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 Building preconception care into the fertility pathway
 Risk Assessment
   Homan et al HRU 2007
Opt imise Health And Fertility
Healthy child and
mot her
  Conclusions
• Technology advances seem compelling but are having limited impact on outcomes
• The peri-implantation environment has longterm health implications for offspring.
• We have unique access to patients in the pre- conception period.
• RCTs show that even short interventions work.
• Smartphone accessed lifestyle coaching can help
• Fertility treatment starts with preconception care.
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