internist with a special interest in obstetric medicine and is herself pregnant during the interview.
- She enjoys interior decor and jokingly notes academic medicine isn't as well decorated as she'd like.
Start With A Thorough Preconception History
- Ask detailed history in preconception visits to identify risks from chronic disease, medications, family history, and lifestyle.
- Gather information first and then individualize counseling rather than trying to have all answers on the spot.
Start Folic Acid Early And Counsel Lifestyle
- Recommend folic acid any time someone is thinking about pregnancy and continue prenatals into breastfeeding as needed.
- Counsel to stop smoking and excessive alcohol and advise modest caffeine (1–2 cups/day).