Preconception risk stratification before fertility care

Kristi S. Borowski, M.D., Brian C. Brost, M.D., Elizabeth A. Stewart, M.D., Eileen J. Hay, M.B., Ch.B., Charles C. Coddington III, M.D.

Volume 104, Issue 1, Pages 28-31


Care for the medically complex woman who desires fertility is an increasingly common event. Deciding when and whether one should proceed to fertility care has implications for the intended parents, the resulting offspring, and the health-care systems that care for these individuals. Significant barriers to assessment and communication with these patients include the patient’s desire to conceive despite major medical concerns, the lack of tools to communicate the risks, and the reluctance of health-care providers to limit access to medically assisted pregnancy.

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