Pre-pregnancy care

 

Pre-pregnancy health care should be further strengthened. One of the reasons healthy women go to the hospital after marriage is often to check for pregnancy. After confirmation of pregnancy, obstetrician to the patient to test blood, urine, at this time some can be found abnormal. But it is difficult to determine whether the anomaly is recent or pre-existing.

Detect rubella virus antibody from the blood, but do not know this antibody is newly infected after generation, or after infection in childhood. Most visits to the obstetrics department are between 3 and 7 weeks (2 months) of gestation. If rubella is contracted after pregnancy, it may have affected the fetus. If rubella antibodies were present before conception, they had no effect on the fetus. This is because the immune mother will not be infected by rubella virus again. It's too late to get tested until you know you're pregnant. Therefore, the decision to get married, should be in advance in the medical department will be in the obstetrics of pregnant women to do the examination, the data collection before pregnancy ready. If you find any disease, cure it beforehand. Women who were not exposed to rubella or chickenpox as children may want to be vaccinated against infection if they know that they can cause abnormalities during pregnancy. When biological mothers say they never had rubella or chickenpox as children, it's also sometimes inaccurate. This is because even if infected with rubella or varicella virus, some cases do not show clinical symptoms.

Blood tests should be performed before vaccination to check for rubella or varicella virus antibodies. Contraception should be used between 1 month before and 2 months after vaccination.

A positive test for antibodies to Toxoplasma gondii before pregnancy indicates immunity. Pregnancy was discovered at the same time, whether the infection was not known shortly after pregnancy. Toxoplasmosis can cause deformity at the first infection, but not before pregnancy. When be pregnant at the same time discovery antibody is positive, should do 2 times examination after 1 ~ 2 weeks, antibody titer is shown 4 times above rise, can determine to be newly infected, should do artificial abortion. Avoid contact with cats (especially kittens) if antibodies to Toxoplasma are negative before pregnancy.

Additional, had better check hepatitis B virus antigen in advance, syphilis reaction (notice false positive rate is 20% ~ 40%, see 624 syphilis), the titer of antibody of measles virus. When hepatitis B virus antigen (HBsAg) is positive, further examination should be performed. Since this is not easy to recover from, it is possible that some doctors advocate a normal pregnancy, with only anti-hepatitis B immunoglobulin and an inactivated hepatitis B vaccine at delivery to prevent the newborn from becoming infected. Before pregnancy, should check the treatment of diseases (epilepsy, hypertension) the use of drugs, treatment of diseases found (hypertension, anemia), adjustment of nutritional imbalance, avoid smoking, alcohol, etc. In some countries, newly married couples go to obstetrics department for pre-pregnancy examination. Most importantly, patients with premarital diabetes and insulin use should strictly control their blood sugar before getting married. It is too late to keep blood sugar in the normal range after pregnancy, so it is necessary to control blood sugar level in a good state during pregnancy.

New mothers have all kinds of anxiety. There are many ways to ease the anxiety (painless Soviet delivery, La Rama method) to tell a woman that having a baby is not scary. This is a psychotherapy that, when undisturbed, relaxes the muscles other than those necessary for childbirth. Of course, not according to the above method, also do not necessarily appear dystocia.