Many expectant mothers consult an obstetrician after their menstrual period is delayed, suspecting that they are pregnant. During this period, pregnancy is approximately 3-6 weeks. The most important period of pregnancy is the first three months, that is, the first 12 weeks. During this period, the formation of the basic organs of the fetus is completed.
Taking any substance that will disrupt organ formation or suffering from a disease in the first three months of pregnancy may lead to the development of permanent disabilities in the unborn child that may even terminate the pregnancy. Negative effects towards the end of the first 3 months of pregnancy increase the risk of the child being born with disabilities.
Exposure to these effects in the first weeks of this period will cause disorders incompatible with life in the fetus, so the pregnancy usually ends in miscarriage. As I mentioned above, many expectant mothers see their obstetrician at the earliest 5-6 weeks of pregnancy. Considering that they apply during the week, we significantly miss the opportunity to help these people. For this reason, pre-pregnancy medical check-up is of great importance. It is very important for the expectant mother to inform the doctor about any diagnosed diseases. Because taking some diseases under full control before pregnancy can prevent many problems that may occur later.
The main one of these diseases is diabetes. Because of not receiving treatment, the risk of congenital disabilities in the children of women who become pregnant while their blood sugar is high increases significantly.
Lupus is a rheumatic disease and its severity increases from time to time.
In expectant mothers who become pregnant during the period when the disease flares up, Both the course of the disease and the course of the pregnancy are very negative. There may even be a life-threatening situation for both the mother and the fetus. Therefore, it is recommended that these people have a disease-free period of at least 6 months before getting pregnant.
It is important for expectant mothers with thyroid disease to control their diseases during pregnancy.
High or low thyroid hormone increases the risk of losing the pregnancy. increases. In addition, the intelligence development of children of mothers with low thyroid hormone levels during pregnancy is lower than the children of healthy mothers.
Diagnosing and controlling asthma before pregnancy It is very important for expectant mothers who are planning to conceive. Because pregnancy worsens the course of asthma in approximately one-third of patients. In asthma, patients experience temporary narrowing of their airways. If this narrowing is severe, the oxygen level in the mother's blood decreases. Therefore, since the amount of oxygen going to the fetus will decrease, the unborn child may experience disabilities that may even lead to brain damage. It should be aimed to initiate the most appropriate treatment before pregnancy for expectant mothers diagnosed with asthma and to minimize or even completely prevent the frequency of asthma attacks.
Pregnancy may also worsen the course of some heart diseases. In fact, for some heart patients, pregnancy is life-threatening. For this reason, pre-pregnancy examinations of expectant mothers who have been diagnosed with heart disease or have findings in this direction during the examination are very important to know whether they can handle the pregnancy. If pregnancy is life-threatening, birth control should be recommended to these patients or pregnancy should be allowed only after necessary precautions are taken and the expectant mother understands the risks that pregnancy will pose to them.
Likewise, kidney failure negatively affects pregnancy. Additionally, pregnancy may permanently worsen the condition of patients with renal failure. For this reason, expectant mothers with renal failure should be examined before pregnancy. If kidney failure is severe, pregnancy is not recommended. However, the choice should be left to the expectant mother if she understands and accepts the risks that pregnancy brings.
Some infectious diseases that can be transmitted in the early stages of pregnancy can cause miscarriages and even congenital disabilities. It is not recommended for mothers who have experienced such diseases to become pregnant. In fact, to prevent such a risk, pre-pregnancy vaccination can be given to expectant mothers who have not had certain diseases such as rubella, chickenpox, jaundice or who have not been vaccinated against these diseases.
3 months after vaccines containing chickenpox and rubella. Pregnancy should not be avoided.
In addition, during the periods when pregnancy is planned, in order to avoid such infectious diseases, expectant mothers should avoid exposure to animal and especially cat feces (e.g. It is recommended not to eat unpasteurized cheeses (including Roquefort and similar cheeses), to avoid raw vegetables and meat (such as sushi), and to wear gloves when gardening. For the same reason, expectant mothers should not approach children suffering from fever during this period. This is especially important for mothers working in places such as schools and nurseries. All expectant parents who plan to become pregnant should be tested for HIV, the causative agent of AIDS.
If patients with this virus receive appropriate treatment during their pregnancy and birth is carried out under appropriate conditions, the risk of transmitting the disease to the unborn child is less than 1%. .
It is also important to identify expectant mothers carrying Hepatitis virus, which is one of the factors of jaundice.
Because vaccinating the babies of these mothers after birth will prevent the transmission of the disease.
Pre-pregnancy smoking, alcohol and other substance addictions are also important. It should also be brought to the agenda.
Getting rid of this type of addiction is important for the health of both the unborn child and the mother.
Detection of hereditary diseases that may be present in the mother and father is very important in terms of detecting the possibility of this disease in the unborn child. . In some cases, one of the parents may be the only carrier of the disease.
In this case, neither the parent nor the child has the disease. However, if both parents are carriers of that disease, there is a risk that the child will be born sick. Mediterranean Anemia is common.
Therefore, societies where carriers are common can be scanned to detect the carrier status of some diseases.
Knowing the carrier status of the parents in advance will prevent the disease in the future child. It enables the possibility of occurrence to be detected in advance.
In the light of this information, expectant parents and their doctors can decide on pregnancy and take the necessary precautions.
In detecting hereditary disease carriers, knowing whether other members of the family have any hereditary diseases also helps.
Therefore, providing detailed information about family members and even providing photographs when necessary can be guiding in estimating the risk of hereditary diseases before birth.
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Having both partners examined by a doctor before getting pregnant can prevent many problems that may be encountered during pregnancy and that may affect both the mother and the unborn child. They should bring this issue to the agenda when they consult a gynecologist and obstetrician for birth control or any other reason during pre-natal and regular health checks.
During such a check-up, the prospective father should also be examined.
Because many hereditary diseases Paternal transmission plays an important role. Societies where carriers are common can be scanned to detect the carrier status of some diseases.
Knowing the carrier status of the parents in advance enables the possibility of the disease to be detected in the future child.
The expectant mother, father and their doctor decide on pregnancy in the light of this information and take the necessary precautions. They can take precautions.
In detecting hereditary disease carriers, knowing whether other members of the family have any hereditary diseases is also helpful.
Therefore, providing detailed information about family members and even providing photographs when necessary, determining the risk of hereditary diseases before birth. If the planned pregnancy is not the first, knowing the problems encountered in previous pregnancies will help plan the measures to be taken against these problems in subsequent pregnancies. The examination may show that the miscarriages are hereditary.
Another reason for recurrent miscarriages is that the mother's blood is more prone to clotting than normal. Starting a treatment that will prevent clotting before pregnancy will therefore prevent pregnancy losses that may occur.
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