Preconception care and preparing for parenthood

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·         Preconception care: Pregnancy preparedness makes sense, because many pregnancies are unexpected. Important genetic developments in the embryo occur before a woman realizes that she is pregnant; therefore maintaining a healthy lifestyle before pregnancy can reduce the risk of complications later on in the pregnancy.
·         Preconception visit - Diet, life style, medical history and medication (to be treated before  pregnant), use of birth control, genetic disease in family, past pregnancies, Contraception history.
·         Vitamin folic acid and iron supplement. 400 micrograms folic acid supplement every day. Should be started 3 months before getting pregnant to prevent neural tube defects.
·         Taking balanced diet. Diet rich in green leafy vegetables, nuts, beans, fish oil, citrus fruits.
·         Achieving healthy body weight, Immunization, Exercise, Stress management (rest, positive thinking, relaxation), Avoid smoking, recreational drug, excess intake of caffeine. Avoid contact with toxic substances.

Aspects of prepregnancy care  
·         Exercise & Relaxation
·         Diet
·         Avoid exposure to pollutants  
·         Avoid exposure to infections
·         Avoid Hazards

Condition Condition
Problem in pregnancy
Preconception advice
Obesity
Neural tube defects, Diabetes, Cesarean section, High blood pressure
Reduce the weight
Smoking
Low birth weight, Preterm birth
Stop smoking
Diabetes
Miscarriage, Macrosomia, Birth defects
Control blood sugar
Folic acid deficiency
Neural tube defects
Folic acid supplementation
Alcohol
Fetal alcohol syndrome Other syndrome
Stop taking alcohol
Epilepsy
Some epilepsy medication can cause fetal abnormality
Medication adjustment
Hypertension
Increased risk of preeclampsia
Kidney problems
Fetal growth retardation
Control blood pressure
Sexuallv transmitted infections
Mental retardation
Blindness
Fetal death & disability transmission to baby
Early diagnosis and treatment
Hypothyroidism
Affects the neurological development
Adjust the thyroid medication
Dental caries
Gingivitis
Oral health
Preterm delivery
Preterm labour
Oral hygiene
Regular dental visits

Birth education

Teach about signs of pregnancy: Headache, Fatigue, Breast swelling and tenderness, Food aversions, Sensitivity to smells, Frequent urination, Nausea and vomiting, Shortness of breath and Physical changes.
Weight gain during pregnancy, Nutrition, Exercise.
Stages of prenatal development
Preparation for labor (The relaxation and coping skills, Breathing technique, Effleurage), signs of labour.
Types of delivery, Birth process (stages of labour).
Newborn care - Breast feeding, Immunization.
Signs and symptoms of complication.

Benefits of preconception care
Increased fertility
Healthy conception, pregnancy and birth
Reduced risk of miscarriage, premature birth or abnormality
Less complications
Improve the success rate of IVF
Increased chance of natural birth
Reduced risk of post-natal depression
Successful and long term breast-feeding

Preparing for parenthood
Accept the pregnancy
Accept the baby
Nesting -preparing the nursery, shop for baby furniture, clothes, and choosing name. Supportive to the women and listen to her concern 
Sibling preparation

Parenthood Preparation
Physical Preparation
Psychological Preparation
Financial preparation
Age — more than 18 years for girls & 21 years in boys. Diet- should not be anemic or malnourished.
No hazards exposure
Free of infection - rubella
Avoidance of contraceptive pills- discontinue the use before 6 months.
Mentally couple should prepare to have baby
Loved secured
Away from violence
Satisfactory relationship
Mature enough by brain
The couple should prepare themselves to meet the increasing need of finances for the care required during pregnancy, delivery and the entry of newcomer (newborn)


     

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notes.nursium.com: Preconception care and preparing for parenthood
Preconception care and preparing for parenthood
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