Comprehensive Preconception Risk Management: Key to Morbidity and Mortality Reduction

Introduction: Since the middle of the 20th century, maternal and infant mortality has been an issue of global concern. The World Health Organization (WHO) highlighted the need for health policies focused on prevention and comprehensive care for women before, during and after pregnancy. Preconception reproductive risk management (PRRM) was consolidated as an essential component to reduce these figures, identifying and addressing risk factors in non-pregnant women. Development: RRPC included biological, psychological and social risks that increased the probability of complications during gestation, delivery and puerperium. Preconception care made it possible to detect pre-existing health conditions and apply evidence-based preventive measures, such as folic acid supplementation, metabolic control of chronic diseases and vaccination against specific infections. The implementation of interdisciplinary programs in primary care strengthened the promotion of healthy habits and ensured individualized care. These strategies reduced the impact of triggering factors such as extreme age, multiparity and chronic diseases, improving maternal and child outcomes. Conclusions: RRPC control was positioned as a key tool to reduce maternal and infant morbimortality. Preconception consultation represented an opportunity for family planning and promotion of the integral health of women and their partners. The strengthening of preventive and educational programs in primary care, combined with an interdisciplinary approach, proved to be essential to guarantee healthy pregnancies and prevent complications, contributing to the wellbeing of future generations