Introduction - What is preconceptional counselling ?
As soon as you start thinking about having a baby visit your doctor at least 3 to 6 months prior to planning a pregnancy. This is known as preconceptional counselling.
Details of counselling:
When a couple visits for preconceptional counselling a detailed history and examination is done. The goal is to identify factors and treat them which can adversely affect you or your baby during the course of pregnancy.
The major obstacle is that most of the pregnancies are unplanned and most women take it for granted. So, it should actually be offered to all women of child-bearing age regardless of intent to become pregnant.
It is a golden opportunity to ask your doctor all the queries you have about pregnancy or any you have about pregnancy mishap in your family. You should also discuss about complicate ons with prior pregnancies like preterm birth, repeated pregnancy losses, intra uterine death and ectopic pregnancy because many of these are preventable. Many unfortunate events can be prevented by treating them before concept on If mother is beyond 35 years of age, there is a risk of Down's syndrome in the baby which can be diagnosed by some advanced tests and ultrasounds history of birth defect, mental retardation,blood clotting disorders, congenital blindness in the family and consanguigenous marriages warrant genetic counselling
Some important things you can do for preconceptional health are:
Take 400 to 800 micrograms of folic acid every day. It lowers your risk of birth defects of the brain and spine.
Stop smoking and drinking alcohol. Avoid contact with toxic substances. Stay away from cat or rodent faeces.
If you have a medical condition, like anaemia, asthma, diabetes, oral health, obesity, epilepsy, thyroid disease, hypertension, epilepsy, tuberculosis or kidney diseases, be sure it is under control.
Author:
DR APRAJITA SINGH, MD,DNB,MNAMS
OBSTETRICS & GYNAECOLOGY
Consultant, Director & Founder
Aaditri Multispeciality Clinic
R-274, Greater Kailash Part-1, New Delhi 110048 (INDIA)
aaditriclinic AT gmail DOT com +91-11-65658647
Attending Consultant
Indraprastha Apollo Hospitals, New Delhi
https://in.linkedin.com/in/dr-aprajita-singh-md-dnb-mnams-86713749
http://www.aaditriclinic.com/
