PREGNANCY-BIRTH Messages for March, 2000: Re: pre-pregnancy

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Re: pre-pregnancy

From: anonymous (anonymous@obgyn.net)
Sun, 26 Mar 2000 04:10:11 -0600 (CST)

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Next message: Kim: "Placenta Previa/Total at 24 weeks"
Previous message: Soffin: "Re: Pregnancy"
In reply to: Robyn: "pre-pregnancy"

I would recommend you make an appointment for Preconceptual Counseling with your Gynecologist. Just how much he/she will do depends on how interested they are in Preconceptual Counseling. It makes a lot of sense though to do many of the tests which are routinely done at the first OB visit since any abnormalities found are easier to treat before you get pregnant. Anything that would change your decision to get pregnant, be difficult to treat while pregnant, or lead to a healthier pregnancy should be addressed.

For example:

HIV testing...no matter how small your risk is, it's not zero and it would definitely make you think twice.

Other STD tests.

Chickenpox is dagerous in pregnancy, if not immune you can get the vaccine beforehand.

Rubella immunization if not immune.

Pap smear...easier to treat abnormals before pregnancy.

Starting Folic Acid to prevent Spina Bifida.

Counseling on what your risks of a baby with chromosomal abnormalities are (at your age about 1/170-1/200)...would this make you reconsider?

Modifiable risk factors...exercising before and during pregnancy improves your chances as does achieving/maintaining a normal weight.

Definitely not smoking. Illicit drug use?

Medications you take? Medical problems like diabetes, asthma, epilepsy?

Family history of cystic fibrosis, spina bifida, and other genetic diseases? These can be tested for or prevented in some cases.

As you can see there are many things to talk about with your doctor beforehand no matter your age.

Next message: Kim: "Placenta Previa/Total at 24 weeks"
Previous message: Soffin: "Re: Pregnancy"
In reply to: Robyn: "pre-pregnancy"

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