Know About Preconceptional counselling

14 February, 2022

Know About Preconceptional counselling

 Preconceptional Counselling

Preconception counseling is a visit with your doctor where you discuss many aspects of pregnancy before planning a healthy pregnancy.

Doctor discuss many aspects with woman during this visit like-

1.     History of any preexisting medical condition like-hypertension, diabetes, thyroid disorders, cardiac disease, seizure disorder, and any hemoglobinopathies, etc.

2.     Family history of any medical disorders.

3.     History of any drug addiction.

4.     Any mishap in prior pregnancies or any birth defect history in prior baby.

5.     History of pre term birth or low birth weight baby.

·        During this visit doctor do general physical examination and blood pressure and weight check up.

·        Some blood test are advised-blood group with Rh typing, CBC,RBS,S.TSH and other test according to woman history.

What advised given during preconceptional counselling?

  1. BMI should be 18.5-24.9kg/m2, if more than this lose weight by doing exercise and diet modification.
  2. Quit smoking or any other drug addiction.
  3. If woman not immune to rubella ,complete immunization before planning of pregnancy and avoid getting pregnancy at least one month after its immunization.
  4. Blood pressure should be around 120/80mmHg.
  5. Blood sugar should be in normal range.
  6. In thyroid test Serum TSH should be ≤ 2.5Miu/L.
  7. Hemoglobin should be ≥ 11gm/dl.
  8. Some medicines are harmful to baby so these should be changed before pregnancy.
  9. Folic acid tablet should be started at least three month prior to pregnancy it is essential for development of baby’s neural tube,part of the nervous system.
  10. If woman have any genital infection, it should be treated before pregnancy.

During this preconceptional counselling visit,doctor identify risk factors related to pregnancy and patient educated regarding pregnancy risks & management options and initiation of interventions to provide optimum healthy pregnancy outcome, so all woman should consult her gynaecologist doctor before planning pregnancy.

For more information consult Dr. Sushila Saini - 950 986 8888