The ideal gestational age is between the ages of 18-25. However, due to reasons such as today’s modern life, making a career, and increasing the age of marriage in society, marriages and births are shifting to advanced ages.
Pre-pregnancy follow-ups are of great importance for a happy mother, a healthy baby and a safe future. Although pregnancy is a physiological event, a number of pathologies that threaten mother-baby health may occur at a rate of 5-20%. It is important to know a disease that has undergone prenatal counseling and care and to diagnose the pathology that may occur during pregnancy.
From the moment you conceive of pregnancy, gynecological examination, general examination and tests identifying risk factors, if any, should be performed. These are respectively
– Anamnesis inquiry
– Gynecological examination
– General examination
– It should cover laboratory investigations.
Now let’s open them one by one. The questioning is very important and here the age must be known. Age is important because pregnancies under the age of 18 and over the age of 35 are called risky pregnancies. Follow-ups are also different from normal pregnancies. Height measurement, weight measurement should be taken, BMI (Body Mass Index) should be checked, noted according to the categories of obese, normal, previous surgeries (such as fibroids, liver, appendicitis, uterine correction operations, cesarean section..) and diseases should be written (diabetes, goiter). , blood pressure, tuberculosis, hepatitis), if there are genetically transmitted diseases (hemophilia) in the mother, father and close relatives, it should be recorded.
Gynecological examination should be done together with general body examination. This examination must be supported by ultrasound. Because genital anomalies, uterus farm (uterine septum), ovarian cysts, polycystic ovary are the problems encountered. For these diseases, special treatment and operations may be required before conception. Pap-smear (cervical swab) should be done, and the menstrual cycle should be recorded.
Folic acid (vitamin B9) support should be given 1-2 months before conception, tea should not be more than 2-3 cups, coffee should not be more than 1-2 cups, if you are a smoker stop, if you cannot quit, reduce it below 8 per day, do not consume alcohol. Try to get your nutrients from vegetable and dried legumes rather than animal ingredients. Consume 1.5 – 2 liters of water a day, walk 2 km daily (20 minutes), sleep regularly (8 hours), (regular sleep increases your chances of pregnancy a lot), take care that your relationships are between the 12th and 16th days of your period. .
Procedures to be done before pregnancy;
– General examination (registered if you have systemic diseases)
– Blood type (both your partner’s and yours)
– Blood pressure-blood pressure
– Whole blood-hemogram
– Complete Urine Test
– If there is persistent vaginal discharge, vaginal culture and cervical culture for Chlamydia
– Hepatitis B-jaundice, Toxoplasma investigation
– Thyroid-goiter tests (TSH)
– Genetic research if there have been recurrent miscarriages before
The protocol written above and listed in items before pregnancy should be the standard rules that every obstetrician should follow in modern medicine.
To be continued…
Specialist Dr. Kemal HÜKMEN
Gynecology and Obstetrics Specialist