Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
It is very scary that the NICE Fertility (update) guidance summary does not mention the importance and value of preconception care. I have 45 RRs on the subject.
It should be obvious that the nutritional and toxic metal status of both parents should be assessed biochemically and deficiencies supplemented before conception and during pregnancy for the health of the child.
1. Barnes B, Grant ECG et al. Nutrition and preconception care. Lancet
2. Grant ECG. The declining health of the pill generations. J Nutr Med
3. Ward N. Preconceptional care and pregnancy outcome. J Nutr Med