General

Pre-pregnancy considerations

Pre-pregnancy considerations

Being a mother or father is a big event that will change the course of your life. It is certain that you will have a healthier pregnancy with some plans and changes before you get pregnant. A healthy lifestyle has a big and positive impact on you and your baby. Planning a pregnancy helps prepare you for future events and allows you to easily and consciously overcome your difficulties. Providing good health care before pregnancy will help you throughout your pregnancy. Many women do not know that they have become pregnant for a few weeks. These first weeks are the most critical periods for the fetus. Because organs are formed in this period. The use of cigarettes, alcohol and some drugs prevents normal development of the baby. If you intend to become pregnant, you should consult a doctor at least 3 months in advance, and it is important to provide guidance and information.

Are your health and body suitable for getting pregnant?
Talk to your gynecologist before your pregnancy. This will be a great opportunity for you in terms of overall control. If you have habits that need to change in this interview, you can address them and make new arrangements. In addition, high blood pressure and excess weight problems, such as you can start the necessary treatments. Remember that if you have problems such as obesity and high blood pressure, you are in a risky group and do what you need to control them as soon as possible. Overweight women cannot get pregnant easily because their ovulation is not regular. If they stay, this time diabetes and high blood pressure are waiting for them. In addition, babies of these women have a high risk of being born larger than normal, which brings birth injuries and mandatory cesarean section. Mothers with high blood pressure have low birth weight and high risk of giving birth to premature babies. In addition to these, Placenta Abruption, which is a very serious problem in pregnancy, means that the placenta is separated from the uterus before the baby is born and there is a high risk.

How's your weight?
Follow a regular exercise program and prepare a proper diet program with a dietitian. This is one of the most important things you will do for your baby before pregnancy. Providing an appropriate weight is important for good health. You should ensure that your height remains proportional to your weight at least 6 months before your pregnancy. High weight during pregnancy can cause high blood pressure and diabetes in the mother. Excessive obesity is an additional burden for the heart during pregnancy. Lower than normal weight prevents the development of the baby and leads to the birth of low-weight babies.

Is there a hereditary disease in you or your spouse's family?
It is important to identify some hereditary diseases and to give you genetic counseling based on your age, family history. Genetic counseling provides information about couples' chances of having a child with a genetic disease.

Do you have a chronic illness?
Pregnancy can put new loads on your body, so your health problems that are normally under your control can cause problems again. If you are facing some special medical conditions, you should be controlled before you become pregnant and maintain these checks throughout your pregnancy.

Some important questions are:
Do you have any problems such as sugar, high blood pressure, epileptic seizures?
Do you have anemia, do you have any complaints about this right now? (Fatigue, Palpitation, Paleness, Quick fatigue)
Have you ever had surgery?
Are you allergic to anything?

If you have had previous pregnancies, how did it go?
Your past pregnancies and any related complications are also important. Because problems can happen again. Women who have had miscarriages, especially before, are worried about getting pregnant again. Indeed, previously abortions; The low-weight baby increases the risk of childbirth and the risk of premature birth.

Are you taking any medications?
Daily medicines such as aspirin, allergy drugs (anti-histamines), diet tablets, birth control drugs will be questioned. Some medications affect the fetus and should not be taken during your pregnancy. For example, Retinol (a retinoic acid, vitamin A derivative drug), which is commonly used for the treatment of acne, causes congenital disability in the baby and should not be pregnant for at least 6 months after cessation of medication. The use of tranquilizers and painkillers should also be consulted with a doctor.

Is there a risk to your job in terms of pregnancy?
If you or your partner is exposed to radiation, chemicals, lead or anesthetic, this may put your chances of getting pregnant and your baby at risk. Before getting pregnant, it is important to get information from the employer or the workplace doctor.

Did you get rubella vaccination?
Rubella disease can cause significant disorders in the baby during early pregnancy when the baby's internal organs develop (deafness, blindness, inhibition of brain development…). Therefore, when you decide to have a pregnancy, you should contact your doctor to find out if you are immune to this disease. If you are not immune, your doctor will vaccinate you. You should take the blood test at least 3 months before your pregnancy.

Other tests
It is important that mothers who have social risk before pregnancy should have ELISA test for AIDS. This mother should never be intimidated or disturbed. In addition, it is increasingly accepted to offer AIDS testing to all pregnant women with or without a history of high risk behavior. In addition to this, it is important to perform the hepatitis-B test and to give vaccination and treatment when the baby is born. In particular, mothers who know that they are carriers of hepatitis-B should consult a doctor to avoid damaging their babies. Infants born from certain hepatitis carriers (with certain antigens) have a high risk of infection, and hepatitis-B vaccination and immunoglobulin treatment of these infants within 12 hours after birth almost always prevents infection. In addition to this, knowing the blood groups of the mother and father before the pregnancy, if there is a blood mismatch, the special follow-up of the pregnancy and giving the necessary vaccine (rho-gam) to the mother before the birth will prevent the danger in the next pregnancy. If this is not the first pregnancy of the mother and if there is a blood mismatch between the mother and the father and the mother does not have the necessary vaccination during her first pregnancy, then it is appropriate to check whether the mother has antibodies in her first pregnancy and to plan the birth under more special circumstances.