An obstetrician-gynecologist, specialist in obstetrics and gynaecological ultrasound of the Clinic of Professor Stefan Khmil – Tetiana Mykhailova gives some tips to prepare for pregnancy.
Did you decide to become a parent? Perfectly! And do you know that you need to prepare carefully for the desired pregnancy? After all, only a comprehensive medical examination can prevent fetal infections and other birth defects.
So, what needs to be taken care of in advance before getting pregnant?
3-6 months before the “planned” pregnancy both of partners must completely refuse the use of alcohol and tobacco smoking; Pay attention to food – both should refuse fast foods, exclude from the diet smoked foods, semi-finished products and products with high content of stabilizers and preservatives. Vegetables and fruits should be preferred. The quicker you do this, the better. After all, healthy and proper nutrition will strengthen immunity and significantly improve your health.
Avoid excessive insolation (exposure to solar radiation), hypothermia, physically or emotionally disturbing. Future moms need to normalize body weight. For women weighing less than 45 kg – in the direction of increasing it, and for women weighing 70 kg or more – to lose weight through regular exercises and a diet. In no case do not use drugs to reduce appetite or “burn fat”.
For the prevention of congenital defects of the nerve tube of the fetus, it is recommended for both partners to consume 400 micrograms of folic acid daily.
And, of course, the main point in preparing for pregnancy is visiting a doctor, who will exam you. Start with an obstetrician-gynecologist with compulsory colposcopy, with bacteriological and Pap test. It is also necessary to undergo an ultrasound examination of the pelvic organs to exclude pathological processes and to determine the state of reproductive organs.
It should be remembered that some infectious diseases are very dangerous for the pregnant woman and the fetus.
The TORCH screen is mandatory. It is impossible to know exactly if you have rubella or not. More precise information can be obtained only through the tests of blood for the detection of antibodies. A quantitative analysis is carried out to determine the antibody titer – rubella antibodies, chlamydia, herpes, toxoplasma, cytomegalovirus. The presence of IgG antibodies means that the immunity is present and it is not a barrier to pregnancy. The presence of IgM means the acute stage of the disease, and pregnancy should be delayed until complete recovery. If there are no IgG antibodies to the rubella, you should be vaccinated and should avoid accidental pregnancy for 3 months. The insidious virus passes through the placental barrier and affects the fetus, which in the future leads to birth defects.
No less important is the screening for HIV, syphilis and some types of hepatitis (usually B and C).
Laboratory determination of the blood group and the Rh factor (and not only of the future mother, but also the father) makes it possible to determine the risk of Rh-incompatibility and incompatibility in the blood group.
You must also visit a therapeutist. It is very good if you are completely healthy, but still make sure it does not hurt! The doctor will examine you, assess the general health and readiness for the future pregnancy. When it is detected chronic diseases – the doctor will recommend you narrow specialists. Probably, the doctor will recommend to undergo examination by other specialists – endocrinologist, neuropathologist, genetics.
Do not delay the visit to the dentist to assess the oral cavity. It is known that during pregnancy, the condition of the teeth deteriorates. So do not be afraid to visit a dentist even if you have no complaints. It is important for the doctor to examine your teeth and give some recommendations. If necessary, do an X-ray, since after the conception all radiation will be banned.
Have a nice pregnancy and light childbirth!