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  • Karen Johnson, CNM

Preconceptual Counseling



What is Preconception health?

 

In North Carolina, 43.8% of all pregnancies are unintended and unexpected. With these surprise pregnancies the mother’s probably aren’t their healthiest, physically and mentally. That’s where preconception health comes in. Preconception health involves preparing both physically and mentally before conception occurs, ensuring the best possible start for the pregnancy and the well-being of the child.

 

Why Does Preconception Health Matter?

 Preconception health sets the stage for a healthy pregnancy and a healthy baby. It focuses on the health of both partners before they conceive, addressing factors that could affect fertility, pregnancy outcomes, and the long-term health of the child. Preconception health care involves many things that each are very important for a healthy pregnancy:

 

  1. Nutrition and Diet: Eating a balanced diet rich in vitamins, minerals, and nutrients is essential. Folic acid, for instance, helps prevent neural tube defects (like spina bifida) in babies. It's also crucial to limit intake of processed foods, sugars, unhealthy fats, and fast food. 

  2. Physical Activity: Pregnancy can be hard on the body, labor is also tough physically. Regular exercise not only helps maintain a healthy weight but also improves overall fitness which will prepare the body for the physical demands of pregnancy, labor and childbirth. 

  3. Managing Chronic Conditions: Conditions such as diabetes, hypertension, and obesity can affect becoming pregnant and pregnancy outcomes. Managing these conditions before conception can reduce risks to both mother and baby.

  4. Avoiding Harmful Substances: Quitting smoking/ vaping, reducing alcohol consumption, and avoiding recreational drugs including marijuana are critical steps to protect the health of the developing fetus and increase the chances of a healthy pregnancy.

  5. Screening for Infections: Certain infections, such as rubella and sexually transmitted infections (STIs), can pose risks during pregnancy. Screening and treating these infections beforehand can prevent complications.

  6. Emotional and Mental Well-being: Pregnancy can be emotionally challenging, and addressing mental health concerns before conception is important. Stress management techniques and seeking support if needed can contribute to a healthier pregnancy.

  7. Genetic Counseling: Discussing family medical history and considering genetic counseling if there is a family history of genetic disorders or concerns.

  8. Family Planning: Effective family planning involves not only preventing unintended pregnancies but also preparing for planned ones. This includes understanding ovulation cycles, fertility windows, and making informed decisions about timing.

 

Whether you're considering starting a family soon or in the future, remember that preconception health is a journey worth embarking on. It’s about laying a strong foundation for new beginnings and ensuring the best possible start for your family's future. If this is something that you are interested in or curious about please don’t hesitate to reach out to us. At Nash OBGYN we would love to start your journey to parenthood with a preconception visit. If you are already an established patient and had no idea this type of visit even existed and feel like you could benefit, please make an appointment. 


by Karen Johnson, CNM


Photo Credit: iStock

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