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Pregnancy:
Pre-Pregnancy Health Check
Before you can even begin to think about having a baby you have
to make sure that both you and your partner are at your healthiest.
After all your body is going to be the babys home for its
first 9 months. So making that home as healthy as possible should
be first on your agenda. You should take a year to prepare for your
body and lifestyle to adapt to the changes. The first thing you
should do is make an appointment to see your doctor who may advice
you on a pre-pregnancy health checkup whether you have any health
problems or not. Here is a list of the things that you will need
to do to help you get your health into order before trying to conceive.
You should also take note o these to help when having a checkup.
Medical history
Your doctor will ask you a series of questions regarding your health
and lifestyle. It is always best to be prepared in advance here
are a few things that you should let him know about.
Any medication that you or your partner are taking. Even some over
the counter drugs can affect the developing baby, so telling your
doctor about every medicine that you are taking is essential. The
doctor might want to change some medications and stop some before
trying to conceive.
Any serious or chronic diseases that you may have had diabetes,
low or high blood pressure, heart disease, epilepsy. There might
be need to change some medications before conceiving.
Genetic problems in your family such as Down`s syndrome or cystic
fibrosis.
The type of contraception you are using. Remember with may contraception's
such as the coil you will have to wait at least 2 months after removing
it before you can begin to try to conceive.
Any problems that you have had in previous pregnancies such as,
miscarriages, ectopic pregnancies, premature birth or any complications
that you may have had during labour.
Also let your doctor know if you have had any termination's.
Any menstruation problems that you have had.
Have you had an eating disorder?
Any sexual disease that you have had such as, Chlamydia which can
make both men and women infertile.
Other things that you should inform your GP about are;
Your diet/eating patterns.
Any exercise program that you are currently doing.
Risks with lead at work or home.
Examinations
Your doctor will do a series of tests to make sure that your body
is ready for pregnancy and make sure that you have no diseases that
will prevent you from conceiving or that you don`t have any infections
that can be passed on to your baby.
Internal examination
An internal examination may be carried out if you have had problems
in the past with menstruation or a pelvic infection and if you have
any infections or conditions they can be treated now to ensure you
have a healthy pregnancy.
Cervical smear test
It is important that you have a cervical smear test every three
years. Check when you last had one and make an appointment if you
are due one. Let your doctor know if you have had any abnormal cervical
smear test in the past.
Sexually transmitted diseases (STDs)
Both you and your partner should have complete tests for STD`s also
an AIDS test. If you do have an STD you should let your doctor know
immediately to start treatment to increase your chances of a successful
pregnancy. You should always use a condom while one of you have
an STD and should never try to conceive until you are completely
clear of the disease.
Urinalysis
Urinalysis are taken to test for urinary tract infection (UTI).
You may be asked for a urine sample so you can be checked for UTI
so that it can be treated immediately. Avoid trying to conceive
altogether if you have an UTI as it is associated with miscarriage,
low-birth weight and premature labour.
Vaccinations
If you have not had rubella, it may be advisable to be vaccinated
prior to becoming pregnant. If you do get vaccinated, you should
delay trying to get pregnant for three months. You should not get
vaccinated during pregnancy. If contracted during pregnancy, rubella
can cause birth defects. Avoid eating undercooked meat or handling
cat litter. These are known sources of toxoplasmosis, a parasitic
infection that can seriously affect the fetus.
Blood test
A blood test will be done to test for anaemia and other abnormality
in your blood. Once you have conceived your GP will continue to
take blood tests throughout your pregnancy.
Blood pressure check
Pregnant women with high blood pressure (hypertension) are more
likely to develop pre-eclampsia and have placental problems, so
it's important to control high blood pressure before you conceive.
Genetic testing
If there is a history of genetic problems in either of your families
you will be referred to have genetic testing done. The vast majority
of babies are perfectly healthy only 2 to 3% are born with
a major birth defect.
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