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Nowadays, spouses plan to become pregnant in the most favorable conditions by deciding together. Of course, it is the desire of all families that the expectant mother has a healthy pregnancy and has a healthy baby after the birth. Therefore, it is necessary to be healthy first.
In order to determine the risks that may arise during pregnancy and to take precautions against negative problems that may arise and to be able to treat them, it is necessary to be ready mentally and physically for pregnancy.
Gynecology and Obstetrics Specialist at Acıbadem Kocaeli Hospital More professionals named ayhan tuncay Today, especially because of the increase in working women, taking into account not only the social life, but also the difficulties brought by business life after the conditions are improved, pregnant women will support the psychological preparation of the expectant. Dr Tuncay also emphasizes that it will be beneficial for mothers who will continue their working life after the birth, for family support related to postnatal baby care or to program the caregiver.
Dr Yildiz Ayhan Tuncay explains what couples should do before pregnancy
Couples should go to the physician who is asked to follow the pregnancy two or three months before conception. Your doctor will ask you questions about your general health, habits, work and lifestyle, and your family history in terms of hereditary diseases. If you have had a pregnancy before, it will note the course of previous pregnancies, the type of birth, whether you have given birth in time, whether there is postpartum hemorrhage, the health of the baby, and the birth weight. If previous pregnancies / pregnancies resulted in miscarriage, they will also ask more detailed questions. After receiving detailed information about your health status, a gynecological examination will be performed.
In the gynecologic examination, vaginal and pelvic infections are investigated. The size, position, uterine fibroids of the uterus are determined. PAP smear test known as cervical cancer screening test is taken. If it has been done before and over 1 year is repeated. The condition of the uterus and ovaries is examined by transvaginal ultrasonography. The presence of uterine cysts such as fibroids and cysts in the ovaries is determined. In addition, thyroid glands and breasts are examined. Finally, the mother's height, weight, blood pressure is measured and the examination is terminated. Laboratory tests are used for some diseases that do not show clinical findings after history questioning and examination but may occur during pregnancy. Thus, the risk factors that may be encountered during pregnancy, at birth and after birth will be determined. We are now physically ready for pregnancy after treating potential illnesses with measures to be taken against risk factors.
Which tests should we do during the preparation period?
All our tests before pregnancy are as follows:
- Complete blood count,
- Blood type of mother and father,
- Fasting blood sugar (FBS), Urea, AST, ALT
- Complete urinalysis,
- Pap-smear test,
- Vaginal culture and chlamydia antigen,
- Hepatitis B, Hepatitis C and HIV test,
- Rubella titer,
- Toxoplasma screening,
- Thyroid test (TSH),
In addition, tests can be performed for the diseases detected during the patient's interrogation. For example; If you have menstrual irregularities, hormonal examination including prolactin and testosterone may be necessary. Again other gynecology disease, for example; special tests should be performed for patients such as diabetes, hypertension, anemia, urinary tract infection.
What Should We Do During the Preparation Period?
Parents are required to do when they decide to have a baby.
It is very important that you first meet with your doctor, meet and have an examination and get information about pre-pregnancy preparation. The positive relationship and trust between you after the first interview will make you comfortable during pregnancy. The support you receive from the same doctor during pregnancy after the pregnancy check-ups will also reduce your stresses related to birth.
The best age for a healthy pregnancy is the twenties. The risk increases in pregnancies under 18 and over 35 years of age.
- Stop smoking. Too much smoking reduces the likelihood of conception and leads to premature birth, low birth weight birth and bleeding due to placenta placement.
- It should be discontinued if alcohol is used. Alcohol also reduces the likelihood of conception, leading to the birth of babies with alcohol syndrome.
- Stop drinking excessive coffee and tea.
- Begin taking 400 micrograms of folic acid a day 1.5 - 2 months before the planned pregnancy. Folic acid has been shown to prevent spinal cord and spinal developmental disorders called neural tube defects. It should be continued until the 3rd month of pregnancy.
- Save your weight. If you have excess weight, try to lose weight with the help of a diet specialist.
- Mark your menstrual days, start and end times on your calendar. Your doctor will ask you about your menstrual cycle and will be able to determine your possible ovulation time, the days to conceive.
- If you have dental and gum diseases, have your teeth examined.
- Ask your partner to stay away from excessive fatigue that can impair sperm quality. Avoid alcohol and smoking.
- Do not have X-rays unless it is mandatory, especially in the post-ovulation period, and tell your doctor about the possibility of pregnancy if you need medication. If possible, stay away from infectious diseases, hygiene, pay attention to stay healthy.
- Every 4 weeks between 1-28 weeks,
- Every 15 days between 28-36 weeks,
- Once a week between 36-40 weeks,
- It is suitable to be done every 3 days between 40-42 weeks.
As risky situations require close follow-up, your doctor will want to see you more often and call you for a checkup.
Conditions that put pregnancy at risk
The aim of the pregnancy follow-up is to protect the health of the mother during pregnancy and to ensure that the pregnancy results in the most healthy way for both the mother and her baby. Prevention of complications that may occur during pregnancy, recognition and treatment when it occurs, as well as education about pregnancy, birth and child raising is very important. Factors and risks that may affect pregnancy can be identified in this period starting from pre-pregnancy period and continuing throughout pregnancy.
Determination of risks:
Social and demographic risks Maternal and paternal age, genetic inheritance in the family, presence of diseases, consanguineous marriage, low socioeconomic status, occupational exposures, maternal smoking, alcohol and drug use, domestic violence, medical risks.
Diseases of the mother; diabetes, hypertension, epilepsy, cardiovascular diseases, kidney diseases, blood diseases, thyroid diseases, rheumatic diseases, liver diseases, stomach ulcers, lumbar hernia, hip dislocation
Infections of the mother; Urinary infections, tuberculosis, herpes genitalis, HIV infection, rubella, CMV infections, syphilis, toxoplasmosis
The mother's operations, especially those for the abdomen and pelvis: myomectomies, intrauterine surgical interventions, ectopic pregnancy, ovarian cysts, appendectomies and bowel operations
Obstetric risks, number of previous pregnancies, number of deliveries, mode of delivery (history of interventional delivery such as caesarean or vacuum), history of premature birth, infant arrival (such as breech or side arrivals), early arrival of water, premature birth of placenta, weight of live born babies (coarse baby or low birth weight baby), their health
Baby birth history with anomaly
Previous history of preeclampsia in pregnancy