Get to know about Pregnancy Program Consultation

 

Consultation of a pregnant program is an examination procedure performed before the patient undergoes a pregnancy. This procedure aims to identify things that can affect a patient's ability to get pregnant and undergo pregnancy, and increase the chances of a baby being born healthy.

Consultation of a pregnant program is one of the first steps that can be taken by couples who plan to go through the pregnancy process. The pregnant program consultation phase generally includes discussion and health examinations, which aim to detect various risk factors that can endanger the condition of the mother and fetus while undergoing pregnancy later.

Get to know about Pregnancy Program Consultation

Not only that, Pregnancy consultation programs also have several benefits. Among them are:

  • Preparing the mother and spouse physically and emotionally in the face of pregnancy.
  • Prevent disorders or abnormalities that may occur during pregnancy and childbirth, such as miscarriage, birth premature, or low birth weight.
  • Prevent birth defects.
  • Prevent infection in newborns.
  • Prevent HIV transmission or sexually transmitted infections from mother to baby.
  • Prevent the risk of a baby being born stunting, that is the disruption of growth and development experienced by a baby due to lack of nutritional intake.
  • Reduce the risk of cancer that may occur kid.
  • Reduce the risk of type 2 diabetes, as well as heart and blood vessel disease in the future.

Consultation of a pregnant program can be done in a clinic or hospital with a doctor womb.

Indications of Consultation for Pregnant Programs

Consultation of a pregnant program is recommended beats by every woman who plans to get pregnant. In addition, there are several conditions that cause women and their partners to undergo pregnancy program consultation. Among them are:

  • Have suffered certain medical disorders, such as diabetes, hypertension, sexually transmitted infections, phenylketonuria, epilepsy, thyroid disease, and arthritis.
  • Difficulty getting offspring during approximately 2 years after marriage.
  • Have genetic disorders that are at risk of being passed on to the fetus, such as thalassemia.
  • Having a disorder in a previous pregnancy, such as miscarriage, fetal death, or baby born with abnormalities congenital.
  • Women over 40 years old.
  • Active smokers

Before Consultation Pregnant Programs

There are several things that need to be prepared by a patient or partner before consulting a pregnant program, including:

  • Overall health history. As a first step in program consultation pregnant, the doctor will usually check the patient's overall health history. Bring all the results of the examinations that have been conducted, including vaccination records, laboratory test results, X-rays, and other supporting results, such as CT scans or MRIs.
  • Types of drugs or products that are or have been consumed . Patients should carry and show the type of drug, including vitamins and supplements, which are being consumed. Some medications may inhibit the process of pregnancy or cause birth defects in the baby.
  • List of questions. Before undergoing pregnancy program consultation, patients and partners should make a list of questions about various things about the program pregnancy. Sort questions from the most important

Pregnancy Program Consultation Procedure

Pregnancy program consultation generally consists of several types of checks, namely:

  • Examination of medical history. At this examination stage, the doctor will ask questions about several things. Among them are:
    • Patient health history. Various types of diseases that have or are currently being suffered by patients, especially types of diseases that can increase the risk of complications during pregnancy, such as asthma, diabetes, and hypertension. By knowing the patient's health condition, the doctor can take treatment before the patient enters pregnancy.
    • The patient's family health history. Medical disorders that are at risk of being inherited from family members, such as blood clotting disorders.
    • Reproduction history. Includes previous pregnancy history, menstrual cycle, history of contraceptive use, and sexually transmitted infections if ever suffered.
    • History of surgery. Various types of surgery that have been carried out by the patient, especially myoma surgery or other surgery that has been done in the reproductive organs.
    • Types of drugs that are being consumed, include over-the-counter drugs , supplements, or herbal products. Your doctor may recommend that your patient stop taking certain medications to prevent the risk of birth defects in the baby.
    • Vaccination history. Examination of vaccination history is important to prevent birth defects or other complications during pregnancy. There are several types of vaccinations that should be done before undergoing pregnancy, namely rubella, chickenpox, tetanus, diphtheria, flu, and hepatitis B vaccines.
    • Social and emotional history. Doctors will ask questions related to mental health problems that have been passed by patients, such as depression or eating disorders ( eating disorder ).
    • Home and work environment. Hazardous substances, such as lead, mercury, or pet waste, can affect a patient's ability to get pregnant or maintain a healthy pregnancy.
    • The patient's lifestyle. Doctors will ask questions related to the lifestyle that the patient is currently living in, including daily routines, sports activities, and the type of food consumed. This is to prepare the patient before pregnancy and create a healthy pregnancy.
  • Physical examination. This examination is done to check the condition of the patient's body before undergoing pregnancy. Physical examination includes:
    • Measurement of height and weight.
    • Examination of vital signs, including heart rate, blood pressure, and respiratory frequency.
    • Pelvic examination, by entering finger into the vagina to examine the uterus and cervix.
  • Laboratory tests. This examination is done using urine and blood samples to detect various abnormalities.
    • Urine tests. Urine samples are used to detect sugar levels in urine. Too high sugar levels can affect fetal development. Therefore, the doctor will take steps or measures to control the patient's blood sugar levels to the normal level before the patient enters pregnancy.
    • Blood test. Blood samples are used to detect several types of diseases, such as syphilis, HIV, herpes, hepatitis B, and citomegalovirus. In addition, blood samples are also used to identify several things. Among them are:
      • Calculate the number of blood cells. If the patient's blood cell count is below normal, the doctor may recommend that patients take iron supplements to prevent iron deficiency anemia.
      • Check blood type, either ABO or rhesus.
      • Check content of thyroid hormone and vitamin D levels.
    • Pap smears. The doctor will take samples of cervical tissue cells to be analyzed in the laboratory. This check is done to detect possible abnormalities in a woman's reproductive organs, such as inflammation or infection.
  • Scanning. If needed, the doctor will ask the patient to undergo a scan to see the condition of the reproductive organs. Among them are:
    • Ultrasound, is done to examine the condition of the ovaries, uterus, and ovaries, and detect abnormalities that can affect uterine function and inhibit the process of pregnancy, such as endometriosis and myoma .
    • Hysterosalpingography, is an examination performed using X-rays and contrast fluid to examine the condition of the uterus and ovary tract.
    • Laparoscopy or surgery Keyhole, can also be done if the patient has a history of pelvic inflammation or found blockages in one or both fallopian tubes.

Program consultation and examination Pregnancy is not only done by women. Men should also do an examination to determine the level of fertility, so that the process of pregnancy is more quickly achieved. Some types of examinations that can be done, among others:

  • Test urine (urinalysis). To detect white blood cells in urine as an indicator of an infection that may occur.
  • Examination of sperm. Examination of sperm is done to calculate sperm count and detect abnormalities in sperm shape, movement, or color.
  • Ultrasound. Examination is done to detect the location of damage or blockage in the male reproductive tract.
  • Testicular biopsy. Doctors will take a small sample of testicular tissue and analyze it in the laboratory to determine sperm production levels.
  • Vasography. Examination using X-rays to detect sperm blockage or leakage in vas deferens , which is the channel that connects the testis to the urethra (urethra).

After Consultation of the Pregnant Program

After the couple has undergone discussion and various types of medical examinations, the obstetrician or midwife will analyze the results of the physical examination, the results of laboratory tests, and the results of other examinations that have been carried out. From these results, the doctor can find out several things, namely:

  • The condition of the couple undergoing pregnancy program consultation. Through consultation and examination, doctors can determine health conditions and fertility rates, both in terms of men and women, as well as abnormalities that may be experienced.
  • Treatment measures. If a patient has a specific disorder or disease that can inhibit the process of pregnancy or increase the risk of complications when the patient enters pregnancy, the doctor may take treatment measures so that the patient can undergo a healthy pregnancy.
  • Determine a pregnant program. Especially for patients or couples who have not had children for about 2 years and have undergone various therapies to improve fertility, but do not produce results, doctors can provide IVF programs to increase the chances of patients becoming pregnant.

In addition to consulting pregnant programs, there are several things that can be done to increase the chances of getting pregnant. Among them are:

  • Eat about 400 μg of folic acid at least 1 month before pregnancy until 12 weeks' gestation.
  • Stop smoking, consume alcohol, and use drugs.
  • Avoid toxic substances and the environment contaminated with hazardous materials, such as fertilizers, synthetic chemicals, or insect sprays.
  • Maintain ideal body weight, because excess weight (obesity) increases the risk of some serious, including complications during pregnancy, heart disease, type 2 diabetes, and certain types of cancer (breast and large intestine).
  • Study family health history to prevent the risk of hereditary diseases that may not be realized so far.
  • Maintain mental health and reduce stress.

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