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Pregnancy Planning (Preparing for Pregnancy) (cont.)

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What are pre-pregnancy planning goals?

Before a woman becomes pregnant she can discuss her medical history with a doctor, focusing on the following:

  • Chronic medical conditions like diabetes, thyroid disease, kidney disease, or heart disease should be monitored and well controlled prior to conception for the greatest chances of a healthy pregnancy.
  • Women may be tested to determine if they have been infected with the HIV or hepatitis B viruses, so that appropriate treatment during pregnancy or at delivery can help prevent transmission of the infections to the baby.
  • Immunization history and immune response to varicella (chickenpox) and rubella (German measles): the status of a woman's immunity to these two infections, which can cause harm to the developing fetus can be determined by a blood test. If a woman is not immune to these infections, vaccinations can be given before trying to conceive. After receiving the varicella vaccine, women should wait 30 days before attempting conception. Precautions against developing certain other infections should also be taken.
  • Couples who have a history of inherited diseases, have other children with genetic diseases, or who have family histories of certain conditions may choose to undergo genetic counseling prior to conception. Your doctor can help you determine whether genetic counseling is appropriate for you.
  • Smoking cessation dramatically improves the chances of a healthy pregnancy, and women planning pregnancy should abstain from alcohol use. Those with substance abuse problems should ideally be identified and treated prior to planning a pregnancy.
Medically Reviewed by a Doctor on 9/15/2014

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Source: MedicineNet.com
http://www.medicinenet.com/pregnancy_planning_preparing_for_pregnancy/article.htm

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