Prior To Conception

Prior To Conception

Prior To Conception
Before planning to have a baby, visit your doctor to check for risk factors that may cause complications with our pregnancy. Prenatal vitamins should be taken before you start trying to get pregnant so that your body is ready to support another life. Some medical and dental procedures cannot be done while pregnant so you can discuss with your doctor what steps need to be taken to address those issues before becoming pregnant.

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    The largest study to date of pregnant women with multiple sclerosis (MS) or epilepsy shows that women with the disorders face only a slightly elevated risk of abnormal fetal growth rate and cesarean section delivery, and are not more likely to have blood pressure problems or deliver prematurely. The study appeared in a medical journal of the American Academy of Neurology.

    After factoring for maternal age, race and ethnicity, the researchers found that MS and epilepsy were associated with mildly increased rates of c-section delivery (42.4 percent for women with MS and 44.5 percent for those with epilepsy, compared with 32.8 percent for healthy women) and abnormal fetal growth rate (2.7 percent for those with MS and 3.8 percent for those with epilepsy, compared with 1.9 percent for healthy women).
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    As you age, you have an increasing chance of having a baby born with a birth defect. Yet most women in their late 30s and early 40s have healthy babies. See your doctor regularly before you even start trying to get pregnant. She will be able to help you prepare your body for pregnancy. She will also be able to tell you about how age can affect pregnancy.

    During your pregnancy, seeing your doctor regularly is very important. Because of your age, your doctor will probably suggest some extra tests to check on your baby's health.

    More and more women are waiting until they are in their 30s and 40s to have children. While many women of this age have no problems getting pregnant, fertility does decline with age. Women over 40 who don't get pregnant after six months of trying should see their doctors for a fertility evaluation.

    Experts define infertility as the inability to become pregnant after trying for one year. If a woman keeps having miscarriages, it's also called infertility. If you think you or your partner may be infertile, talk to your doctor. Doctors are able to help many infertile couples go on to have healthy babies.

    This answer is based upon source information from the National Women's Health Information Center.

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    A , OBGYN (Obstetrics & Gynecology), answered

    Unfortunately, many women are so focused on the ultimate ending -- a baby -- that they’re content to let the opportunity for an orgasm to pass them by. But there’s no reason why procreation can’t be pleasurable for both parties. Experiment with lubrication to also help increase the odds of experiencing orgasm and possibly conceiving. You can also try these tricks:

     

    •   Take the focus off conception, which can distract her from the sexy sensations that might otherwise take her over the edge.

    •   Help her relax. Scientific evidence shows that the key to getting a woman turned on and to the heights of orgasmic bliss is to help her achieve a deep sense of relaxation and a lack of anxiety. Researchers at the University of Groningen in the Netherlands scanned the brains of 13 women and 11 men while they were manually stimulated to orgasm by their partners. The scans showed that, for women, the parts of the brain responsible for processing fear, anxiety, and emotion slowed down the more aroused they became, pro­ducing a trance-like state at orgasm. Men showed far less change in these areas of the brain. According to the researchers, what this means is that letting go of fear and anxiety could be important -- even necessary -- for a woman to have an orgasm. Again, if you want your partner to get turned on, you have to help her turn off her brain. That means leaving your worries outside the bedroom, which can be challenging -- but not impossible -- for couples trying to conceive.

    •  Really dedicate time to foreplay. It will up your desire and arousal, helping pave the way to orgasm once intercourse is underway.

    •  Buy a vibrator and add it to your sex play, either before or after ejaculation. You might even consider one that straps over the woman’s clitoris during intercourse.

    •  Manually stimulate her and choose positions that stimulate her clitoris during intercourse, like woman-on-top.

     

     

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    A answered
    Birth spacing is the period of time between giving birth and getting pregnant again. It's also called pregnancy spacing or interpregnancy interval (also called IPI). It's best to wait at least 18 months (1½ years) between giving birth and getting pregnant again. Too little time between pregnancies increases your risk of premature birth (before 37 weeks of pregnancy). The shorter the time between pregnancies, the higher your risk. Learn more at: marchofdimes.org/birthspacing
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    Because you have diabetes, you need special care and advice from your diabetes doctor, nurse, and health care team before you get pregnant. This "preconception counseling" is individualized for the needs of each woman. Ideally, preconception counseling should be a part of every routine diabetes clinic visit for all women of child-bearing age, starting at puberty, before a woman becomes sexually active.

    Preconception counseling will help you:

    • prevent an unplanned pregnancy.
    • take care of your diabetes before and during your pregnancy to give you the best chance of having a healthy baby and preventing complications.
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    A OBGYN (Obstetrics & Gynecology), answered on behalf of
    Several tests may help gauge a patient's fertility potential, also known as ovarian reserve:
    • Day 3 levels of FSH and estradiol: Follicle stimulating hormone (FSH) is a hormone released from the brain that triggers egg development by the ovary. Estradiol is the hormone produced by the ovary as the egg develops. Patients with an elevated estradiol and/or FSH level on the third day of a menstrual cycle have poor pregnancy rates with both ovulation induction and in vitro fertilization.
    • Clomiphene citrate challenge test (CCT): The day three FSH and estradiol levels may be normal in patients with decreased ovarian reserve. The CCT is another test to more thoroughly evaluate fertility potential. Clomiphene citrate is a medication given orally on menstrual days five through nine. Estradiol and FSH are measured on day three and day 10 of the cycle. Elevated blood levels of these hormones are associated with very low pregnancy rates with fertility treatment.
    • Response to fertility medications: The response to injectable high-dose fertility medications is another method for determining ovarian reserve. Patients with decreased ovarian reserve require larger amounts of medication to produce eggs and generally have lower pregnancy rates with ovulation induction and in vitro fertilization. Egg donation is an option for those patients who do not conceive with other therapies or have abnormal ovarian reserve testing. Egg donation involves using eggs donated by another woman. Patients may provide a donor (typically a sister or close friend) or an anonymous donor may be provided.
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    Having another baby might be the last thing on your mind right now. But getting pregnant too soon after giving birth can be risky. One recent large study found that becoming pregnant less than six months after giving birth increased the risk of preterm birth by 41 percent. And becoming pregnant 6 to 12 months after giving birth increased the risk of preterm birth by 14 percent. The study also found that getting pregnant between 12 and 18 months after giving birth posed no significant increase risk of preterm birth. A separate study had similar results, and also found that babies born to mothers who waited more than 59 months to become pregnant again had a 20 percent to 43 percent increased risk of health problems.

    The take-home message is that planning your next pregnancy if you want more children or preventing a pregnancy if you don't is important. Spacing pregnancies at least 12 months apart will give your body time to fully recover. In the meantime, using reliable birth control is the best way to prevent pregnancy until you decide if and when to have another baby. Talk to your doctor about your birth control options. Keep in mind that breastfeeding alone isn't a foolproof way to prevent pregnancy, and some birth control methods should not be used by breastfeeding mothers.

    This information is based on source information from the National Women's Health Information Center.

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    If you are not pregnant yet, you can help your chances for having a healthy baby by planning ahead. Schedule a pre-pregnancy checkup. At this visit, you can talk to your doctor about the medicines, vitamins, and herbs you use. It is very important that you keep treating your health problems while you are pregnant. Your doctor can tell you if you need to switch your medicine. Ask about vitamins for women who are trying to get pregnant. All women who can get pregnant should take a daily vitamin with folic acid (a B vitamin) to prevent birth defects of the brain and spinal cord. You should begin taking these vitamins before you become pregnant or if you could become pregnant. It is also a good idea to discuss caffeine, alcohol, and smoking with your doctor at this time.

    This answer is based on source information from The National Women's Health Information Center.
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    A , OBGYN (Obstetrics & Gynecology), answered

    When conception doesn’t happen as quickly as you would like, things can get pretty stressful, pretty fast. You start focusing solely on reproduction and may lose sight of your relationship as a couple. That’s normal.

     

    If you’ve been trying to conceive for a year or more, though, you’ll find yourself dealing with even more obstacles to a healthy sex life. Not only has the pressure to get pregnant skyrocketed, but the fertil­ity treatments you pursue can add a new wrinkle to an already difficult situation. Side effects like mood swings, bloating, and headaches can make women feel anything but in the mood.

     

     

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    A OBGYN (Obstetrics & Gynecology), answered on behalf of
    While you can usually enjoy intercourse all the way up until your due date, some positions are more comfort¬able than others. You may have to give up your favorite position, or modify it a bit to make it comfortable. Be creative! It’s part of what makes sex fun during pregnancy and beyond. In general, any position that puts pressure on the woman’s back or stomach can be tough: Not only can her baby bump get in the way, but after the fourth month, lying on her back can cause her growing uterus to put pressure on major blood vessels in her body. Instead try these positions and experiment to see what feels right for both of you:

    • Woman on top In this position, the man lies on his back while the woman straddles him. It takes the pressure off her back and belly, allows her to control the depth and speed of thrusting -- and gives him a great view! This position is great in the first and second trimesters. Increased weight and size of ab¬domen may make it difficult to maneuver in the last trimester.
    • Sitting A variation on woman on top, this position involves the man sitting in an armless chair, with the woman facing and straddling him. It is extremely intimate and allows you to gaze in each other’s eyes. This position is best during the first and second trimester.
    • Side by side You both lie on your side, facing each other. This position also keeps the weight off her belly, supports the uterus, and may also make you feel particularly intimate. Enjoy it during the first trimester and early second trimester.
    • Spooning The same position that allows for such good post-sex cuddle is also great for intercourse during pregnancy. The man lies on his side behind the woman, facing her back. This takes the pressure off her belly and prevents deep penetration, which may be uncomfortable later in pregnancy. This posi¬tion is perfect during the last trimester.
    • Hand and knees Also known as rear entry or “doggy style,” this position places the woman on her hands andin knees with her partner entering her from behind. Place a few pillows under her belly and breasts to help support them. Try it during the first, second, and early third trimesters. Because this position can result in deeper penetration, you may want to avoid it later in the third trimester.
    • Modified missionary position She lies on her back, pulls her knees up to her chest, and rests her feet on his chest or, if she’s really flexible, on his shoulders. He kneels and enters without placing his weight on her body.
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