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WHAT ARE 10 IMPORTANT RECOMMENDATIONS BEFORE PREGNANCY?
Pregnancy is becoming an unforgettable turning point in women’s lives. While happiness and anxiety are mostly intertwined, it is possible that expectant mothers can minimize the difficulties and enjoy a lot by paying attention to some rules in this particular process. Obstetrics and Gynecology Specialist Dr. she described 10 measures that should be taken from the moment you decide to become a mother in Turkey.
Turkey Medicals and member of Istinye University hospital in Istanbul Obstetrics and Gynecology Specialist Dr. “Pregnancy is actually like a marathon. The better you prepare physically and spiritually for the adventure of motherhood before starting the marathon, the healthier you can go through this process,” she says. About half of the pregnancies in the whole world are unplanned and half are planned. So at the point when you say ”I’m ready now”, what should you pay attention to for a healthy and peaceful pregnancy?
1- Contact an obstetrician and gynecologist
Be sure to contact the obstetrician-gynecologist from the moment you decide to become a mother. It is important to do a vaginal examination, a pap smear test, and evaluate your uterus and ovaries on a vaginal ultrasound. Sometimes there may be space-occupying formations in the uterus, such as polyps, and they may need to be removed before becoming pregnant. If there are abnormal findings in the cervical (cervical) smear test with the principle of “maternal health first”, of course, if it is necessary to treat it before pregnancy, it is very important that these treatment processes are completed.
2- Get rid of excess weight with a healthy diet
If you have excess weight, try to reach your ideal weight with a healthy diet before pregnancy. The closer you get pregnant to the ideal weight, the less likely you will develop gestational diabetes (gestational sugar) and high blood pressure during the pregnancy process. Although pregnancy has started with excess weight, your doctor may recommend that you finish this entire process with 5-6 pounds by looking at your body mass index. Unfortunately, if gestational diabetes develops, the likelihood of a large baby, shoulder insertion at birth, operative delivery and stillbirth also increases.
3- Start exercising regularly
It is important to exercise regularly during pregnancy. It is recommended to do 30-40 minutes of walking 3/4 times a week. If you start exercising regularly before pregnancy, it will be easier to maintain it. However, your doctor may still ask you to reduce or restrict physical activity in certain medical conditions, such as bleeding, danger of premature birth, and so on.
4- Be sure to find out if you have diabetes or high blood pressure
It is very important to ensure “glycemic control” before getting pregnant, especially if there is an existing diagnosis of diabetes. High blood sugar increases the likelihood of miscarriage and congenital anomalies. it is recommended that the HbA1c value, which shows the average blood sugar level for 3 months, be below 6.5 percent. If HbA1c is above 10 percent, the plan to get pregnant should be postponed. High blood pressure is diagnosed in 3 percent of women of reproductive age. Existing drug treatments may need to be changed before you become pregnant. The risk of fetal development restriction, detachment of the placenta before the onset of labor (detachment), pregnancy poisoning (preeclampsia) also increases in pregnant women with high blood pressure.
5- Avoid alcohol and cigarettes
If there is alcohol consumption and smoking is used, it is very valuable to be able to give up these habits before pregnancy. Alcohol creates toxic effects, and smoking also affects the circulatory system, which can lead to development problems in the womb of the baby. In addition, smoking can also have negative effects on ovarian health. Smoking and alcohol consumption also negatively affect the male reproductive system and can also impair sperm quality. For this reason, both the expectant mother and the expectant father should definitely stay away from cigarettes and alcohol when they decide to have a baby.
6- Do not neglect folic acid supplementation
Obstetrics and Gynecology Specialist Dr. “Starting folic acid supplementation two to three months in advance, especially before pregnancy, plays an important role in preventing the disabilities we call ‘neural tube defects’. A supplement of 400 micrograms of folic acid per day will usually be enough. If there is iron deficiency anemia, it is important for the health of the mother and baby to be treated before and during pregnancy. In addition to physiological anemia in pregnant women, iron deficiency anemia is also very common in our country,”he says.
7- Take precautions against single gene diseases
It may be asked of couples before becoming pregnant whether they are carriers of single gene diseases such as SMA. If the man has a carrier, the expectant mother is also evaluated. Because there is a possibility of a sick baby from the union of two carrier people, it is recommended that these couples receive pregnancy by performing IVF (IVF) and transferring healthy embryos. The Ministry of Health in Turkey conducts this screening in newly married couples.
8- Be sure to have your teeth checked
It is very important to complete a dental examination before pregnancy and, if necessary, dental health treatment. In pregnancy, the first trimester (the first 13-week period) and the third trimester (28-40. Decontamination (week break period) dental treatments are not very preferred. In addition to the fact that local anesthesia has been used, the needs of antibiotic treatment make patients nervous during this period, gum and dental health problems can also trigger premature labor during pregnancy.
9- Get screened for these diseases
Those at risk can be pre-checked for chlamydia, gonorrhea (gonorrhea), syphilis and HIV, a sexually transmitted and common bacterial infectious disease. Evaluation can be done by culture or PCR from the cervix and vaginal secretions. Bacterial infections must be treated before pregnancy.
10- Get vaccinated if necessary
Blood tests should be done to see if there is high blood sugar or thyroid dysfunction. In addition, if there are problems such as concomitant anemia, it will be appropriate to treat them in advance. It will be advisable to check your immune status against certain infections. Of these, rubella (Rubella) immunity is especially important. If deemed necessary, it will be recommended that you be vaccinated before becoming pregnant. I also recommend that you get vaccinated beforehand if you don’t have a tetanus vaccine before pregnancy.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
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