One of the most important decisions a person makes in his life is that he wants to have children.
However, when this power is decided, it is necessary to be both mentally and physically ready before becoming pregnant. Istanbul Private Service Hospital Obstetrics and Gynecology Department Op. Dr. Contact Meltem directly gives information about the period before pregnancy.
: What should be considered before pregnancy?
Kiss. Dr. Contact Meltem directly The overall health of a woman who plans to become pregnant is extremely important. Pregnant candidates are asked for the ideal living conditions as possible. It is important that regular working and resting hours, sleeping hours are sufficient and in proper conditions, there is no smoking and alcohol consumption, and there is no time spent in places with heavy cigarette smoke. It is very important that a pregnant woman is known to be in good control of her illnesses. Anemia (anemia), diabetes (diabetes), goiter, heart rheumatism and congenital heart valve problems are among the most common diseases that may complicate pregnancy in our society. In addition, some of the infectious diseases pose a very serious risk to pregnancy. The most important are rubella, chicken pox, mumps infections. These infections are infections that can cause the baby to become disabled or miscarriage if passed during early pregnancy.
: How does smoking affect pre-pregnancy and pregnancy?
Kiss. Dr. Contact Meltem directly As is known, smoking shows almost all its negative effects through the vascular system. Associates the baby with the mother, provides her nutrition, oxygenation and waste
When the placenta, which is the excretory system, is considered to be a completely vascular system, the damages of smoking on pregnancy are clearly seen. Although it is ideal for a woman in her childbearing age to never smoke, smoking should be stopped immediately, at least when the pregnancy is noticed. Reducing smoking is not the solution and is not recommended.
: Is it necessary to have an examination before pregnancy?
Kiss. Dr. Contact Meltem directly Under normal circumstances, a woman should undergo a gynecological examination regularly once a year and basic health screenings should be performed. Vaginal smear test and breast ultrasonography are the most important ones. A woman who decides to become pregnant should have a thorough examination about 3 months before the planned date of pregnancy, and some tests should be performed.
: What are the examination stages?
Kiss. Dr. Contact Meltem directly The first examination of the expectant mother before the pregnancy is done at the end of the menstrual period. A detailed story is taken prior to the examination. In this first interview, the family histories of both mother and father are questioned and the presence of any genetic anomalies or diseases in their descendants is investigated. During the anamnesis including the spouse and his / her family members, points that are noteworthy (babies with or without disabilities, chronic diseases, congenital anomalies, etc.) are noted for examination. The spouses' CVs are also scanned in detail about their general health and illnesses.
You will then be questioned if you have chronic systemic disease such as heart disease, diabetes, liver disease, and kidney disease. The presence of these diseases can cause harm to you as well as to prevent the healthy development of your baby. Following the physical examination of the expectant mother, a gynecological examination is performed and smear test is taken. If there are remarkable points (shape anomaly in the uterus, vaginismus, pelvic stenosis, polycystic ovary) during the examination, these are recorded and examined. In addition, uterine cysts, uterine cysts, endometriosis, such as the presence of conditions that may interfere with pregnancy is searched for, or if the presence of such conditions previously identified, information about the treatments and results are obtained. Some gynecological diseases and infections can cause difficulty in getting pregnant or miscarriages when pregnant.
Information about the pregnancies and their outcomes can also give important clues. If the birth has been done before, the birth weeks of the babies, birth weight, mode of birth, the characteristics experienced during labor and birth are evaluated. If there are recurrent miscarriages, disabilities or stillbirths, the causes of these will need to be investigated and treated if necessary.
Regular or irregularly used drugs should be discussed with the physician and their effects on the baby should be questioned. On the other hand, the presence of allergies and which substances are allergic to is important.
: What are the laboratory examinations for a pregnant woman?
Kiss. Dr. Contact Meltem directly
● Blood type
● Complete blood count
● Complete urinalysis
● Fasting blood sugar, urea, creatinine, AST, ALT
● TORCH (toxoplasma, rubella, cytomegalovirus, herpesvirus antibodies)
● Hepatitis B antigen and antibody
● Varicella Zoster (chickenpox) antibody
The aim of these tests is to determine the resistance status of the mother against the diseases that can be protected by vaccination and to save time for vaccination.
Rubella (rubella), cytomegalovirus, hepatitis B and varicella vaccine are the diseases that will be gained resistance. Since rubella vaccine is given using live attenuated virus, it should not be pregnant for 3 months after vaccination.
Rh and ABO mismatches between the spouses are determined by blood group determination. The TSH test provides information on the functioning of the thyroid gland and, if necessary, improves the function of the drug before pregnancy. In addition to these basic tests, additional tests that may be required by anamnesis and examination are completed and the pregnant candidate is provided to stop protection in the most suitable conditions.
: - What are your recommendations for those who decide to become pregnant?
Kiss. Dr. Contact Meltem directly Especially in families where both spouses work, planning should be made considering that the baby's care and emotional needs should be met. In the meantime, one of the most important issues is that the mother and father candidates are fully prepared psychologically and they are not being treated for any psychological disorders. Depression is a common problem of our age. Women taking anti-depressant medication should pay particular attention to protection from pregnancy. It is recommended that protection should be discontinued approximately 3-6 months after completion of the treatment of depression. Other suggestions are as follows:
●Start taking folic acid 3 months in advance: First of all, a woman who is planning to become pregnant should start taking 400 micrograms of folic acid a day before 3 months.
This amount is recommended by the world health organization and is known to reduce the risk of infant cerebrospinal injuries. Unless there is a special case, there is no other medication to take.
●Get a health check: Adverse effects on teeth and gums in the later months of pregnancy are well known. Therefore, a woman who plans to become pregnant will be able to
should not be neglected, existing dental problems should be eliminated before pregnancy. Regular dental checks should also be performed during pregnancy.
In the following months of pregnancy, the most likely problems that may disturb the expectant mother are hemorrhoids (hemorrhoids) and anal fiisure (breech rupture).
It is recommended that expectant mothers who have experienced such problems before pregnancy should have completed their treatment before becoming pregnant.
●Pay attention to drug use and x-ray film: Drug use and x-rays from the menstrual period when a woman planning pregnancy
should take maximum care in filming the film. Exposure to certain drugs and x-rays in early pregnancy: low, disabled baby, low birth weight baby
as well as many problems. An unprotected woman may have a tooth, arm, leg, head and lung film after very special cases that cover her abdomen with a special cover. Nowadays, MR (Magnetic Resonance) technique is becoming widespread and it is possible to perform radiological examination without any known risk on the fetus.
●Get rid of your excess weight: If you have excess weight, the best period to give them is before pregnancy. The mean ideal body mass index (BMI) in women is between 20-25.
Complications due to weight control and weight problems are less common in women who are within or near these limits before pregnancy.
●Stop smoking: The babies of pregnant women who smoke can have low birth weight and abortion or preterm birth is more common in these women. It also reduces the chances of getting pregnant. Therefore, no smoking should be done before or during pregnancy.
●Stop consuming alcohol: Likewise, alcohol is among the factors that decrease the chances of getting pregnant. Infants exposed to alcohol in the womb may have long-term mental retardation, learning disorders and behavioral disorders.
●Turn to natural foods: Nutrition is extremely important when it is decided to get pregnant, just like during pregnancy. The use of many substances such as artificial sweeteners and caffeine should be reduced. Attention should be paid to the consumption of natural foods.