One should differentiate pre-pregnancy counseling from antenatal care. Pre-pregnancy counseling includes informed choice, which lets men & women know the health issues that may create a mess with pregnancy and conception. During this session, you and your partner will be encouraged to actively prepare for pregnancy and stay as healthy as possible. The candidate will also be optimized to manage any severe health problems. Pre-pregnancy counseling also helps make the couple understand that there are many rules and regulations that they need to follow during this time.
All couples do not opt for pre-pregnancy counseling, but the counseling season is significant in most cases. In many cases, it is seen that a couple had a problem during the sessions of conceiving or any one of the partners have health issues that may result as a complication. Hence, counseling can help to solve such issues.
With the help of counseling, most of the problems faced during pregnancy by a couple may not occur. There are many reasons why pre-pregnancy counseling is essential. Some of the reasons are:
Anyone who wants proper guidance and avoids any complications during the days of pregnancy and after the newborn should opt for pre-pregnancy counseling. Here is a list of candidates who must try these counseling sessions, as it will surely benefit them a lot.
Pre-pregnancy counseling includes educating the couple as well as the entire family about different aspects of pregnancy. Here is a list of services that pre-pregnancy counseling includes:
There are different kinds of assessments that happen during pre-pregnancy counseling. Here is a list of what happens during the session.
Any woman having a severe disease should review that with the doctor at pre-conception counseling before getting pregnant. This may help to reduce the chances of risks for both the child and the mother.
During preconception counseling, families who had a history of genetic orders are referred to the genetic counselors. The risks of forwarding the disorders to the child are discussed.
Counselors discuss that folic acid use in the early days of pregnancy or before getting pregnant might help prevent NTDs or Neural Tube Defects. During the session, women who are having the reproductive age are prescribed folic acids. This is asked to be continued during the pre-conception till the last day of pregnancy.
Maternal mortality, preterm delivery, maternal morbidity, rupture of the membrane in the early stage, myometritis, anemia, and third trimester bleeding are all associated with the pregnancy of short time intervals.
During the counseling session, the negative impact caused due to pregnancy of short time intervals will be reduced.
Candidates will be given knowledge about the use of tobacco during the pre-conception days and during pregnancy. They are all associated with intrauterine growth retardation, preterm labor, placenta abruption, and low birth weight.
Low birth weight and prenatal mortality are reduced by smoking cessation. Pre-conception counseling helps the couple to opt for smoking cessation. This will help to reduce the negative impact on the prenatal period and fertility.
The woman and her partner will be given education about the negative impact of alcohol during the days of pregnancy. It is associated with fertility problems and fetal alcohol syndrome. There will be restrictions on the use of alcohol in case the couple is planning for a pregnancy.
There is no recommendation for a safe level of alcohol in the literature during the time of pregnancy. The outcome might be adverse neuropsychological outcomes in the infant. This issue is addressed in pre-conception counseling.
Diabetes, congenital heart diseases, hypertension, and increased risks of difficulty during delivery are associated with obesity. Doctors will suggest reducing obesity by prescribing proper medications or recommending to contact a dietician to avoid the complications related to obesity.
Pre-conception counseling assesses the woman with malnutrition so that the risks for deficiency of nutrients decreases. Nutrient deficiency leads to preterm delivery and low birth weight.
During the pre-conception period, counseling focuses on education and disease management, weight management, knowledge about the expected risks to the mother and the child, optimal control caused due to increased level of diabetes.
Couples receive accurate information about the potential risks and treatment of the mother and the newborn. There are different kinds of infections that might have long-term adverse effects. Here is a list of such infections:
Various tests are performed during the pre-conception counseling session. Below-mentioned is a list of tests performed:
1. Routine blood tests
This is done to determine the health conditions of both partners. This test helps determine if the partners or individuals need any medication or treatment to have no complications in conception and pregnancy.
2. CBC count
This test is done to avoid the chances of anemia. There is an adverse effect on the fetus’s health and development due to low hemoglobin.
3. Antibody testing
IgG antibody to German measles or Rubella is checked in the expectant mother, whether she is immune to it or not. In case she is found to be not immune, doctors prescribe for vaccination. It is suggested that she should not opt for pregnancy unless the virus is not cleared for the blood. It ideally takes about one month.
4. Thyroid test
The thyroid causes infertility issues. A test only detects the presence of thyroid in a maximum of the cases. Lower IQ in infants and neurodevelopment might be the outcome if one decides to get pregnant without solving the issue.
5. Thalassemia screening
This test is performed on both the parents to determine if there is any thalassemia gene. There will be a 25% chance of having a child with this condition.
6. Vitamin deficiency
This is very natural in women. But a deficiency of vitamin B12 or vitamin D can cause problems in the pregnancy or during lactation. It is vital to correct such issues during conception or pregnancy.
7. Pap smear test
This test is conducted to check whether there are any cancerous cells in the cervix or not.
8. Genetic counseling
In case the couple had trouble during a previous pregnancy, this test determines example, stillbirth, recurrent miscarriages, restricted growth, congenital disabilities, such issues. Treatments are conducted to reduce the risk or avoid the chances of the same during the upcoming pregnancy.
9. Sexually transmitted diseases tests
Both partners are tested for STI or sexually transmitted diseases like HIV, VDRL, Hepatitis C, and B.
Before you and your partner decide to visit a pre-pregnancy counseling session, always make yourself prepared. Follow the tips below to prepare yourself:
1. Medical records must be in one place
If you have any record of a successful pregnancy, past surgery, or consuming any medication, get the details of everything when you plan a visit for counseling. Ensure that both of you come prepared with an individual’s set of medical records ready along with the list of medications.
2. Visit the chamber with an open mind
Do not always expect the doctor’s check-up and analysis in your favor. Do not get disappointed if things are not according to what you expected to be. Try to look for more options and have a talk with your partner. Decide the next step by talking to your partner. Every human body is not the same, but significant innovations can solve any issues if found.
3. Have good communication with your doctor
You must have good communication with your doctor. Do not miss to provide any details to the doctor. Your doctor must be informed about the previous medications, vaccinations, hospitalizations that both of you had before planning to have a child. Your prior record of drugs and health crisis may sometimes come in the way of your pregnancy.
The doctor will start the check-up once the full medical history is provided to the doctor from you and your partner. They will also conduct several tests, such as Pap smear and blood tests.
These tests are performed to ensure that neither you and your partner have any serious medical issues that might affect the days of pregnancy or chances of getting pregnant.
A pre-pregnancy counseling test is helpful for you and your partner. The test has all the pros and not a single con. If there are any issues found during the trial, multiple medical innovations can help you overcome those and give birth to a healthy baby. Always plan to go for this test with an open mind.