EPISODE · Aug 31, 2026 · 31 MIN
Innovations in Preconception Care
from Speaking of Midwives · host Melissa Avery PhD, CNM, FACNM
The U.S. lags behind other developed nations in maternal and infant health outcomes; and Dr. Cynthia Nypaver, midwife, associate professor, and program director at the University of Cincinnati College of Nursing, believes preconception care is a missing piece of the puzzle.In this episode, Dr. Nypaver joins us to unpack her latest article synthesizing the research on preconception health innovations. We explore why care before pregnancy matters as much as care during it, the individual, provider, and structural barriers keeping people from accessing it, and the exciting new tools changing the landscape. F-rom AI-powered conversational agents like "Gabby" to mobile apps, chatbots, and electronic health record prompts that make preconception screening part of routine care.We also dig into policy-level solutions for closing gaps in maternity care deserts, the role of telehealth in reaching rural communities, and practical, ways clinicians can start normalizing preconception care starting tomorrow. Whether you're a midwife, OB, family medicine provider, or nurse practitioner, this conversation offers a roadmap for treating preconception care as what it truly is: primary care for people of reproductive age.In this episode:-Why preconception care affects outcomes across generations-Screening tools every provider should know (reproductive life plan, PHQ-9, IPV screening)-New digital health innovations, from apps to virtual conversational agents-Community and population-level interventions that have workedGuest Credentials: Cindy Nypaver PhD, APRN-CNM, WHNP-BC, FACNMArticle: Innovations in Preconception Care: Optimizing Health for AllIndividuals - Nypaver - 2024 - Journal of Midwifery & Women's Health -Wiley Online LibraryWebsite of interest: https://beforeandbeyond.org/
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Innovations in Preconception Care
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