Prevention: Before Pregnancy

Before Pregnancy

Healthy Habits


Folic Acid


Update Immunizations


Sexually Transmitted Diseases


Genetic Counseling


What Dad Can Do

 


 

Healthy Habits- It's never too early to start planning your pregnancy

Healthy mothers have a better opportunity to have healthy babies and the best time to start being healthy is NOW! If you are overweight, ask your doctor about losing weight before you become pregnant. Being underweight can also create problems during pregnancy, so now is the right time to start changing your eating habits.

Start exercising today. Even walking 20-30 minutes a day 3 days a week will make your body stronger and create a healthy environment for your baby to grow in. And don't forget to see your doctor to talk about any current health problems that you may have. It's important to have conditions such as diabetes, epilepsy, and high blood pressure under control before becoming pregnant.

Remember all of the "grown-up" habits that you may have acquired. Babies are at risk by being exposed to smoking, alcohol, and drugs while they are in the womb. So, start planning for the health of your baby by altering your life-style behavior before you become pregnant. If you need help to conquer these or any other habits, talk to your doctor about finding the right resources to help you overcome this challenge.


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Folic Acid

Folic acid is a B vitamin that is very important in the development of the new baby. If all women who can become pregnant consumed 0.4 milligrams (equivalent to 400 micrograms) of folic acid from at least a month prior to conception and during the first trimester of pregnancy, between 50-70 percent of neural tube defects (NTD) would be prevented. NTDs are disorders of the development of the brain and spinal cord. The most common NTD is spina bifida, or opening of the spine.

Women of childbearing age should include folic acid in their diets by eating foods high in folates and/or by taking a multivitamin containing 400 micrograms of folic acid. Folate-rich foods include dark green, leafy vegetables, citrus fruits, liver and organ meats, fortified cereals, and legumes. A large glass of orange juice and a bowl of fortified cereal provide about half the recommended daily amount of folic acid.

A woman who has had a child with a NTD is at the highest risk for recurrence and should see a physician before planning another pregnancy. Her physicians will prescribe a higher dosage of folic acid (4 milligrams or 4000 micrograms).

Women who are stringent dieters, drug users, heavy drinkers, smokers, or oral contraceptive users, might benefit from additional folic acid supplementation.

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Immunizations

Be sure that you are protected against childhood illnesses. Even adults can catch diseases like chicken pox and rubella (German measles) which can have a devastating impact on the baby if exposed during pregnancy. Both of these diseases can be avoided with proper immunization.


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Sexually Transmitted Diseases

Plan to have a check up before you become pregnant which includes being tested for sexually transmitted diseases such as chlamydia, herpes, and syphilis. Many sexually transmitted diseases have subtle symptoms and you may not even be aware that you have been infected. But by diagnosing and treating them before you become pregnant, you can reduce the chance that your baby will be exposed, and possibly affected, by them.

Even if you have been exposed to a disease that currently has no cure available, like herpes, with careful planning you can reduce the risk of your baby being harmed by it. Ask your doctor about ways that you can avoid being exposed to sexually transmitted diseases.


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Genetic Counseling

If you have previously had a baby with a birth defect or have a family history of babies born with birth defects, you may want to see a genetic counselor before you choose to become pregnant again. Although the cause of most birth defects in babies is still unknown, certain birth defects are caused by genetic factors.

A genetic counselor will review family health history and provide information about risk factors for birth defects occurring in future pregnancies.


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What Dad can do . . .

It's not only Mom's responsibility to plan for a healthy pregnancy; Dad can get involved, too. Be sure to attend appointments with the genetic counselor if needed and provide information about your family history. If mom's eating habits require some fine-tuning, you can make it easier for her by exhibiting support and adjusting your diet a little bit, too.

Exercise together, it's a great motivator and can become a healthy family habit. If you smoke, drink alcohol, or use street drugs, now is the time to stop. Not only will this make it easier for a mom that is trying to quit, but paternal use of these substances may contribute to the development of a baby with birth defects. Again, talk to your doctor about finding the right resources to help. Be sure that your own immunizations are up to date, as childhood illnesses are very contagious. And check to be sure that you are not infected with a sexually transmitted disease, as these could be easily passed on to mom and baby.


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