Preconception Planning: Is Your Body Ready for Pregnancy?

When you’ve determined to get pregnant, you is likely to be emotionally ready to have a child—however is your physique prepared?

To assist guarantee a wholesome being pregnant, schedule a preconception appointment together with your well being care supplier as quickly as you start desirous about being pregnant. A preconception appointment is very essential in case you’re in your 30s or 40s or you’ve got any power well being circumstances or particular considerations. Think about these preconception planning questions.

What sort of contraception have you ever been utilizing?

When you’ve been taking mixture contraception drugs—whether or not typical or prolonged cycle—not more than a two-week delay in your interval is anticipated after you cease taking the tablet. You needn’t take a pill-free break earlier than making an attempt to conceive.

Nevertheless, it will be considerably simpler to estimate once you ovulated and when your child is due you probably have a minimum of one regular interval earlier than conceiving. When you plan to attend just a few months, use condoms whereas your menstrual cycle will get again to regular.

When you’ve been utilizing sure varieties of long-term contraception, corresponding to progestin injections, your return to fertility may take considerably longer. Nonetheless, 50 % of ladies conceive six to seven months after the final shot.

Are your vaccines present?

Infections corresponding to chickenpox (varicella) and German measles (rubella) could be harmful for an unborn child. In case your immunizations aren’t full otherwise you’re undecided in case you’re resistant to sure infections, your preconception care may embody blood checks to test for immunity or a number of vaccines—ideally a minimum of one month earlier than you attempt to conceive.

Do you’ve got any power medical circumstances?

If you’re overweight or have a power medical situation—corresponding to diabetes, bronchial asthma, or hypertension—ensure it is below management earlier than you conceive. In some circumstances, your well being care supplier may advocate adjusting your treatment or different remedies earlier than being pregnant. Your well being care supplier additionally will clarify any particular care you may want throughout being pregnant.

Are you taking any drugs or dietary supplements?

Inform your well being care supplier about any drugs, herbs, or dietary supplements you are taking. Relying on the product, your well being care supplier may advocate altering doses, switching to one thing else, or stopping the product earlier than you conceive.

That is additionally the time to start out taking prenatal nutritional vitamins. The child’s neural tube—which turns into the mind and spinal wire—develops throughout the first month of being pregnant, presumably earlier than you even know that you just’re pregnant. Taking prenatal nutritional vitamins earlier than conception helps forestall neural tube defects.

Are you prone to a sexually transmitted an infection?

Sexually transmitted infections corresponding to gonorrhea, syphilis, and chlamydia can intrude together with your capability to conceive. These infections additionally pose dangers to each mom and child throughout being pregnant. When you’re prone to a sexually transmitted an infection—otherwise you suppose you or your associate may need an an infection—ask your well being care supplier about preconception screening and therapy.

Do you’ve got a household historical past of any particular medical circumstances?

Typically household medical historical past—both yours or your associate’s—will increase the danger of getting a toddler who has sure medical circumstances, corresponding to cystic fibrosis, or beginning defects. If genetic circumstances are a priority, your well being care supplier may refer you to a genetic counselor for a preconception evaluation.

How outdated are you and your associate?

As maternal age will increase, the danger of fertility issues, being pregnant loss, and sure chromosomal circumstances will increase. Some pregnancy-related problems, corresponding to gestational diabetes, are also extra widespread in older moms. The age of the child’s father can play a task, too. Your well being care supplier can assist you set any dangers into perspective, in addition to develop a plan to provide your child the perfect begin.

Have you ever been pregnant earlier than?

Your well being care supplier will ask about earlier pregnancies. Make sure to point out any problems you may need had, corresponding to hypertension, gestational diabetes, preterm labor, untimely beginning or beginning defects, or pregnancies that required a C-section.

When you had a earlier being pregnant involving a neural tube defect, your well being care supplier will probably advocate the next every day dose of folic acid than what’s present in most prenatal nutritional vitamins.

When you have any considerations or fears about one other being pregnant, share them together with your well being care supplier. She or he will assist you to perceive the perfect methods to spice up your probabilities of a wholesome being pregnant.

Does your present life-style assist a wholesome being pregnant?

Wholesome life-style selections throughout being pregnant are important. For instance:

  • Your well being care supplier will focus on the significance of a nutritious diet, common bodily exercise, and managing stress.
  • When you’re underweight or obese, your well being care supplier may advocate addressing your weight earlier than you conceive.
  • It is also essential to keep away from alcohol, unlawful medication, and publicity to poisonous substances.
  • When you smoke, ask your well being care supplier about assets that can assist you give up.

If attainable, ask your associate to attend the preconception go to with you. Your associate’s well being and life-style are essential as a result of they’ll have an effect on each you and the child.

Up to date: 2015-07-07

Publication Date: 1998-11-02

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