

Contents 8
Preconception Care
What You Need to Do for a Healthy Pregnancy
Pregnancy is a special process that requires attention for the health of both mother and baby. Being well planned and prepared before pregnancy is very important for a healthy pregnancy. Preparations made before pregnancy can reduce the risks that may be encountered during pregnancy and increase the chances of having a healthy baby
1. Preconception Gynecological Examination
The first step in pregnancy planning is to have a routine gynecological examination. This examination includes a Pap smear test, pelvic ultrasound, and blood tests. Through these examinations, risks that the expectant mother may face during pregnancy can be identified in advance and the necessary treatments can be applied. Early detection of risk factors allows for personalized pregnancy monitoring.
Recommended Tests:
Pap Smear Test: To assess the risk of cervical cancer.
Pelvic Ultrasound: Used to evaluate the condition of the ovaries, uterus, and other pelvic organs.
Blood Tests: Basic tests are usually performed, such as a complete blood count, thyroid function tests, hepatitis B and C screening, and an HIV test.
2. Lifestyle Changes
From the moment you plan to become pregnant, certain lifestyle changes need to be made. These changes positively affect the health of both mother and baby.
Smoking and Alcohol: Smoking and alcohol must be given up completely before pregnancy. Smoking can lead to complications such as miscarriage risk and low birth weight. Alcohol can cause developmental delays and birth defects in the fetus.
Caffeine Intake: It is recommended that daily caffeine intake not exceed 300 mg. This is roughly equivalent to one large cup of coffee.
Medication Use: Any medications used before pregnancy should be reviewed under a doctor's supervision. In particular, medications such as antidepressants, blood pressure medications, and acne treatments like isotretinoin may need dose adjustments or to be changed. Acne medications should generally be stopped at least 6 months before pregnancy.
3. Nutrition and Vitamin Supplements
Proper nutrition before and during pregnancy is critical for a healthy pregnancy process. During this period, certain vitamin and mineral supplements may need to be started to meet the body's increased needs.
Folic Acid: This should be started at least 3 months before pregnancy and continued through the first 12 weeks of pregnancy. Taking 400 mcg of folic acid per day reduces the risk of neural tube defects.
Vitamin D: Vitamin D deficiency can negatively affect the health of both the expectant mother and the baby. Vitamin D levels should be checked before pregnancy and supplemented if necessary.
Iron: Iron deficiency can lead to anemia during pregnancy, which can cause developmental delays in the baby. Iron levels should be checked before pregnancy and supplemented if there is a deficiency.
Vitamin B12: Vitamin B12 deficiency can have negative effects on neurological development. For this reason, vitamin B12 levels should be checked before pregnancy and the necessary supplements taken.
4. Weight Management and Exercise
Reaching an ideal weight increases the chances of conceiving and reduces the complications that may occur during pregnancy. Being overweight or obese can increase risks such as diabetes, preeclampsia, and delivery complications during pregnancy. A balanced diet and regular exercise are important for reaching a healthy weight before pregnancy.
Pilates and Yoga: Starting the exercises recommended during pregnancy before pregnancy helps prepare the body for the pregnancy process. Pilates and yoga increase flexibility, strengthen muscles, and reduce stress.
5. Vaccinations and Immunity
Certain vaccinations may need to be given before pregnancy. In particular, the rubella (German measles) vaccine should be given before pregnancy, and pregnancy should be avoided for at least 1 month after vaccination. If rubella is contracted during pregnancy, it can cause serious birth defects in the baby. After vaccination, immunity should be checked to confirm it has developed.
6. Dental Health
Gum problems are common during pregnancy. The hormone progesterone can cause hypertrophy (thickening and recession) of the gums. For this reason, dental health should be checked before pregnancy, necessary treatments should be carried out, and sources of infection should be eliminated.
7. Checking Thyroid Function
The thyroid gland has a direct effect on reproductive health. An imbalance in thyroid hormones can prevent a pregnancy from progressing healthily. It is important to have your thyroid function checked before planning a pregnancy or as soon as you learn you are pregnant. Normal thyroid hormone levels are necessary for a healthy pregnancy process.
Preparations made before pregnancy are of great importance for a healthy pregnancy process and for the baby. Routine gynecological examinations, lifestyle changes, a proper diet, vitamin supplements, and necessary vaccinations minimize the risks that may be encountered during pregnancy. By following these steps, you can increase your chances of having a healthy pregnancy and a healthy baby. While making your preconception preparations, be sure to stay in touch with a healthcare professional and take your doctor's recommendations into account