The attention pregestacional takes as a purpose to identify and to act on the risks of the gestation before this one happens, promoting the women's health and his descent. It is directed for the couple before the pregnancy. It is a consultation before to the pregnancy in which there is realized an anamnesis directed to the detection of illnesses of hereditary type to advise to the couple on the possible risks.
During the preconceptional attention prevention of different infections must be realized:
VIH/SIDA, being advised screening to women in fertile age or of high risk.
Hepatitis B, vaccination being advised to risk women.
German measles, vaccinating every woman before the pregnancy
Toxoplasmosis, explaining the care that they have to have with meats, cats and his dregs.
Inclusion virus citomegálica, they have to wash very much their hands.
Tétano, advising him the vaccination.
Other dental infections as the aperture.
There must be realized also genetic advice, control of chronic illnesses (hypertension, Diabetes Mellitus, anemia...), medicines (dissuading drugs to him teratógenas), education (recommending to him healthy life habits like balanced nutrition, to eliminate the tobacco, the alcohol and the coffee in excess.
A practice of recognized efficacy, it is the prophylaxis of the defects of the pipe neural(DTN) with acid fólico.
Canadian Task Force onthe Periodic Health Examination recommends the following dosage:
Women of high risk (gestation precedents with DTN) that want to remain pregnant women: 4 mg/día of Acid fólico, 1 to 3 months before the conception and in the first 3 months of the pregnancy
Women of low risk (without gestation precedents with DTN) that want to remain pregnant women: 0,4 to 0,8 mg Acid newspapers fólico, 1 to 3 months before the conception and in the first 3 months of the pregnancy
Women in fertile age with possibility of not planned pregnancy: 0,4 mg of Acid fólico daily
Women who glide or can remain pregnant women, like alternative to the consumption of supplements of acid fólico: to increase the daily folatos consumption to 0.4 mg./día
The administration of acid is recommended fólico in the shape of monomedicine, and not like part of prepared polivitamínicos. Suplementar with acid folínico and folinato calcic the acid does not offer any advantage front fólico, except in women who are to treatment with medicines anti-folatos like the metrotexate or the trimetroprim-sulfametoxazol and when the oral route is impossible.
INTRODUCTION 
