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 baby’s 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 labor.
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 labor.
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.
|