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Plan for Pregnancy Before You're Pregnant

February 8, 2004

The time to plan for a pregnancy is before you become pregnant.  Your health and the health of your new baby depend on you.  It is also important to remember that most women don’t know they are pregnant for three to four weeks and many pregnancies are unexpected.  By the time you find out you are pregnant your baby is already forming major organs and structures.

How can you be prepared? 

First take 400 mcg of folic acid (a B vitamin) every day to help prevent defects of the brain and spinal cord.  It is safe to take a multivitamin.  Avoid high doses of vitamins which may be harmful.  Eat a balanced diet with foods rich in folic acid like green leafy vegetables, broccoli, oranges, and bananas.  Iron and calcium are also important.  If you do not drink milk, you can get additional calcium from fortified orange juice, breads or cereals or take a calcium supplement.  Reduce your caffeine.  Drink no more than two cups of coffee or six glasses of tea or soda per day.  Try to reach a healthy weight before you become pregnant.  You should not be on a weight-loss diet during pregnancy.   If you need help with your diet, call your family doctor. 

What should you avoid? 

Smoking cigarettes increases your risk of miscarriage or having a baby with a low birth weight.  Alcohol and illegal drugs such as cocaine, marijuana, and heroin can cause birth defects or other problems with your baby.  If you need help stopping, call your family doctor.

Do you need any immunizations? 

If you have never had the chickenpox, you will need two vaccine injections at least one month prior to pregnancy.  If you are not immune to rubella, you will need a booster shot of MMR (measles, mumps, and rubella) at least one month before getting pregnant.  You may need a three shot series for hepatitis B.  When flu season comes around in the fall, a flu shot is recommended, either before you become pregnant or while you are pregnant.  Your family doctor can help you get your immunizations up-to-date.

What about genetic diseases? 

Some risks increase with age especially over age 35.  Tests are available during pregnancy for Down syndrome and some other genetic problems.  If you are black, or you or your family are from the Middle East, India, Southeastern Asia, or the region of the Mediterranean Sea, or if your family is of European Jewish or French Canadian origin, there are tests that will screen for certain genetic diseases that may be more common.  If you or the baby’s father has a family history of cystic fibrosis or congenital hearing loss, you might be tested to see if you carry one of these traits.  If you have questions, consult with your family doctor

Coppell is fortunate to have many excellent family doctors.  Two family physicians in Coppell can help you prepare for your pregnancy, take care of you during your pregnancy, and take care of you and your baby after delivery.  Drs. Nina Cahan and Tamra Deuser at Coppell Associates in Family Medicine specialize in Family Practice with special interest in Obstetrics.  Call 972-393-5559 for an appointment today.


For More Information Contact:

Coppell Associates in Family Medicine, P.A.
848 S. Denton Tap Rd., Ste. 100
Tel: (972) 393-5559
FAX: (972) 393-5479
Internet: info@coppellfamilydocs.com

Coppell Associates in Family Medicine, P.A.  (CAFM)

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