Let's prepare for pregnancy! -10 weeks before 要不要开始备孕？
A 30 year old obstetrician husband and a 33 year old wife.
The story is Faction (fact + fiction)
Most of the story is based off an obstetrics textbook.
Medical information constantly changes, so just take it as an advice and make final decisions with your doctor.
Each mother needs personal treatment.
I hope this information can be helpful for you.
I was trying to sleep as usual when my wife started to talk to me.
"Darling, isn't it about time we have a baby? I think we should try from now on… What do we have to prepare?"
Since I put too much attention on my patients in the morning, I turned my back on her and said
" We should sleep. That's how babies are made. Let's have a baby. Then we should go to see an obstetrician…"
After a moment of silence my wife said
"I don't know why I married an obstetrician.."
"Okay… Alright… I'm sorry…"
The most important thing about preparing for pregnancy is the will of the couple. Loss of employment, social conditions, motherhood leading to career breaks. Support of other family members that can take care of the baby instead of the mother is needed while making the decision. An after plan is important for couples who are planning pregnancy.
Since most women in their early 30s don't have special conditions, they normally don't head to the ob/gyn when they become pregnant. Lots of women realize that they are pregnant after one or two weeks, after they skipped their period.
지피지기면 백전불태 (Jipi-Jigi-Myun Baek-Jeon-Bull-Tae) : A Korean saying ‘if you know your enemy and yourself, you will have a 100% chance of winning.'
It's better to know the state of health of both the male and female before preparing pregnancy. If you tell this kind of information at the hospital, you will be able to receive adequate treatment.
Things you should know before pregnancy 需要了解的身体情况包括
- How old are you and your husband? 您和另一半年龄分别是多大？
- How many kids are you planning to have? 您和另一半打算要几个孩子？
- Which symptoms do you or your husband have and what kind of medicine are you two taking?- High blood pressure, diabetes, seizure… 您和另一半是否有疾病史，目前有在吃药吗？（如：高血压、糖尿病、痉挛等）
- Are both of you non-smokers? 您和另一半有喝酒或吸烟习惯吗？
- Are both of you free from any kind of genetic disorders?- phenylketonuria, NTD, Thalassemia 您和另一半是否有家族遗传病？（如：苯丙酮尿症、神经管缺陷（NTD）、海洋性贫血症（Thalassemia）等）
- Have you recently visited a country prevalent of Zika virus? 您和另一半最近是否去过寨卡病毒流行的地区？
Maldives, the Philippines, Singapore, Thailand, Vietnam, Fiji and many other countries-https://wwwnc.cdc.gov/travel/page/zika-information Use this website for information of countries prevalent of Zika virus.
The risk of down's syndrome of an infant gets higher after the age of 35, and the mother's risk of complications of pregnancy increases also. Though the male age doesn't highly affect deformity, the risk of chromosome disorder can increase depending on the age. It can help if you plan how many babies you will have and when you will have them.
It's important to know your physical state for hypertension and diabetes before pregnancy are related to pregnancy induced hypertension,preeclamsia and preterm birth. It's also a crucial matter to talk to a doctor if you're taking meds for convulsion. These meds can result in anomaly, so it's better if you know beforehand.
It's important to check the family history of you and your husband before pregnancy. If you two do have a history, there is a need to consult with an obstetrician, and if it's a serious genetic disease, it would be necessary to go through a prenatal genetic screening test.
Lastly, I would like to mention the Zika virus. Getting infected by the Zika virus (which became prevalent from 2016), can result in microcephaly. Therefore it's recommended to postpone the pregnancy for 6 months, if you have visited a country that's prevalent of the Zika virus.
After gathering information, I recommend going to see an obstetrician. Not because you are sick but for healthier pregnancy.
If you visit a maternity clinic before pregnancy, it varies on which hospital you go but you will go through various examinations. It's possible to go through examinations during early pregnancy, and you could go through some examinations in health centres too.
- Height, Weight, blood pressure 身高、体重、血压测量
- Complete blood cell count (renal function test, liver function test, ABO typing, rubella test, tests for hepatitis (antigen, antibody), tests for syphilis, tests for AIDS) 血液测量（血液检查、新技能检查、肝功检查、血型检查、风疹检查、肝炎检查（抗原、抗体）、梅毒检查、艾滋病检查等）
- Urinalysis 尿液检验
- Cervical cancer screening test 宫颈癌检查
- Ultrasonography 超声波检查
That's the end of the post and I hope you would go to see the gynaecologist before pregnancy and be a wise mother-to-be.
I'll make constant efforts to write fun and helpful posts.
I'm @forhappywomen, and I hope every woman in the world would be happy and healthy.
Neural tube defect
It happens to 0.9 babies in 1000, and it's the second most common structural deformity after congenital malformation of the heart. As well as congenital malformation of the heart, a certain type of NTD is known for it being related to mutation. To prevent this, it was recommended by the US. Preventive Services Task Force in 2009 to take 400 to 800ug of folic acid everyday.
神经管畸形（Neural tube defect）
2009年，US.Preventibe Services Task Force劝告产妇怀孕之前开始每天服400-800ug的叶酸。
Fruits are rich of folic acid, and vitamin B9 helps the growth of the fetus’s blood vessel and nerve development.
It is spread through mosquitos. In 2014, the Zika virus spread across the pacific ocean to Polynesia (the French territory), then the Easter Islands. In 2015 it spread over Central America to the Caribbean Sea. The Zika virus which occurred in South America became a prevalent disease. Nowadays , doctors consider the Zika virus to be related to the microcephaly of infants which were born by infected mothers.
Body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women, Weight(kg)/(height x height(m)) ( The obesity number is 25 or higher, the overweight number is 23 or higher)
I am writing refering to the following books.
1.Berek &Novak's Gynecology. 15th edition.
2.Clinical Gynecologic Endocrinology and Infertility 8th Edition.
3.Williams Obstetrics. 24th Edition
Translated by Team Harmony 翻译 : Team Harmony