Pre-pregnancy counselling is a proactive discussion with your healthcare provider to optimise 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
- Medical History Review:
Chronic illnesses, surgeries, or genetic conditions.
Previous pregnancies (complications, losses).
Current medications/vitamins (some may need adjusting). - Lifestyle Assessment:
Diet, weight, exercise, smoking, alcohol, or substance use.
Exposure to toxins (e.g., workplace chemicals, cat litter). - Tests & Screenings:
– Blood tests (e.g., immunity to rubella, hepatitis B, HIV).
– Genetic carrier screening (e.g., sickle cell, cystic fibrosis).
– Cervical smear or STI testing (if needed). – Vaginal Microbiome testing. - Personalised Advice:
Start folic acid (400–800 mcg daily) to prevent neural tube defects. Update vaccinations (rubella, flu, COVID-19).
Manage weight (BMI <30 improves outcomes).
Key issues to discuss
- Pre-existing conditions: Optimise diabetes, hypertension, or mental health.
- Medications: Some drugs (e.g., ACE inhibitors, retinoids) are unsafe in pregnancy.
- Nutrition: Avoid raw fish, unpasteurised 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, and small changes now can have a big impact on your baby’s future.
- You should consider pre-pregnancy vaginal microbiome testing and follow your personalised 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.
