Pregnancy Preparation - Doctor's Surgery

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