ObGyn Intelligence

ObGyn Intelligence

The Forgotten Preconception Trimester

Why America must care for women before they are pregnant. And why it fails terribly.

Amos Grünebaum, MD's avatar
Amos Grünebaum, MD
Oct 12, 2025
∙ Paid

A patient once told me, “I’ll start taking care of myself once I’m pregnant.” She meant well—she wanted to do the best for her future baby. But she didn’t realize that by the time the pregnancy test turned positive, the most critical window for prevention had already passed.

In obstetrics, we talk endlessly about the three trimesters of pregnancy, and mo…

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