If you are contemplating becoming pregnant, a trip to the doctor’s office will help you increase your chances for a healthy pregnancy. You will be given a physical exam and the doctor will ask questions about your history and health. The best time to have a preconception visit is at least three months before trying to conceive.
The visit gives the doctor a good overview of your health and risk factors that could complicate your pregnancy. You can discuss any changes that should be made in your lifestyle prior to becoming pregnant. This information will help you have a healthy baby and avoid potential complications.
You will be asked questions about your gynecological and obstetric history, including any previous pregnancies, births or fertility problems. If you have been pregnant in the past, you will be asked about any complications that resulted during the pregnancy or birth. The doctor will ask about your medical history, particularly any conditions that can affect the pregnancy.
Your family history and the history of your partner will be discussed. If there are any genetic disorders on either side, this will be addressed. In addition, the doctor will ask about your lifestyle and work environment. Possible dangers exist in some workplace environments and the doctor will discuss any changes that should be made.
You will be given a physical exam, including your height, weight and blood pressure. The doctor will give you an internal exam to check your uterus and ovaries for any abnormalities. He or she will take vaginal cultures for a Pap smear, gonorrhea and chlamydia.
You will be asked for a urine sample to check for sugar, which can be an indication of diabetes. The urine will also be checked for urinary tract infections. Blood work will be done to test for HIV, anemia and immunity against rubella, a form of measles that is very dangerous to a developing fetus.
Some Questions that May be Asked:
* Are your periods regular?
* History of STD or HIV risk factors
* Surgeries or infertility treatments
* Past miscarriages, abortions or ectopic pregnancies
* Complications in past pregnancies, including c sections and preterm labor
* Past or present medical conditions
* Are you taking any medications?
* Genetic disorders such as Tay Sachs, sickle cell anemia, hemophilia or spina bifida
* Family history of Down’s syndrome or other chromosomal disorders
* Ethnic background of you and your partner. This is asked because some disorders are prevalent in some ethnic backgrounds.
* Lifestyle factors, such as smoking, drinking or drug use.
* Your work and any potential hazards you are exposed to on the job.