Pregnancy Preparation - Doctor's Surgery

Preceding gestation medical care was given from the time of the beginning of pregnancy, and it was thought that all factors related to pregnancy were controlled in this way. However, as the gestation period became "understood", it became clear that the pre-pregnancy period was also very important for a healthy pregnancy, childbirth and postnatal period. That's why we recommend that if you plan to conceive your mothers today, they should consult their doctor and go through a general checkup.

In this control we refer to as a preconceptional visit (physician control just before conception), the aim is to determine the risk factors that exist before the mother becomes pregnant, to provide medical support and information to reduce them, and to ensure that the mother begins pregnancy after these risk factors are controlled.

Actions to be performed on the first doctor's check General anamnesis and examination

Gynecological diseases (such as hypertension, diabetes, epilepsy), gynecological diseases (such as myomas, ovarian cysts, infections), previous pregnancies (low, anomalous births, abnormalities in previous pregnancies), dietary habits, (Use of cigarettes, use of alcohol and other substances, working life, sleeping and resting habits, exercise habits). Identification of age-related or inherited risk factors in mother and father candidate
Identification of conditions such as infection, mass (such as overcystitis, myoma) which can be a risk with gynecological examination, revealing situations that can be a risk in gestation by general examination (dysfunctions in organs, weight characteristics, general bodily characteristics)
Taking Papsmear if not taken in the last year
When necessary, consulting with the doctor of the mother about his / her illness
Providing genetic counseling services when necessary

Blood pressure measurement



Complete blood, complete urine, (urine culture), whether the mother and father candidates are infected with blood groups, toxoplasmosis parasites and rubella (rubella) virus infections without any complaints and who have no risk factors according to history and examination findings, VDRL ) (Syphilis screening test - not routinely seen in our country). Fasting blood glucose measurement *, screening for evaluating kidney function BUN and creatinine levels, TSH measurement for evaluation of thyroid gland function **.
* Fasting blood sugar is done at the end of a fasting period of at least 12 hours in order to assess the sugar metabolism of the mother. The intent is to look for diabetes (diabetes). It is not a routine review.
** If the thyroid gland runs "over" or "under", there is an increased risk of occurrence of some abnormalities (such as low) in pregnancy. A single TSH measurement gives detailed information about the functions of the thyroid gland.
Other examinations (such as advanced thyroid function tests, further examinations of the calyx) related to a particular complaint and / or maternal candidates whose risk factors are determined according to anamnesis and examination findings.
Determination of weight and relationship between weight and height.
Gynecological ultrasonography

At which intervals the doctor's examination should be during pregnancy

Treatment...

Appropriate treatment for conditions that require medical treatment, such as anemia, urinary tract infections.

For diabetics, withdrawing blood sugar to normal limits long before the start of pregnancy significantly reduces the risk of anomalies in the babies of these mothers.

Graves..

Rubella (rubella) vaccination is applied to candidates for mothers who have previously not had rubella. If the vaccine is a live vaccine, it is recommended that the mother should not be conceived for at least one month after this treatment, preferably at the end of this period.

Vitamins...

Maternal candidates who do not have any chronic disease and do not show any abnormality in nutrition do not need vitamin supplements before pregnancy. However, most doctors routinely give folic acid (folic plus, folacin is the most commonly prescribed).

Mothers who had previously delivered a baby with neural tube defects are advised to use 4 milligrams of folic acid daily for three months starting one month before the planned pregnancy to prevent recurrence of this condition in the new pregnancy. It should not be forgotten that vitamins are also present in the "drug" group and should not be used as needed

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What food is there?

Red meat, poultry, fish, dried beans, eggs and nuts: Vitamin B, protein, iron and zinc are sources.
Milk, yogurt, cheese and dairy products: protein, calcium, phosphorus and a source of various vitamins.
Fish, walnuts and spinach: Omega 3 is the source.


 Milk, yogurt, cheese and dairy products: protein, calcium, phosphorus and a source of various vitamins.
Fish, walnuts and spinach: Omega 3 is the source.

Fruits: Vitamin A, Vitamin C, potassium and fiber. Fibrous feeding is important for your life if you have a constipation problem.
Vegetables: Vitamin A, vitamin C, folic acid, iron and magnesium are sources of minerals such as. The oil is low and the fiber ratio is high.
Bread, pasta, rice: a complex carbohydrate (starch) source.




Solid oils, oils, sweet: they do not provide anything other than calories. It should be consumed adequately and carefully.








If you are a vegetarian, especially a rigid vegetarian, you should consult a doctor for further information.


Rich foods rich in iron: This nutrient group is important because there are iron deficiencies associated with loss of menstrual loss in the majority of women. Meat, raisins, plums, beans, soy, spinach, wheat and iron are rich foods. Vitamin C ingredients (citrus fruits, potatoes and cauliflower) increase iron absorption.

Folic acid sources: Liver, green vegetables and legumes are foods rich in folic acid. Learn more »

Folic acid complex

(In a drug called Folbiol) is a new NTD infant with follicular acid deficiency in neonatal tubal defect (NTD) who gave birth to a new baby with NTD, who started a month before the pregnancy and continued for three months (note: this is a high dose! Reduce the risk of giving birth

Based on these data, it was reported that all women planning to become pregnant should regularly receive 0.4 milligrams of folic acid before conception, thus trying to prevent birth with NTD.

0.4 milligram is a quantity that can be easily taken with a balanced diet. For this reason, some doctors think that it is unnecessary to make additional folic acid supplementation to all pregnancies in the pre-pregnancy period.

You should act according to your doctor's recommendations. Folic acid supplementation should be continued after a month or after 8 months, for example. Folic acid is a harmless vitamins.

Do not forget that the number of vitamins that can be produced synthetically so far is very low and that you are taking all the ingredients your body needs to make vitamin supplementation.

The safest and safest way to get enough of all of the vitamins is to eat balanced.

Correct nutrition ...

Proper nutrition = means getting enough of all food groups. Especially Omega 3, calcium and water are the most important nutrients.

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It is necessary to make a good plan to have a good pregnancy period. There are some duties that fall into your hands when you are planning your pregnancy. The following article summarizes the points you should be aware of as you plan to become pregnant

Preconceptional visit (pre-pregnancy examination) concept

The first thing you need to do is go through a doctor's check before you get pregnant. This control is to draw up a gestational follow-up plan by identifying the "risk factors" that will increase the risk of abnormalities in the intended gestation, birth or postnatal period and determining the characteristics that can change the pregnancy follow-up (such as anemia, infection) Having had an ectopic pregnancy, having had a previous birth or premature birth).
Regulation of drugs that you have to use regularly according to pregnancy will also be handled in this control.

As soon as you plan to become pregnant, you should stop smoking and stay away from smoking environments. You should stop using alcohol altogether and give up on drugs, sedatives, stimulants if you use them.

Some of the acne (acne) medications (those with isotretinoin) may be bad for the developing baby when used in early pregnancy.

If possible, you should use paracetamol medications as pain reliever.

You should start eating regularly right now.

You should warn your doctor that you may be pregnant in any case where you go to doctor for other reasons.

If you are feeding cats at home and your toxoplasma examinations show that you are not suffering from this disease, you should take care not to touch the catheter ovary during care of the catheter. As an additional precaution, you should stop consuming raw meat to protect yourself from toxoplasmosis.

Click for detailed information about the effects of toxoplasmosis infection on pregnancy

Sauna, scuba diving, over-compulsive sports are not suitable activities for those planning to become pregnant.

Consideration of working life conditions and feeding of mothers

There has been no increase in the risk of abnormalities in the babies of mothers who use computers at work or at home. Moreover, computers do not emit any radiation with ionizing properties. Still, as an extra measure, you can continue to work with your computer and by installing a screen filter on the computers in your room.

 

Workers in the business areas where chemical substances are produced and / or are exposed (such as the paint industry) should apply to the institutional doctors for possible risks and, if necessary, temporarily change the section they are working on.

Exposure to radiation at work (such as those working in radiology or radiotherapy clinics, security officers working near detectors called "x-ray devices" for daylight safety check) should transmit the person to whom they are connected depending on the situation they planned to commit, and stay away from the radiation emitting environment .

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When the menstrual delay is several days, pregnancy can be diagnosed with vaginal ultrasonography without pregnancy test. In abdominal ultrasound, the menstrual delay should be at least one week.
Advantages of ultrasonography in early pregnancy:
The positive test of the pregnancy test is the definitive proof of the existence of pregnancy, but there are important questions after the pregnancy diagnosis

Is pregnancy normal?

Is the pregnancy in the uterus, or is there an ectopic pregnancy?

Is the baby alive?

Can mol pregnancy be the case?

Can multiple pregnancy be mentioned?

The above situations may not give any indication until further progress. Therefore, it is important that you go to the doctor at the earliest time, even if you do not have any complaints after the pregnancy test. A simple ultrasound examination, or a very early pregnancy, will allow early detection of probable abnormalities in pregnancy followed by serial ultrasonography. In the early pregnancy period, early recognition of abnormal cases improves your chances of treatment significantlyr. 



One of the great benefits of ultrasonography in early pregnancy is to determine the compatibility between the last menstrual period and the gestational week. The margin of error in determining the gestational week of early ultrasonography is ± 3 days, whereas the error margin of near ultrasound can be ± 3 weeks! The fact that this examination has been done gives a very important data in the later stages of your pregnancy when there is a discrepancy between the last menstrual date and the infant measures that you have indicated, when your baby has doubts about the age of the baby.

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Important note: The week you set in the calculator is your gestation week. In order to receive weekly information, you have to go when the next digit points (eg pregnancy week is calculated as 12 + 3 .. go to week 13).


These pages, which describe pregnancy progress by week, are designed to give you the best possible education and awareness of your pregnancy. Kagan Kocatepe is carefully prepared and prepared many times.
Pregnancy is a process with a total of three separate sections, each of which lasts for 40 weeks and is about three months old. These sections, called trimester (trimester = three months), are each a turning point in pregnancy.

The first trimester is the period when your baby's organ development has been completed to a large extent and your body has adapted to the pregnancy. It is the period when the organ development of the second trimester baby continues rapidly and you are fully adherent to the pregnancy. The third trimester is a time when preparations for breeding are continuing rapidly. It is during this period that your baby's lungs become mature and you are physically and psychologically prepared for labor.

The most important thing to remember is that this information is prepared for singleton pregnancies with normal viewing. Every pregnancy and developing fetus is unique. When your pregnancy's course and your baby's development are different from those on the above pages, it does not show that there is an abnormality in your pregnancy and / or your baby. It is not the internet pages that a pregnant woman watches normally, but a clinical doctor and a doctor who specializes in it can finally say it.

Users of pregnancy.org can see the same article in weekly week (pregnancy) on another site or sites, these are the same. Although Kagan Kocatepe has not been given the approval, that is, no effort has been spent to present it to you without permission, it has been tried to be shown as the original article of the related site.

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• Pregnancy Diagnosis and Tests - "Do I Get Pregnant?"

Women planning pregnancy every month "Do not get pregnant this month?" They ask the sores themselves and wonder if the changes in their bodies are related to pregnancy.
Indeed, some signs and symptoms "do I get pregnant?" The answer to the question is likely to be "yes".

Pregnancy (pregnancy) statements

1. The following are the most common symptoms during the first trimester of pregnancy:
2. Delay of the expected number
3. Fullness, tenderness, thickening at the tip of the nipple, tingling sensation at the nipple
4. Fullness, bloating and occasional tenderness in the lower abdomen
5. Nausea and sometimes vomiting
6. Fatigue, dizziness, dizziness
7. Frequent outings
8. Increase of vaginal secretions
9. Waist pain, pain in the groin
10. These symptoms start from the moment of pregnancy, the secretion of pregnant hormones in your body and the amount of secretion of estrogen and progesterone hormones are affected by increasing hormones. These physiological hormonal changes are the main purpose of your body to adapt to pregnancy and the development of your baby.
11. These symptoms are the news of a possible pregnancy. For definite diagnosis pregnancy test should be performed or ultrasound pregnancy should be observed

Planning pregnancy tests (plano test):

    When the Blood also ß-HCG reaches a certain threshold level, it begins to voyeurize and the level in the urine increases as the pregnancy progresses. The urine-based pregnancy tests are based on the detection of the presence or absence of this ß-HCG. The differences between the sensitivities of the various tests depend on the ability to recognize the level in the urine. While a sensitive test can recognize the lowest level of ß-HCG in the earliest stages of pregnancy, non-sensitive tests can recognize the pregnancy at a later stage when the pregnancy progresses slightly and the urinary level rises.

The error rate is very low when the "positive pregnancy" result is obtained in urine tests. However, it is appropriate to repeat the test that gives the result of "pregnancy" after a while.
Although the reliability of the pregnancy tests used in pharmacies or households with the help of pre-test kits is specified by the manufacturer as 99%, the studies show that the error rate may be 50%, especially when the menstrual delay is less than 10 days ("Error" Inability to detect an existing gestation due to low sensitivity, but vice versa).
Pregnancy tests in the urine applied in the laboratory can give reliable results even when the menstrual delay is less. These tests are those that are able to recognize lower levels of hormones and therefore more sensitive than ready-made test kits.
Blood test (control beta HCG measurement):
Urine tests can detect the presence or absence of ß-HCG, while blood tests detect the level of ß-HCG. Thus, in the earliest stages of hormone secretion, the level of ß-HCG can be detected and the pregnancy can be diagnosed, or the pregnancy can not be established.
In addition to being used as a pregnancy test, the Kanda ß-HCG test is a valuable diagnostic tool used to diagnose ectopic pregnancies, molar pregnancies, and miscarriages.

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