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Planning For Pregnancy

AMBULATORY CARE:

Why you should plan for pregnancy:

There are things you can do to get your body ready for a healthy pregnancy. A healthy pregnancy can improve your chance of having a healthy baby. The steps you need to take and the amount of time needed depends on your current health and habits. Work with your healthcare provider to help you plan a healthy pregnancy.

What you need to know about nutrition and exercise before pregnancy:

  • Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy foods, beans, lean meats, and fish. Limit foods high in sugar, fat, and sodium. Limit your intake of fish to 2 servings each week. Choose fish low in mercury such as canned light tuna, shrimp, salmon, cod, or tilapia. Do not eat fish high in mercury such as swordfish, tilefish, king mackerel, and shark.
  • Take 400 micrograms (mcg) of folic acid each day. This will help to prevent birth defects of the brain and spine such as spina bifida. Most women should take folic acid before pregnancy and up to 12 weeks after getting pregnant.
  • Exercise for at least 30 minutes, 5 days a week. Some examples of exercise include walking, biking, dancing, and swimming. Include muscle strengthening activities 2 days each week. Regular exercise provides many health benefits. It helps you manage your weight, and decreases your risk for type 2 diabetes, heart disease, stroke, and high blood pressure. Exercise can also help improve your mood. Ask your healthcare provider about the best exercise plan for you.

How weight affects pregnancy:

  • Obesity can make it harder for you to get pregnant. It also increases your risk of health problems during pregnancy. Some of these health problems include gestational diabetes, high blood pressure, and infections. It can also increase your baby's risk of health problems such as birth defects. Your baby may also be large and harder to deliver or be born prematurely (early). Your risk of miscarriage is also higher if you are obese. Work with your healthcare provider to reach a healthy weight before you try to get pregnant.
  • Being underweight can also make it hard for you to get pregnant. It can also increase your risk of having a premature baby and miscarriage. Your baby may be born at a low birth weight.

What you need to know about smoking, alcohol, and drugs:

  • Smoking increases your risk of a miscarriage and other health problems during pregnancy. Smoking can cause your baby to be born too early or weigh less at birth. Ask your healthcare provider for information if you need help quitting.
  • Alcohol passes from your body to your baby through the placenta. It can affect your baby's brain development and cause fetal alcohol syndrome (FAS). FAS is a group of conditions that causes mental, behavior, and growth problems. Talk to your healthcare provider if you abuse alcohol and need help quitting before pregnancy.
  • Drugs , such as marijuana and cocaine, should not be used while you are trying to get pregnant or during pregnancy. They increase your risk of problems during pregnancy and increase the risk of having a baby with health problems. These include birth defects, premature birth, and infant death.

What you need to know about medicines and supplements:

Tell your healthcare provider about all the medicines and supplements you take. Certain medicines and supplements should not be used during pregnancy. These include over-the-counter medicines, prescription medicines, vitamins, and herbal supplements. He or she may recommend that you take different medicines that are safer during pregnancy.

What you need to know about immunizations:

Tell your healthcare provider about all the immunizations you have had. If you have missed any immunizations, your healthcare provider may recommend that you update your immunizations. These include hepatitis B, influenza, MMR (measles, mumps, rubella), Tdap, and varicella immunizations.

Tests you may need to have before pregnancy:

Your healthcare provider may recommend that you have tests to screen for sexually transmitted infections. These include chlamydia, gonorrhea, herpes, HIV infection, syphilis, and tuberculosis. These infectious diseases should be treated before pregnancy, if needed.

What you need to know about toxic substances:

Toxic substances can harm a developing baby. Examples include cleaning products, paints, solvents, pesticides, and other chemical products. They can increase the risk of having a miscarriage, premature birth, and low-birth weight baby. They also increase the risk of developmental delay and childhood cancer. Avoid exposure to toxic substances and materials at work and home.

What you need to know about genetic testing:

Tell your healthcare provider about your and your partner's family history of genetic disorders, developmental delays, or other disabilities. Also tell your healthcare provider about any problems you have had in previous pregnancies. Your healthcare provider may recommend that you see a healthcare professional called a genetic counselor. He or she will talk to you about how genes, birth defects, and other medical conditions are passed down. He or she can also tell you about your risk for passing a genetic disease in a future pregnancy.

How you can prepare for pregnancy if you have a medical condition:

Medical conditions such as diabetes, high blood pressure, asthma, seizure disorders, and thyroid disorders should be managed before pregnancy. Mental health conditions, such as depression and anxiety, should also be treated. This will decrease your risk of having health problems during pregnancy. It will also decrease your baby's risk of medical problems. Medicines used to treat certain conditions are not safe to use during pregnancy and may need to be changed before you get pregnant. Ask your healthcare provider if it is safe for you to get pregnant if you have a medical condition.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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