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Preconception Counseling

Preconception Counseling

Ensuring a secure, healthy, and joyful pregnancy starts well in advance of conception. BirthRight Fertility at Rainbow Hospitals provides preconception services to address various aspects of enhancing your health and preparing for a successful pregnancy. While it is beneficial for all women planning to conceive to attend the clinic, it is particularly crucial for those with pre-existing conditions such as hypertension, epilepsy, diabetes, etc., to avail themselves of these services. The preconception visit not only assists in family planning but also offers contraception choices to prevent unplanned pregnancies. 

 

In instances where women express their intention to "start a family" and seek advice and a check-up, this presents an opportune moment for health promotion. The medical professionals at BirthRight Fertility by Rainbow Hospitals recognize the diversity in family structures and the unique paths individuals take to parenthood. The primary objective is to provide guidance on initiating a family successfully. 

 

Our focus is on minimizing risks for the fetus, woman, and neonate. We collaborate with women to optimize their health, educate them about healthy pregnancies, and address potential risk factors. Managing chronic conditions such as diabetes, thyroid issues, hypertension, and psychiatric illnesses is vital before pregnancy to enhance outcomes. We conduct a thorough review of medications, including herbal products and nutritional supplements that may impact pregnancy and reproduction. 

 

Additionally, we offer screening for genetic conditions, assess immunization status, and consider screening for sexually transmitted infections when necessary. Couples are counseled on potential exposure to infectious diseases and advised on waiting times before attempting conception. Questions about the use of drugs, alcohol, and nicotine products are addressed, and screening for the partner is also considered. 

 

Encouraging preconception folic acid supplementation is part of our approach to reducing the risk of neural tube defects. Nutritional counseling is provided to ensure a balanced diet and proper vitamin supplementation based on recommended daily intake. Attaining a normal Body Mass Index (BMI) is emphasized, as abnormal BMI is linked to pregnancy complications and infertility. Our comprehensive preconception services aim to support individuals in their journey toward a healthy and successful pregnancy. 

 

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FAQs
What is pre conception counselling?

The process of having a healthy pregnancy long before you get a positive pregnancy test. Before you get pregnant, you need to care for your health to prepare for the pregnancy. Pre conception counselling is an appointment with the healthcare provider at our family planning hospital where different aspects of pregnancy are discussed and a healthy pregnancy is planned.

When should I make an appointment for pre conception counselling?

We recommend you to make an appointment for pre conception counselling at least 3 months before you start trying to conceive. This way, if needed," 

What will be discussed during my appointment?

The following topics will be mainly discussed during your pre conception counselling appointment:

Family history: The family history of you and your provider and potentially provide information on any genetic disorders or conditions that may be potentially passed on to your future child. With an understanding of your medical history, we can better treat you and your child. This information may also help determine if additional tests may be needed to check for certain conditions being developed during pregnancy.

Particularly, you should inform us about the family history of the following conditions:
Hypertension or high blood pressure
Mental disorders.
Diabetes.
Deafness.
Blindness.

Birth defects or congenital conditions
Twins or multiples.
Ethnic-related diseases like sickle cell disease

Your medical and OB/GYN history: You should discuss your medical history of any surgery, hospitalization or transfusion you may have had previously. You also need to inform us about any allergies, pre-existing medical conditions and medications that you might be currently taking. Your OB/GYN history is an important part of your medical history. Vaginal infections and STDs can potentially affect the ability of a woman to conceive.

Blood tests or cervical cultures may be performed to check for infections. OB/GYN topics you should discuss include:
Any previous pregnancies.
Your menstrual history.
Any sexually transmitted diseases
Contraceptive use.
Any history of known uterine abnormalities.
Vaginal infections.
Pap smears or treatment for abnormal pap.

Vaccination: You should bring your records of vaccination to the appointment. You may be updated or given additional vaccinations before becoming pregnant. Use of certain vaccinations may require you to wait for a certain period of time before you get pregnant.

What is covered in a pre-conception counselling appointment?

We may perform several tests during your pre conception counselling, including:

Physical examination: This involves:
Recording your weight.
Checking your lungs, heart, breasts, abdomen and thyroid
Performing a pelvic exam.
Checking your blood pressure.

Lab tests: These tests are done to check for numerous conditions and diseases and it includes:
Testing for hepatitis.
Testing for rubella.
Complete blood count
Diabetes screening.
Pap smear
Testing for HIV.
Testing for thyroid issues.
We may also advise you to take prenatal vitamins with 400-800 micrograms of folic acid. These supplements can benefit the baby even before you know you are pregnant

Do I need to undergo Genetic tests?

You as well as your partner are advised to undergo genetic counselling before you conceive, particularly if you are already aware of a genetic condition running in your family. It helps determine any possible risk factors that may arise during pregnancy.

What do I need to do after my pre conception counselling appointment?

During your appointment at our family planning hospital, we might make several suggestions which you will need to implement.

Losing weight.
Avoiding or smoking drinking.
Avoiding medications that could potentially be harmful to your pregnancy
Updating your immunizations.
Taking the recommended vitamins and prenatal vitamins
Avoiding excessive stress.
Consulting with specialists for specific health problems before conceiving.

What other changes do I need to implement while I prepare for conception?

You can continue exercising while you are pregnant. It is better to exercise regularly rather than being intermittently active. However, a pregnant woman shouldn’t exhaust themselves through exercise and stop when they feel fatigued. You must remember to stay hydrated. Also, a healthy and well-balanced diet is extremely important. Good nutrition is needed during pregnancy for the growth and development of your baby. Establishing a good diet before getting pregnant can help maintain good eating habits throughout pregnancy.

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