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Pre-pregnancy health care
How do I plan for a pregnancy?
Pre-pregnancy planning keeps you — and your future baby — as healthy as possible. If you’re thinking about getting pregnant, visit our Obstetric & Gynecology specialist for pre-pregnancy care.
What do I need to do before I get pregnant?
There’s lots you can do to get ready for your pregnancy and make sure you — and your future baby — are as healthy as possible. Visiting your doctor for pre-pregnancy care is a great first step.
Pre-pregnancy care (also called preconception care) helps find issues that could affect your pregnancy, so you and your doctor can take steps to avoid potential problems. Your nurse or doctor will talk with you about your physical and mental health, and give you any exams or screenings you might need to help make sure you have a healthy pregnancy. They can also give you tips on how to get pregnant.
Your doctor will talk with you about your:
- medical history and family’s medical history
- current health issues
- diet, vitamins, and lifestyle
- safety of any medications/supplements you’re taking
- pregnancy history
- safety at home and work
- mental health concerns
Your doctor will probably also recommend that you go to your dentist for a checkup. If you have gum disease, getting treatment before pregnancy may prevent health problems in you and your future baby.
Pre-pregnancy visits are a great time to ask questions, so come prepared to ask about anything you’re wondering about.
Do I need to worry about having a high-risk pregnancy?
Probably not — high-risk pregnancies are pretty rare.
There are many things that can happen during your pregnancy that you can’t control, and sometimes things go wrong for random or unknown reasons. However, there are lots of things you can do to help avoid problems and make sure you and your pregnancy stay as healthy as possible.
Getting pre-pregnancy care from your doctor before you get pregnant, and having regular prenatal care visits throughout your pregnancy are great ways to help lower your chances of having a high-risk pregnancy.
Certain conditions can make pregnancy more difficult. It’s especially important to get pre-pregnancy care if you:
- have high blood pressure, or heart or kidney disease
- have other chronic conditions, like diabetes, lupus, or HIV/AIDS
- have a history of miscarriages, stillbirths, or premature births
- know you’re at risk of having a child with birth defects or a genetic disorder
- have a sexually transmitted infection
- are underweight or overweight
- are older than 35
What is prenatal care?
Prenatal care is when you get checkups from a doctor throughout your pregnancy. It helps keep you and your future baby healthy.
Why is prenatal care important?
Prenatal care is an important part of staying healthy during pregnancy.
Your doctor will monitor your future baby’s development and do routine testing to help find and prevent possible problems. These regular checkups are also a great time to learn how to ease any discomfort you may be having, and ask any other questions about your pregnancy and the birth of your future baby.
When do I need to start having prenatal care appointments?
You can start getting prenatal care as soon as you know you’re pregnant.
It’s actually best to see a doctor BEFORE you get pregnant — this is sometimes called pre-pregnancy care or preconception planning. But if that’s not possible, just begin prenatal visits as soon as you can.
How often will I have prenatal care visits?
How often you’ll get prenatal care depends on how far along your pregnancy is and how high your risk is for complications. The typical prenatal care schedule for someone who’s 18-35 years old and healthy is:
- Every 4 or 6 weeks for the first 32 weeks
- Every 2 or 3 weeks for the 32nd-37th weeks
- Every week from the 37th week until delivery
Your doctor might ask you to come in for check-ups more often if you have a high-risk pregnancy.
Prenatal services include tests and physical exams to make sure you and your pregnancy are healthy. It’s a good time to ask questions about your pregnancy and the birth of your future baby.
What happens during my first prenatal care appointment?
Your first prenatal care visit is usually the longest one. You’ll talk with your doctor about your medical history, the other parent’s medical history, and your family’s’ medical history.
Your doctor will give you a complete check-up, usually with a physical exam and blood and urine tests to make sure you’re healthy. This can include:
- measuring your height, weight, blood pressure, breathing, and pulse
- a breast exam
- a pelvic exam
- a Pap test
- testing for sexually transmitted infections(like chlamydia, gonorrhea, syphilis, and HIV)
- screening for diabetes, anemia, hepatitis B, and rubella
Your doctor might also talk with you about your diet and lifestyle, and prenatal vitamins. The most important vitamin you can take is folic acid, which ideally you would start taking before you’re even pregnant. Your doctor can give you advice about any changes you can make to have the healthiest pregnancy possible.
Some types of medicine are dangerous to use during your pregnancy. Tell your doctor about every medicine, supplement, or drug you’re using, and always check with your doctor before starting any new ones.
What will happen during my follow-up prenatal care appointments?
During your follow-up prenatal care visits, your doctor will examine you to make sure your pregnancy is developing well, and that you and the fetus are healthy.
During prenatal care visits, your doctor may:
- update your medical history
- check your urine
- check your weight and blood pressure
- check for swelling
- feel your belly to check the position of your fetus
- measure the growth of your belly
- listen to the fetal heartbeat
- give you any genetic testing you decide to do
These prenatal checkups are a great time to talk about any questions or concerns that have come up since your last visit.
What changes to my body can I expect during my pregnancy?
There’s no getting around it — your body will change a lot during your pregnancy. You’ll go through lots of hormonal changes, and you’ll get bigger as the fetus develops. Your uterus will grows up to 18 times its normal size, and your breasts and nipples will probably get larger, too.
It’s normal to gain up to 35 pounds during your pregnancy, and some people may gain more. Your sex drive can increase or decrease throughout your pregnancy. And some people notice changes in the texture and amount of their body hair.
Unfortunately, almost everyone feels uncomfortable at some point in their pregnancy. Some common issues include:
- nausea or vomiting, especially in the morning
- swollen and tender breasts
- aches and pains in your lower back and hips
- tiredness and fatigue
- trouble sleeping
There are things you can do to feel more comfortable, like changing your diet, and doing certain exercises. Your doctor will have tips for feeling better during your pregnancy.
Cervical cancer screening
The cervix is the lower part of the uterus, the place where a baby grows during pregnancy. Cancer screening is looking for cancer before you have any symptoms. Cancer found early may be easier to treat.
Cervical cancer screening is usually part of a woman’s health checkup. There are two types of tests: the Pap test and the HPV test. For both, the doctor or nurse collects cells from the surface of the cervix. With the Pap test, the lab checks the sample for cancer cells or abnormal cells that could become cancer later. With the HPV test, the lab checks for HPV infection. HPV is a virus that spreads through sexual contact. It can sometimes lead to cancer. If your screening tests are abnormal, your doctor may do more tests, such as a biopsy.
Cervical cancer screening has risks. The results can sometimes be wrong, and you may have unnecessary follow-up tests. There are also benefits. Screening has been shown to decrease the number of deaths from cervical cancer. You and your doctor should discuss your risk for cervical cancer, the pros and cons of the screening tests, at what age to start being screened, and how often to be screened.
Cosmetic Gynaecology Solutions
our gynaecologists offer various cosmetic gynaecology solutions to improve your confidence regarding your intimate areas. Cosmetic gynaecology essentially refers to any surgery on the vaginal area. Our gynaecologists will treat your concerns with utmost discretion and professionalism. Call us to know more or book an appointment.
Labiaplasty It is indicated when the labia minora is excessively large and protruding called labial hypertrophy. It can cause discomfort, infection, hygiene problems, unaesthetic appearance or in severe cases trauma due to sexual intercourse. Labiaplasty surgery is performed under local anesthesia in most cases as labia skin is less sensitive. There are two kinds of surgical procedure wedge resection and “v” resection depending upon the type of enlargement. CO2 laser or radiofrequency “ellman” device is used to perform the surgery. Postoperatively patient is advised to take antibiotics and strong pain killers for first3-4 days. They require 4 to 5 days off from work as it can be uncomfortable to sit for long time in the beginning.
Vaginal rejuvenation/vaginoplasty Vaginal laxity is a common problem with women who have multiple children and or have undergone episiotomy to deliver a large baby. There are many ways to rejuvenate the wall of the vagina. Nonsurgically using a laser/ radio frequency device to stimulate the collagen and shrink the size. However it requires several sessions and results can be unpredictable. Surgical rejuvenation require general anesthesia. The vaginal wall is repaired and the muscles are strengthened using deep sutures. Postoperatively patient requires antibiotics, pain killers and rest for 4 to 5 days.
Mons ptosis and labial sagging As age advances there is fat loss in the mons pubis and labia major areas. It can be rejuvenated by fat grafting using “Coleman” technique. Under local anesthesia fat is harvested from thigh area, it is centrifuges and prepared. It is then injected into the mons area and labia major to rejuvenate it. It requires 2 -3 days of rest. Sometimes it may require a repeat procedure to achieve adequate fill.
Recurrent abortion treatments
Information Coming Soon.