Pre-Pregnancy Counselling

Pre-pregnancy counselling is a proactive discussion with your healthcare provider to optimize your health and reduce risks before you conceive. It’s recommended for anyone planning a pregnancy, especially if you:

• Have a chronic medical condition (e.g., diabetes, epilepsy, hypertension).
• Take medications (prescription or over the counter).
• Have had previous pregnancy complications (e.g., miscarriage, preterm birth).
• Have a family history of genetic disorders.
• Are over 35 or under 18.

Why is it Important?

• Reduce risks for you and your baby.
• Manage existing health conditions (e.g., diabetes, thyroid issues).
• Prevent birth defects with lifestyle changes and supplements.
• Address emotional readiness and mental health.

What to Expect During Your Visit

1. Medical History Review:
   1. Chronic illnesses, surgeries, or genetic conditions.
   1. Previous pregnancies (complications, losses).
   1. Current medications/vitamins (some may need adjusting).
2. Lifestyle Assessment:
   1. Diet, weight, exercise, smoking, alcohol, or substance use.
   1. Exposure to toxins (e.g., workplace chemicals, cat litter).
3. Tests & Screenings:
   1. Blood tests (e.g., immunity to rubella, hepatitis B, HIV).
   1. Genetic carrier screening (e.g., sickle cell, cystic fibrosis).
   1. Pap smear or STI testing (if needed).
4. Personalized Advice:
   1. Start folic acid (400–800 mcg daily) to prevent neural tube defects.
   1. Update vaccinations (rubella, flu, COVID-19, Tdap).
   1. Manage weight (BMI <30 improves outcomes).

Key issues to Discuss

• Pre-existing conditions: Optimize diabetes, hypertension, or mental health.
• Medications: Some drugs (e.g., ACE inhibitors, retinoids) are unsafe in pregnancy.
• Nutrition: Avoid raw fish, unpasteurized dairy, and excess caffeine.
• Substances: Quit smoking, alcohol, and recreational drugs.
• Mental health: Address anxiety, depression, or stress.

Frequently Asked Questions

Q: When should I start pre-pregnancy counselling?
A: Ideally 3–6 months before trying to conceive.

Q: Do I need this if I’ve had a healthy pregnancy before?
A: Yes! Health changes over time—reviewing ensures safety for every pregnancy.

Q: Are supplements necessary?
A: Folic acid is critical. Your doctor may recommend iron, vitamin D, or others based on needs.

Q: What if I’m over 35?
A: Counselling helps address age-related risks (e.g., genetic testing options).

Q: Should my partner attend?
A: Yes! Partners can discuss genetic risks, lifestyle changes, and support.

eGynaecologist Advice:

• Most pregnancies are healthy with proper preparation.
• Small changes now can have a big impact on your baby’s future
• Follow your personalized plan (e.g., adjust medications, take supplements).
• Schedule a prenatal visit with your gynaecologist as soon as you conceive.
• If you become pregnant while on unsafe medications.