Planning
Some experts believe
three months to be a perfectly adequate length of
time to prepare for a pregnancy, others advise waiting
six months or a year especially if you are recovering
from any serious illness and have been prescribed
drugs to treat it. Three months would be ideal normally
as it takes at least eight weeks for eggs and sperm
to develop to the stage of being ready to be released.
Both partners should take care to be healthy to ensure
that both the eggs and sperm developed are healthy.
Keep fit, eat wisely, avoid things that could be harmful,
and visit your doctor during this period. This way
you can prepare for a normal pregnancy and a healthy
baby.
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Timing your
pregnancy
The best time for a woman to have a baby is in her
twenties. At this age her body is fully grown, there
is no risk of damage to growing bones and she is supple
and flexible with plenty of energy. As she grows older,
particularly once she is past her early thirties,
the more likely she is to experience complications.
The older the mother the greater the risk of having
a baby with abnormalities such as the down's syndrome
which is related to increasing age.
Getting tested
for infections and deficiencies:
Infections can harm both the mother and the fetus.
Some infections during pregnancy can cause severe
birth defects or illnesses in the fetus.
Rubella or German measles is one such infection which
can have disastrous effects on the development of
the babies vital organs if contracted during the first
four months of pregnancy. A blood test can be done
to check whether you are immune to the disease. If
you are not, a vaccination can be taken for immunisation.
But care should be taken not to get pregnant for the
following three months after immunisation.
STD's or sexually
Transmitted Diseases
Infections passed through sexual contact also are
harmful during pregnancy. Apart from affecting your
ability to become pregnant, these diseases can also
infect babies in the uterus and cause harm. It is
always better to get tested and treated if you feel
there is a chance of contracting some form of STD.
In case you suspect an HIV (Aids) infection, testing
will help you decide whether to take the risk of getting
pregnant at all.
Genetic disorders
like sickle cell aneamia, thalassaemia, cystic fibrosis,
muscular dystrophy or other types of aneamia which
are inheritable should be tested before planning a
pregnancy. Genetic counseling can be done to seek
advise about the relative risk of passing the disorder
on to the baby.
Toxoplasmosis
Toxoplasmosis infection, which is transmitted through
cat feces and undercooked or raw meats, may adversely
affect a fetus. There are often no symptoms of infection
or only a mild flu like symptoms, so women who are
at risk and are considering pregnancy can be tested
for immunity prior to conception. All pregnant women
should avoid or exercise caution in handling cats
and consuming raw meats.
Listeria
Listeria in a pregnant woman causes miscarriage and
stillbirth. Babies who are infected with the illness
in the uterus rarely survive. Pregnant woman should
avoid cook chill foods and readymade dishes found
in cold cabinets in food stores such as scoop variety
ice cream, soft cheeses, un-pasteurized diary products
which are a source of listeria bacteria.
Chicken pox If a woman has not already had or been
immunized against varicella (chicken pox), vaccination
well before conception is highly recommended.
Anemia It is better to check if you are aneamic -
deficient in iron before beginning a pregnancy.
Alcohol, Tobacco
and Illegal Drugs
Alcohol, tobacco and illegal drugs can harm both you
and your fetus. Smoking and drinking alcohol can damage
both the developing sperm and man's fertility as well.
If a woman uses these substances, there is an increased
risk of miscarriage and problems such as mental retardation
and birth defects in a baby. No amount of these substances
has been proven safe to use during pregnancy.
Medications
and Drugs
Consult your doctor about existing medical conditions
such as diabetes, heart disease etc you may have and
medications you are taking, prior to conception. All
chemical substances affect the production and growth
of cells in our bodies. Even sleeping pills and pain
killers are better avoided at this stage. Improve
your health
Both you and your partner should eat a healthy diet
by taking more fruits and vegetables, whole grains
and reducing high fat or sweet for at least three
months prior to pregnancy. All women trying to conceive
should get plenty of folic acid (found in green leafy
vegetables and whole grains) in their diet as a deficiency
of folic acid can lead to some birth defects like
neural tube defects in developing infants. Take a
multivitamin supplement that has 400 micrograms of
folic acid and no more than 100% of the recommended
daily allowance (RDA) of other nutrients. Vitamin
B6 (whole complex B vitamin) is also beneficial.
Stop birth
control methods
Stop using contraceptive pills several months before
you try to conceive so you can have at least two normal
cycles before succeeding. Remove an IUD before you
begin trying. And since the risks of spermicides aren't
really clear, you may want to use a condom or diaphragm
alone for a month or so before you try to conceive.
Keep your
environment safe.
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Avoid exposure to X-rays, lead (which can be found
mainly in hot tap water), fumes from paint or glue,
hazards at work, secondhand smoke and pesticides.
Ovulation normally
occurs fourteen days before beginning the next period,
regardless of the length of the cycle. So a woman
with a 28 day cycle would tend to ovulate on day 14.
The woman with a 32 day cycle would tend to ovulate
on day 18 (32-14). The life time of the egg is brief
-only 24 hours. So to get pregnant the sperm should
reach the egg during this fertility period.