The healthiest method is to make your first doctor’s visit when you plan to become pregnant, that is, before you stop using contraception. It is not always enough to make the first doctor visit after getting pregnant.
It is important to talk to your doctor when you decide to become pregnant in order to have a healthy pregnancy, have a healthy and comfortable birth, and have a healthy baby.
We make some suggestions before you get pregnant so that you and your baby will not be harmed, and we make plans for the healthy development of the process.
The purpose of the pre-pregnancy examination is to investigate if there is a problem that you have and perhaps you do not know, and to see if you are ready for pregnancy physically and mentally. In this first examination, a careful history is taken first. Important medical problems that you have experienced so far are questioned.
Then, it is questioned whether you have a chronic systemic disease such as heart disease, diabetes, liver disease, kidney disease. The presence of these diseases is important in terms of not only harming you during pregnancy but also hindering the healthy development of your baby.
After reviewing the systemic diseases, it comes to the more specific gynecological diseases. Clues are sought for the presence of conditions that may prevent pregnancy, such as fibroids, ovarian cysts, and endometriosis, or if such conditions have been detected before, information about the treatments applied and their results are obtained. A gynecological history is extremely important, as some gynecological diseases and infections can cause difficulty in conceiving or miscarriage when pregnant.
Information about previous pregnancies and their outcomes, called obstetric history, can also provide important clues. If you have given birth before, the birth weeks of the babies, their birth weight, the mode of delivery, the characteristics experienced during labor and birth are evaluated. If you have had a previous miscarriage, disability or stillbirth, your doctor will want to investigate the cause and treat if necessary before allowing you to get pregnant again.
In this first meeting, we question whether there is consanguineous marriage and the history of birth defects in your families. Our aim is to investigate your tendency to a genetically inherited disease. If in doubt, genetic counseling and genetic testing may be requested.
Another purpose of the interview is to reveal the life and eating habits of the prospective parents. These habits should be questioned as they can harm the pregnancy and the baby. If smoking, alcohol or other harmful substances are used, it should be stopped completely and care should be taken not to get pregnant before these are stopped.
Your allergies, if any, and the medications you use are also reviewed. If you are planning a pregnancy, it is necessary to start FOLIC ACID at least 2 months before.
First of all, if necessary and if there is doubt, systemic examination is performed. Vaginal and pelvic infections are investigated in the gynecological examination.
The condition of the uterus and ovaries is evaluated by transvaginal ultrasonography. Myoma, cyst, endometrioma, congenital or acquired uterine and ovarian problems are investigated.
If it has not been done before or if more than 1 year has passed even if it has been done, a smear test should be performed.
The last stage of the examination is to determine the height, weight and blood pressure.
Antenatal- ie pre-pregnancy tests are requested.
|1. Blood groups (mother and father candidates)|
|2. Complete blood count|
|3. Complete urinalysis|
|4. Microbial-serological tests|
|D. Anti-HIV I/II|
|to. Toxoplasma IgM/IgG|
|f. Rubella IgM/IgG|
|g. CMV IgM/IgG|
|5. Fasting blood sugar|
|6. Liver and Kidney Enzymes|
|a. AST, ALT, LDH|
|b. BUN, Creatinine|
|7. TSH and sometimes fT3 and fT4|
Sometimes, on the suspicion of the physician, Prolactin and other hormonal tests may be requested. Also, if the woman’s blood type is Negative and the man’s is Positive, it may be necessary to ask the mother for an Indirect Coombs test.