Planning and Preparing for Pregnancy

Planning and preparing for pregnancy

During pregnancy and childbirth, the female body experiences significant stress on all vital organs. The heart, kidneys, and liver work with double energy during pregnancy. The nervous, immune, and endocrine systems experience great stress. Providing for the body's own needs fades into the background; maintaining the vital activity of the new mother-placenta-fetus complex becomes a priority. This requires resources.

Therefore, ideally, a woman should visit a gynecologist and undergo the necessary laboratory examination 2-3 months before pregnancy. In this case, data on previous infections and the results of studies on diseases that obviously create problems for the unborn child can be of great importance. The results of the examination should be discussed with your obstetrician-gynecologist and, if necessary, therapeutic or preventive measures should be taken.

A consciously planned pregnancy implies an equally reasonable approach to the process of preparing for this important stage in life. The scope of the necessary laboratory and instrumental examination is determined at a preliminary consultation with an obstetrician-gynecologist and depends on the health status of the expectant mother.

Recommended laboratory testing:

1. Diagnosis of infections (PCR - DNA): chlamydia, mycoplasma, ureaplasma, gonococci, herpes simplex virus, human papillomaviruses, gardnerella, cytomegalovirus, candidiasis (thrush), group B streptococci, Staphylococcus aureus, enterococci, E. coli.

2. Determination of antibodies to viruses, bacteria, protozoa in the blood (ELISA): IgG, IgM to herpes (HSV), CMV, toxoplasma, rubella, chlamydia, listeria.

3. Bacteriological culture: the state of normal vaginal microflora and the presence of opportunistic flora.

4. Hormonal examination: LH, FSH, prolactin, estradiol, progesterone, testosterone, 17-OPA, DHEA-S, cortisol.

5. Determination of thyroid function: TSH, total T3, free T3, total T4, free T4, TG, TSH, antibodies to TSH receptors.

6. 17-ketosteroids (urine) (17-KS)

7. Clinical blood test, general urine test

8. Blood chemistry

9. Immunological examination: complete immunogram, detection of autoantibodies

10. Hemostasiogram: basic indicators of blood coagulation, including VA

11. Examination during immunoconflict pregnancy according to blood group and Rh factor for antibody titer.

Thus, careful preparation for pregnancy, including consultations with a doctor and the necessary examination, allows you to promptly identify and eliminate possible problems, ensuring a successful pregnancy and the birth of a healthy child.