Preconception Care
So you’ve decided you want to have a baby? Congratulations, you have taken the first step towards becoming a parent. Your body is going to be your baby’s home for the duration of your pregnancy and you have recognised the need to make it the best you can offer to your unborn child. As a midwife I am aware that many people put more effort into planning a holiday than they do into organising one of the most important events of their lives. Everyone should view pregnancy as lasting at least 12 months and preconception care is especially important if you have any medical condition. The better prepared you are, the better you will cope with this major life change.
The countdown begins here:
At least 12 months before you begin trying to conceive a baby there are important things you need to consider. Start by making an appointment to see your GP, so that you can tell him/her that you are planning to become pregnant and to discuss important issues like:
Any prescribed medications you currently take and if they are suitable for pregnancy and breast-feeding. (Inform your GP if you are taking any recreational drugs as these will have an effect on your baby and the pregnancy. Also inform your doctor if you use any herbal remedies, as some are not compatible with various stages of pregnancy and during the postnatal period.)
When you should stop taking the oral contraceptive and which other contraception method you should use until you are ready to begin trying to concieve.
When you should have your next smear test.
Are all your immunisations up to date?
Do you need any genetic screening such as cystic fibrosis, sickle cell and thalassaemia?
Do you need any other screening for infectious diseases, or for pre-existing illnesses such as diabetes?
Is your weight within a healthy range to encourage conception and sustain a pregnancy?
Adopt a healthier lifestyle
Try to have a parenting partnership and encourage each other to adopt similarly healthy lifestyles. Of utmost importance is to stop smoking and drink only in moderation at least 12 months before you begin trying to conceive your baby. In addition, consider the following:
Exercise - Start or continue to exercise daily for as long as you can manage comfortably. I strongly recommend gentle exercise, such as walking or swimming in a warm pool as a minimum; if you can manage more than this then do so. Exercise helps your body do everything more efficiently.
Folic acid- When you stop taking your oral contraceptive you should begin taking 400 micrograms of folic acid (0.4mg) each day, even though you won’t be trying to conceive straight away. It won’t do you any harm and it will give you time to make it into a habit. Folic acid helps prevent some structural defects in babies, particularly ones relating to the brain and spinal cord known as neural tube defects. You should also eat foods which are rich in folic acid such as green leafy vegetables, nuts (though avoid peanuts during this period, during pregnancy and until you have stopped breastfeeding), cooked dried beans, citrus fruits, avocado, raspberries, raw mushrooms and vegemite. It is also important to take a vitamin supplement which is suitable for pregnancy as certain vitamins are not. If you drink herbal teas check they are safe during pregnancy and the same goes for any essential perfume oils you may use. For example rose and clary sage along with many others are not safe to use during pregnancy.
Essential fatty acids- Increase your intake of these to help maximise fertility. They are also good for the development of your baby’s nervous system and brain. They can be found in foods which contain the oils Omega 3, 6 & 9, which are added to numerous products today even certain brands of eggs and milk.
Protein- Protein rich food is an essential part of our diet and can be found in foods such as eggs, meat (avoid eating liver from conception), pulses, and grains such as quinoa. Eat no more than a palm sized amount of protein with each meal for a balanced diet.
Calcium- Helps strengthen bones and aids your body absorb vitamin D. Calcium is found in foods such as cheese, yogurt, milk, ice cream, kale, collard greens, turnip greens, broccoli, tofu and tinned salmon or sardines.
For men- Maximise sperm count and motility by eating regular portions of fish, eggs, mushrooms, oysters, pumpkin seeds and other zinc rich food. Smoking and alcohol have been found to reduce sperm counts and to increase the production of damaged sperm.
Try to eat foods in a variety of colours with each meal to ensure that your diet is balanced. For example, if you had free range meat, red, green and yellow roasted peppers (try coating them in pesto sauce before popping them under the grill), carrots and broccoli and some potatoes or rice, your meal will contain many vitamins and minerals which are vital for health.
Odds and ends
Visit your dentist early on during these 12 months to complete any dental work you may require and to gain advice about what changes pregnancy may cause to your teeth and gums. It also gives you another excuse to talk about your impending pregnancy! Finally and perhaps most important of all, enjoy and cherish the company of your partner during this exciting time in your lives.
I write 3 blogs. ‘Exquisite dreams‘ is where I go to relax and put up posts about random things that come to min . On Wednesdays I have a photo with a compettition seeking entries for the best caption. ‘Adventures of a wild hippie child‘ is one of my novels in progress and I put up a new post each Friday. ‘The novel with no name‘ is my other novel in progress and I put up a post here each Sunday. I have 2 websites, my writers website which you can link to from my ‘Exquisite dreams’ blog and the other which is my Maternity support site and can be found at this address www.thepregnancypeople.co.uk.
**British Parent Bloggers is sponsored by Bras4Mums, run by mum of two T-J.