To begin with, we must come to the doctor. The conversation with the doctor, it just somehow heals. Medical history - that is, the study of the history of the entire previous life and even the life of your family - the most important component. If your family were hereditary diseases or a family history of miscarriage or stillbirth, should consult a geneticist. Genetics help to identify genetic abnormalities and provide a forecast of a healthy baby.
After the meeting the good doctor a gynecologist already forming in my head all future steps and plans necessary actions.
What kind?
Inspection and collection of material for research .
What are we going to take?
- Gynecological smear on the flora (see number of desquamated epithelium, leukocytes, quantity and quality of the microflora in the urethra, the channel of the cervix and the vagina)
- Cytology (called smear "cancer cells" from the outer and inner surface of the cervix)
- Swab by PCR for infections, sexually transmitted infections. The cure inflammation before pregnancy to avoid the most common cause of miscarriage and complications of pregnancy - infectious.
Then the doctor assigns a comprehensive survey to assess the health status .
In short, the goal of this research - to reveal hidden problems before pregnancy and cure all that can be treated before pregnancy.
We pass the tests:
- CBC - sudden anemia, or inflammation, or even what evil;
- Urinalysis - very subtly responds to the malfunction of the urinary system;
- Blood chemistry - how is glucose, serum iron, cholesterol, indicators of liver and kidney?
- Thyroid function: TSH, T4 and free antibodies to thyrotropin and thyroid peroxidase - it is no secret that we live in iodine-deficient region, and yodprofilaktika very improves intellectual abilities of the child;
- Serological tests for infection - HIV - infection, syphilis, hepatitis B and C - need to know about this until the desired and long-awaited pregnancy;
- As well as research on TORCH-infection: toxoplasmosis, cytomegalovirus (CMV), herpes simplex virus, and rubella;
- To clarify the structural features of the internal genital organs do a pelvic ultrasound.
Typically, this volume is sufficient, if necessary inspection can be expanded. Much depends on the nature of the menstrual cycle, the outcome of previous pregnancies, opportunistic diseases.
This is followed by what is called the international recommendations " clarification of medical issues ". Specifically:
- Dentist should treat teeth,
- ENT - to clarify, if not hidden in the ear, nose or throat of foci of chronic infection. Hides - treat.
- The therapist - to find out the condition of internal organs and allow us to pregnancy. Well, if the cure is something wrong, something to achieve stable remission. Well, if not stable remission, or at least compensation.
There are still all sorts of special cases. The international standard is brief and capacious:
Diabetes - control optimization.
Hypertension - replacement of ACE-inhibitors, angiotensin receptor antagonists II, thiazides for drugs not contraindicated in pregnancy.
Epilepsy - control optimization, folic acid - 1 g per day.
Deep vein thrombosis - replacing coumarin heparin.
Depression / anxiety - be excluded from drug treatment benzodiazepines.
Prevention :
It is important and necessary to the appointment of folic acid, 400 micrograms per day for the entire period before conception, preferably not less than 3 months. In diabetes and epilepsy - 1 mg per day, 4 mg for women having children with neural tube defect.
Yodprofilaktika 150 micrograms of potassium iodide on a daily basis when planning pregnancy and 200 micrograms during pregnancy and lactation. Remember that according to the WHO, 20 million. People in the world have mental retardation due to iodine deficiency - this is a situation that could easily be prevented.
If necessary - immunization against hepatitis B, rubella, chickenpox.
The conversation also treats:
- Discuss with your doctor how to prevent possible infection with cytomegalovirus, toxoplasmosis, parvovirus B19. TORCH- infection - this is a separate big topic which we will raise.
- Discussing factors harmful for pregnancy at home (pesticides, solvents, etc.), as well as women in the workplace.
- Discuss alcohol abuse and smoking. If necessary, the doctor will help in giving up bad habits. Frankly, it's embarrassing to say this, but there is no safe dose of alcohol, drugs and very light cigarettes. And the expectant mother and the father of the future should advance strongly and voluntarily give up these bad habits is remarkable.
Changing lifestyle and diet.
Yes, think about and change the diet should be before pregnancy. For the normal development of the fetus is necessary to pregnant women received iron, calcium and folic acid.
• Iron is found in meat, dried fruit, bread, green vegetables and cereals.
• Sources of calcium: milk, cheese and dairy products.
• Sources of folic acid - green leafy vegetables, beans, rice, corn, cereals, oranges, bananas, milk, chicken liver.
Useful regular exercise of medium intensity.
We can not allow overheating (exclude hot tubs, saunas, steam rooms).
If necessary, it is necessary to discuss with your doctor the problem of obesity or excessively low weight, possible problems with deficiency of essential nutrients for vegetarians, and women with intolerance to milk. Compensate revealed a lack of calcium and iron.
The doctor warns that you must avoid overdose :
- Vitamin A - (limit - 3000 IU per day). It is desirable to limit the consumption of foods rich in this vitamin - liver, brain, and cod liver oil.
- Vitamin D (limit - 400 IU per day).
- Caffeine (limit of 2 cups of coffee and glasses kofeinizirovannyh 6 drinks (Coca-Cola) in the day).
This is my favorite recommendation. I quote from the standard American Association of General Practitioners. I have not had a single patient who would be admitted, that drinking 6 cups of Coke a day. Russian Association of Obstetricians and Gynecologists several modernized this advice: do not use more than 300 mg of caffeine a day. One cup of instant coffee contains about 75 mg of caffeine, a cup of coffee beans (100 ml) - 100 mg, tea cup - 50 mg, 50 grams of chocolate - 50 mg, and cola glass - 40 mg.
What complicated work? In fact, everything is simple - you are healthy and full of energy, you go to bed before midnight, did not meet the sunrise in a nightclub, eat right, without fanaticism exercise, do not smoke, do not accept the light and not drugs, do not sit at the computer day and night , take vitamins, happy making love with my boyfriend? All out!
And the main question: why so much cooking?
Any problem is easier to prevent than to deal with it bravely. Especially when the really serious problems can be avoided by taking a penny vitamins. Having made the necessary tests and vaccinations, can not cowards 9 months - what if I am infected? Cure the infection before pregnancy will sleep, and do not hesitate "to drink or not to drink antibiotics - that is the question."
You Happy parenting!
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