Welcome to the training on Preconception Health: Screening and Intervention provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).
The goal of this module is to equip Texas Health Steps providers and other health-care professionals to integrate preconception health screening, intervention and counseling into routine clinical practice.
Primary care providers and other health professionals, including Texas Health Steps providers, who treat adolescent girls and women who may become pregnant.
Specific Learning Objectives
After completing the activities of this module, you will be able to:
- Summarize the role of preconception health care in promoting good health for all patients, regardless of whether they become pregnant.
- Interpret health risks and conditions that can adversely affect maternal and infant health before and during pregnancy.
- Integrate preconception health care and counseling into routine clinical encounters for individuals of reproductive age, including at preventive medical checkups.
Note: Preconception care is appropriate for all patients of reproductive age, regardless of their gender or gender identity. For purposes of this module, the term “women” applies to adolescent girls of reproductive age as well as to adults. The term “individuals” applies to all patients, including non-binary and transgender youth and adults.
Note: A companion module, Prenatal Health: Screening and Intervention, identifies and addresses prenatal factors that affect maternal health and safety. Texas Health Steps provides regular preventive medical checkups and other services to young women through 20 years of age. Where appropriate, this module highlights Texas Health Steps required screenings and other preventive services that can contribute to preconception health and safety.
Please note this module expires on 5/6/2024.
This module was released on 5/6/2021.
Continuing Medical Education
The Texas Department of State Health Services, Continuing Education Service is accredited by the Texas Medical Association to provide continuing medical education for physicians.
The Texas Department of State Health Services, Continuing Education Service designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The Texas Department of State Health Services, Continuing Education Service has awarded 1.25 contact hour(s) of Continuing Nursing Education.
Certified Health Education Specialists
Sponsored by The Texas Department of State Health Services, Continuing Education Service, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 1.25 total Category I contact education contact hours. Maximum advanced-level continuing education contact hours available are 1.25.
Licensed Marriage and Family Therapists
The Texas Department of State Health Services, Continuing Education Service, the continuing education provider, ensures that the education provided is related to the practice of marriage and family therapy; and that the individuals presenting the information have the necessary experience and knowledge in the topics presented. The Texas Department of State Health Services, Continuing Education Service has awarded 1.25 hours of credit.
Licensed Professional Counselors
Up to 1.25 LPC hours may be earned at this event.
The Texas Department of State Health Services, Continuing Education Service, the continuing education provider, ensures that the education provided is directly related to the practice of social work; and that the individuals presenting the information have the necessary experience and knowledge in the topics presented. The Texas Department of State Health Services, Continuing Education Service has awarded 1.25 hours of credit.
Certificate of Attendance
The Texas Department of State Health Services, Continuing Education Service has designated 1.25 hour(s) for attendance.
Certified Community Health Worker
The Texas Department of State Health Services, Promotor(a)/Community Health Worker Training and Certification Program has certified this course for 1.25 contact hour(s) of continuing education for Certified Community Health Workers and Community Health Worker Instructors.
One of the requirements of continuing education is disclosure of the following information to the learner:
- Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
- Create a Texas Health Steps account.
- Complete on-line registration process.
- Thoroughly read the content of the module.
- Complete the on-line examination.
- Complete the evaluation.
- Commercial Support.
The THSTEPS Web-based Continuing Education Series has received no commercial support.
- Disclosure of Relevant Financial Relationships.
The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose.
- Non-Endorsement Statement.
Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center.
- Off-Label Use.
Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).
The following are policies and definitions of terms related to continuing education disclosure:
The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.
All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.
Glossary of Terms
Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.
Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.
Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).
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Prenatal Health: Screening and Intervention
Integrate best practices for prenatal health care and counseling into preventive medical checkups.
Opioid and Substance Use: Caring for Texas Mothers and Babies
Take 10 minutes to view a video filled with information and resources about addressing opioid and substance use among pregnant women and new mothers.
Culturally Effective Health Care
Promote effective communication and improve health outcomes for culturally diverse patients and their families. Includes guidelines for obtaining informed consent and using interpretation services in the medical home.
High-Risk Behaviors In Young People: Screening and Intervention
Learn about the prevalence, signs, symptoms and interventions for substance use and other risky adolescent behaviors.
Effectively communicate vaccine information to patients and families, apply the national immunization and catch-up schedules and identify vaccine contraindications and precautions. Includes current ACIP guidelines.
Communicate clear and consistent messages about breastfeeding and provide support to help families achieve their breastfeeding goals.