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MoonDragon's Pregnancy Information
PRECONCEPTION CONSIDERATIONS




BASIC INFORMATION


"For Informational Use Only"
For more detailed information contact your health care provider
about options that may be available for your specific situation.


DESCRIPTION

The health of both partners before conception is vital to the development of a healthy baby. The man's sperm and the woman's ovum are the foundation for giving the baby the best start in life. As soon as you decide to have a child you and your partner should assess your lifestyle to determine if any changes are necessary and schedule a visit to your midwife or health care provider for pre-pregnancy planning, counseling and a physical exam.

MoonDragon's Pregnancy Information: Birth Concerns Index

MoonDragon's Pregnancy Information: Things To Avoid During Pregnancy





NUTRITION & DIET

  • Both partners should eat a well-balanced diet. Women should include adequate folic acid intake (spinach, broccoli, kale). Folic acid supplements are often recommended for all women of childbearing age to prevent certain birth defects. For men, better nutrition helps assure healthy sperm. For more information about pregnancy and nutrition see MoonDragon's Nutrition Index.




  • FOLIC ACID SUPPLEMENT PRODUCTS

    Kalyx: Folic Acid, Country Life, 800 mcg, 250 Tabs
    Kalyx: Folic Acid, TwinLab, 800 mcg, 100 Caps
    Kalyx: Folic Acid, Natures Way, 800 mcg, 100 Caps
    HerbsPro: Folic Acid, Country Life, 800 mcg, 250 Tabs
    HerbsPro: Folic Acid, FoodScience of Vermont, 800 mcg, 60 Caps
    HerbsPro: Folic Acid, Jarrow Formulas, 800 mcg, 100 Caps
    HerbsPro: Folic Acid, Natures Way, 800 mcg, 100 Caps
    HerbsPro: Folic Acid, Source Naturals, 800 mcg, 500 Tabs
    HerbsPro: Folic Acid, Source Naturals, 800 mcg, 1000 Tabs
    HerbsPro: Folic Acid, 800 mcg, Source Naturals, 200 Tabs
    HerbsPro: Folic Acid, TwinLab, 800 mcg, 200 Caps
    HerbsPro: Folic Acid, Olympian Labs, 800 mcg, 100 Caps
    House of Nutrition: Pathway Folic Acid, 100 mcg, 4 oz.
    House of Nutrition: Kal's Micro Folic Acid, 400 mcg, 180 Tabs
    House of Nutrition: Pathway's Folic Acid Liquid, 4 oz.
    TakeHerb: Vitamin B-12 & Folic Acid Drops Liquid Eztract, Health Herbs, 1 fl. oz.
    TakeHerb: Folic Acid, Natrol, 400 mcg, 100 Tabs


  • Women should try to get to their normal weight before conceiving. If underweight, a diet to increase weight is appropriate, but keep it healthy. If overweight, try to lose the excess pounds. Do not crash diet. Follow a healthy, reduced calorie diet. Strenuous dieting can start off a pregnancy with a nutritional deficit.


  • To be safe, a woman who takes vitamins or supplements in high doses should discontinue their use. Check with your midwife about obtaining natural supplements, if they are needed, to include in your diet. Do not use over-the-counter drugstore quality supplements, if at all possible. These are usually inferior to natural supplements and artificially manufactured using chemical substitutes for "real food". Research natural food resources and stores in your regional area, and buy from reputable sources only. It is not uncommon for your midwife to suggest that you may want to take a natural prenatal supplement along with some herbal suggestions to be used in the form of teas or such that are rich in many of the nutrients that you will need to make a strong healthy baby.




  • MULTIVITAMIN & MINERAL PRODUCTS

    Kalyx: Superior Multiple All-In-One Multivitamin & Mineral, Country Life, 180 Tabs
    Kalyx: Superior Care High Potency Multivitamin For Adults, Foodscience Labs, 120 Tabs
    Kalyx: All-In-One Multivitamin, Iron-Free, Thompson Nutritional, 60 Caps
    Kalyx: Active Senior SafeGuard Just Once Multivitamin, 90 Tabs
    Kalyx: Complete Prenatal System, Rainbow Light, 180 Tabs
    Kalyx: Complete Prenatal System, Rainbow Light, 360 Tabs
    HerbsPro: Alpha Betic For People with Diabetes, 30 Tabs
    HerbsPro: Diabetic Support, Liquid Health, 32 fl. oz.
    HerbsPro: Completia Diabetic, Diabetic Multivitamin, Natures Way, 30 Tabs
    HerbsPro: Completia Diabetic, Diabetic Multivitamin, Natures Way, 60 Tabs
    HerbsPro: Completia Diabetic, Diabetic Multivitamin, Natures Way, 90 Tabs
    HerbsPro: Vegan, Multivitamin & Mineral, Without Iron, Deva Vegan, 90 Tabs
    HerbsPro: Women's Answer Multivitamin With Minerals, Rainbow Light, 180 Tabs
    HerbsPro: Women's Multivitamin With Minerals, Trace Minerals & Amino Acids, Whole Foods, Liquid Health, 32 oz.
    House of Nutrition: Mega Multivitamin & Mineral Drink Mix, Berry Flavor, Integrative Therapeutic ITI, 637 gms
    House of Nutrition: Vitamin Code Liquid Multivitamin & Mineral Formula, Orange-Mango, Garden Of Life, 30 fl. oz.
    House of Nutrition: Nutra Support Diabetes, Multi-Vitamin & Mineral, Iron Free, Carlsons, 60 Softgels
    House of Nutrition: Nutra-Support Diabetes, Multi-Vitamin & Mineral, Iron-Free, Carlsons, 120 Softgels
    House of Nutrition: Completia Prenatal, Nature's Way, 240 Tabs
    House of Nutrition: Early Promise Prenatal Micronutrient Powder, Bluebonnet, Chocolate Flavor, 1.1 lb.
    House of Nutrition: Buried Treasure's Prenatal Plus DHA Complete, 16 oz.
    House of Nutrition: New Chapter's Perfect Prenatal, 96 Tabs
    TakeHerb: Daily Multivitamin For Optimum Health, Dr. Weil, 90 Tabs
    TakeHerb: Adult's Multivitamin Chewable, Exotic Red Super Fruit, Nature's Plus, 90 Tabs
    TakeHerb: Ultra Vita Min - Multivitamin & Mineral Supplement, Good'n Natural, 100 Tabs
    TakeHerb: Diabetes Health Pack, Nature Made, 30 Tabs
    TakeHerb: Diabetic Multiple Formula, 90 Tabs
    TakeHerb: Ultra Vitamin - Multivitamin & Multimineral Supplement, Good'n Natural, 100 Tabs
    TakeHerb: Epresat Adult Multivitamin, Floradix Herbal Extracts, 8.5 oz.
    TakeHerb: Formula VM-2000 Multi-Nutrient System With Herbs, Solgar, 2 Tabs
    TakeHerb: Alive Once Daily, Womens 50 Plus Ultra Balanced, Natures Way, 60 Tabs
    TakeHerb: Alive Once Daily, Mens 50 Plus Ultra Complete, Natures Way, 60 Tabs




    DHA-OMEGA PRENATAL SUPPLEMENT

    DHA is an essential Omega-3 fatty acid and must be obtained from dietary sources or a high-quality supplement. Pregnancy and lactation can place high demands on your body and deplete your DHA reserves. DHA is especially important in the last trimester of pregnancy and the first few months of an infant’s life when the child’s brain undergoes rapid growth.

    House of Nutrition: Baby's Bliss Omega-3 DHA Plus, 60 Softgels
    Mommy's Bliss Omega-3 DHA Plus provides both mom and baby with a concentrated form of DHA for fetal neural and visual development. DHA also contributes to mental and cardiovascular health in both mother and baby. Omega-3 DHA Plus continues to provide DHA to baby after birth by increasing the available DHA in breastmilk. Our fish oil softgels are free of mercury and heavy metals and contain more DHA than other similar products. Omega-3 DHA Plus also has an enteric coating, allowing it to dissolve in the intestine, leaving no fishy aftertaste during digestion.
    House of Nutrition: Pre-Natal / Mothers DHA, Carlson, T-Pk 1 Case
    House of Nutrition: Oceans 3 Oceans Mom Prenatal DHA, Garden of Life, 30 Softgels
    Oceans Mom Prenatal DHA supplies 350 mg of DHA in one small, pleasant-tasting strawberry-flavored softgel, providing a broad range of benefits for both you and your baby.
    HerbsPro: Prenatal DHA, Spectrum Essentials, 60 Softgels
    A non-fish DHA solution for expecting and nursing mothers. Naturally found in the brain and eye, clinical research shows DHA supports a baby's brain and vision development. Doctors recommend expectant mothers take DHA. This unique non-fish DHA formula provides 200mg of this vital nutrient, while avoiding risk of ocean-borne contaminants sometimes found in fish oils.
    HerbsPro: Prenatal Plus DHA Complete, Buried Treasure, 16 fl. oz.
    DHA (docosahexaenoic acid) is an omega-3 fatty acid shown to be essential for normal brain development in the fetus and growing infant. It is the predominant omega-3 fatty acid present in human breast milk. Folic Acid (folate) is a B vitamin shown to help a baby's neural tube (the part of a developing baby that becomes the brain and spinal cord) to develop properly. Folate is needed both before and during the first few weeks of pregnancy to help reduce the risk of the baby having a birth defect of the brain or spinal cord. Antioxidants, Vitamin C, Vitamin E and Beta Carotene protect healthy cells from the ravaging effects of free radicals as well as promoting healthy cell development. Iron is provided in a unique "non-constipating" form (iron bisglycinate), eliminating a common problem with many prenatal products. Red Raspberry Leaf is an herb known to "Mothers" over the world as a help in easing morning sickness. It acts as a uterine toner and reduces pain during labor and after birth. It may also assist in the production of breast milk. Raspberry is safe and effective for use during pregnancy and throughout breast feeding. Ginger, Meadowsweet and Chamomile are soothing herbs helpful in easing morning sickness, alleviating nausea, and calming an upset stomach.
    HerbPro: Ultimate Oil, Nature's Secret - Irwin Naturals, 90 Softgels


    MoonDragon's Nutritional Guidelines Index

    MoonDragon's Nutrition Information - Diet Index

    MoonDragon's Pregnancy Diet

    MoonDragon's Pregnancy Information: Pregnancy & Weight Gain

    MoonDragon's ObGyn Womens Health Information: Depression

    MoonDragon's Pregnancy Information: Toxemia of Pregnancy

    MoonDragon's Pregnancy Information: Hyperemesis Gravidarum, Medical Management

    MoonDragon's Pregnancy Information: Hyperemesis Gravidarum





    SMOKING

  • Both partners need to stop smoking. In addition to a variety of health risks, it can lead to decreased fertility in both men and women and is hazardous to the pregnancy. A smoke-free home will provide a more healthy environment for any child.


  • MoonDragon's Pregnancy Information: Pregnancy & Smoking

    MoonDragon's ObGyn Womens Health Information: Smoking





    ALCOHOL USE

  • Men and women should discontinue alcohol use when trying to conceive. In women, it can contribute to miscarriage, a low-birth-weight baby and fetal alcohol syndrome. In men, heavy alcohol consumption may cause sexual problems that make them infertile and possibly damage sperm, as well as reduce their number.


  • MoonDragon's Pregnancy Information: Pregnancy & Alcohol

    MoonDragon's ObGyn Womens Health Information: Alcoholism





    DRUGS OF ABUSE

  • Men and women need to discontinue any illicit drugs (this includes prescription medication that may be non-essential and/or abused). Drugs of abuse can be dangerous in a pregnancy, including the risk of miscarriage, prematurity, and birth defects or death of a fetus. In addition, their use may inhibit conception. For men, drugs of abuse may cause sexual problems. Prescription and non-prescription drugs should be discontinued unless they are essential for your health and then only after consultation with your health care provider or midwife. Be sure to let your health care provider know that you are trying to conceive. This way he/she can help you find alternative medications or therapies for your health care issues. See medications below.


  • MoonDragon's Pregnancy Information: Pregnancy & Drugs





    EXERCISE

  • A regular exercise routine is important to both men and women. It leads to improved health, less stress, helps take off excess weight and improves the quality of life. It helps a women prepare for the physical requirements of pregnancy and delivery of a child.


  • Long-term, heavy-duty exercise, often seen with women athletes, can interfere with fertility. A woman needs to have a certain amount of body fat to enable conception. Women athletes often find their periods stop during training and the loss of body fat. Body fat is nature's way of making sure the woman has energy reserves for the physical stresses of pregnancy. If you are a woman athlete, you may need to back off strenous training if you desire to concieve and maintain a pregnancy.





  • EMOTIONAL HEALTH

  • Couples need to assess their emotional health, both as individuals and as a couple. Are both partners emotionally ready for a pregnancy? Are there unresolved psychological problems for either partner such as stress, depression or anxiety. These problems may create difficulties with conceiving and be heightened during the pregnancy when both a woman and a man go through various mood swings.


  • Couples should have an emotionally healthy partnership before trying to conceive. Pregnancy, childbirth and childrearing bring on a whole new set of stresses to both partners and if the relationship is already encountering problems, having a child is not the solution. Any domestic violence situations need to be resolved. Seek counseling for unresolved conflicts or if there is an abusive relationship.


  • MoonDragon's ObGyn Womens Health Information: Domestic Violence

    MoonDragon's Pregnancy Information: Pregnancy & Work

    MoonDragon's Pregnancy Information: Mood Tips

    MoonDragon's Pregnancy Information: Bulimia

    MoonDragon's ObGyn Womens Health Information: Anorexia

    MoonDragon's ObGyn Womens Health Information: Depression

    MoonDragon's ObGyn Womens Information: Stress





    GENETIC COUNSELING

  • If either partner has any genetic disorder or a family history of a genetic disorder or related child with a birth defect, genetic counseling is recommended to determine the risk of occurrence. Medical tests may be conducted for one or both partners. Other reasons for genetic counseling including habitual abortion (3 or more miscarriages) or previous stillbirth, certain ethnic backgrounds, maternal age over 35, or a previous child with a birth defect.


  • MoonDragon's Pediatric Information: Down Syndrome

    MoonDragon's Pregnancy Information: Birth Defects

    MoonDragon's Pregnancy Information: Spina Bifida

    MoonDragon's Pregnancy Information: Miscarriage

    MoonDragon's Pregnancy Information: Miscarriage, Habitual

    MoonDragon's Pregnancy Information: Rh Isoimmunity

    MoonDragon's Pregnancy Information: Rhogam Questions





    EXPOSURE TO TOXIC MATERIALS

  • If either partner works with toxic materials or if you live or work in a polluted atmosphere, there may be possible hazards to a pregnancy. Some chemicals, usually in large doses, may possibly be harmful to the ova, to the sperm, or to a developing fetus. Discuss any of these concerns with your midwife or health care provider.


  • MoonDragon's Health & Wellness Information: Teratogens

    MoonDragon's Health & Wellness Information: Chemical Poisoning

    MoonDragon's Health & Wellness Information: Environmental Toxicity





    MEDICATIONS

  • When possible, both partners should avoid medications while trying to conceive. There are a few medications that are linked to birth defects and others that carry unknown risks. If the medication is taken for a chronic condition, talk to your midwife or health care provider about its safety during pregnancy, and what are the treatment options if there are any risks. Potentially harmful drugs should be discontinued at least a month (in some cases, 3 to 6 months) before you try to conceive. Remember... There is no drug that can be taken during pregnancy that is guaranteed to be safe. Alternative therapies may be suggested (such as homeopathy, reiki, herbal therapies, naturopathy, acupuncture, etc.) that may be much safer, but still effective.


  • MoonDragon's Pregnancy Information: Pregnancy & Medications





    CONTRACEPTION METHOD CONCERNS

  • Your present birth control methods should be evaluated before you are ready to conceive. Oral contraceptives (birth control pills) should be discontinued several months before conception so as to allow at least two regular menstrual cycles to occur. An intrauterine device (IUD) needs to be removed. To be extra safe, the use of spermicides alone or with a condom or diaphragm should be discontinued 1 to 2 months before you want to become pregnant (spermicide risk to a subsequent pregnancy is unclear). As a temporary form of conception, use condoms without a spermicide. See MoonDragon's Contraception Index for more information about your specific birth control method.


  • MoonDragon's ObGyn Womens Health Information: Anovulation





    AGE

  • Most women over the age of 35 do experience successful pregnancies. Pregnancy-related complications increase gradually with age, but they are still relatively low. A woman may have more difficulty in conceiving because of decreased fertility. She is also slightly more prone to problems during pregnancy, such as high blood pressure, gestational diabetes and miscarriage. In addition, the risk of chromosome abnormalities, such as having a child with Down syndrome, is increased. In addition to chromosomal abnormalities, advanced age has been associated with several adverse pregnancy outcomes. Maternal age under 15 carries some additional risks also.


  • Questions remain unanswered if advanced paternal age can be linked to any birth defects. There may be some small connection, but medical studies have not demonstrated any specific problems and it's not known at what age a problem might begin. Following conception, if there is concern about the effects of the father's age on the fetus, ask about prenatal tests to determine if they are warranted.





  • MEDICAL CONDITIONS

  • If you have any chronic medical condition (e.g., asthma, diabetes mellitus, high blood pressure, seizure disorder, thyroid disorder), talk to your midwife or health care provider about planning for a pregnancy. Find out how the condition will affect the pregnancy, how the pregnancy will affect the condition, and if any medications you take might affect the pregnancy. The medical condition needs to be under control before you conceive and you must continue good self-care throughout a pregnancy.


  • MoonDragon's ObGyn Womens Health Information: Female Infertility

    MoonDragon's ObGyn Womens Health Information: Male Infertility

    MoonDragon's ObGyn Womens Health Information: Hepatitis

    MoonDragon's ObGyn Womens Health Information: HIV & AIDS

    MoonDragon's Pregnancy Information: Gestational Diabetes Index

    MoonDragon's ObGyn Womens Health Information: Pregnancy & Diabetes

    MoonDragon's Health & Wellness Information: Diabetes Overview

    MoonDragon's Health & Wellness Information: Hypoglycemia

    MoonDragon's Pregnancy Information: Pregnancy & Asthma

    MoonDragon's Health & Wellness Information: Asthma

    MoonDragon's Pregnancy Information: Pregnancy & Seizures

    MoonDragon's Health & Wellness Information: Epilepsy

    MoonDragon's ObGyn Womens Health Information: Obesity

    MoonDragon's ObGyn Womens Health Information: Sexually Transmitted Disease (STD)

    MoonDragon's Health & Wellness Information: Cardiovascular Disease

    MoonDragon's Health & Wellness Information: Hyperthyroid

    MoonDragon's Health & Wellness Information: Hypothyroid

    MoonDragon's Health & Wellness Information: Hypertension





    IMMUNIZATIONS

    For the mother-to-be, preconception is a good time to consider checking your immune status and possibly bringing any immunizations up to date. Research your options before obtaining vaccinations. Be a informed consumer.

  • A tetanus booster is recommended if you have not had one in the past 10 years.


  • A rubella infection (German measles) during a pregnancy can cause birth defects. If you are unsure about your immunity, ask your midwife or health care provider about a blood test to verify it. If you feel you need to obtain an vaccination, it is recommended to wait 3 months after receiving one before trying to conceive to prevent birth defects to the developing fetus.


  • You should have immunity against regular measles, either by prior immunization or by having had measles. If unsure, discuss the options with your midwife or health care provider.


  • If you are at high risk for hepatitis B (usually of a medical work environment where contaminated blood specimens are a potential hazard), immunization may be suggested.


  • Influenza vaccine may be recommended prior to conception in high-risk women who might become pregnant during flu season.


  • Varicella vaccine (for chickenpox) is now available and may be considered in women who have not had chickenpox (90 percent of women are immune to chickenpox, even those who do not recall ever having the disorder).


  • MoonDragon's Vaccination Information

    MoonDragon's Health & Wellness Information: Rubella

    MoonDragon's Health & Wellness Information: Teratogens





    REPRODUCTIVE KNOWLEDGE

  • Partners who want to conceive need to know the basics of the normal menstrual cycle, the timing of ovulation and the timing of intercourse to accomplish fertilization. If you are unsure, talk to your midwife or health care provider.




  • Kit contents


    MoonDragon's Conception Information
    The Conception Kit™ - Contents & Use




    MoonDragon's Pregnancy Information: Artificial Insemination




    PREVIOUS MEDICAL HISTORY

  • At a pre-pregnancy midwife visit, a medical history for both partners will be discussed. It is useful for the midwife to know about previous disorders including infectious diseases and sexually transmitted diseases in order to determine any possible risks to future pregnancies. The possibility of current or future exposure to infectious disorders is important to know; also any behaviors in either partner that are considered high risk, such as intravenous drug use. Nutrition and dietary habits are usually reviewed and discussed. A nutritional analysis may be done to see where you and your partner need to make changes.





  • FINANCIAL CONSIDERATIONS

  • Be sure you and your partner discuss the financial responsibilities involved (not only the expenses for a pregnancy and birth, but the costs involved with rearing a child). Review any health insurance you have to verify coverage for childbirth, especially important if planning a homebirth with a midwife. Many insurances do not cover out-of-hospital births, which includes birth center and homebirths. Ideally, you should try to have the financial resources available to pay the expected expenses for prenatal care and delivery if not covered by insurance.


  • If both partners work now, will the mother return to work following the birth, and if not what is the financial impact on the family income and lifestyle? If both parents plan to work after the child is born, consider the cost of daycare (unless a family member will provide it). Both partners need to check with their workplace about maternity leave and whether or not they qualify for this program.





  • EDUCATION FOR PREGNANCY & CHILDBIRTH

  • To help prepare you and your partner for the parents-to-be experience, read one or more reference books about pregnancy, childbirth, childbirth options, and care of a newborn before you plan to conceive. There are a variety of excellent books available on these subjects. Check with your midwife about loan-out books she may recommend and have available to her birthing clients or check with your local library, bookstores or borrow books from family or friends who have gone through a pregnancy. The information in the books will provide you with an overall perspective of the experience, lessen your confusion, give you reassurance and answer many of your questions.


  • MoonDragon's Library: Recommended Books & Educational Materials

  • Childbirth preparation classes are available in many communities or may be taught by your midwife in addition to her midwifery care. These are a valuable source of information for expectant parents, particularly for learning ways to cope with labor and birth. Classes also give you an opportunity to meet other couples with whom you may discuss anxieties and concerns. Classes may be conducted by the hospital, community organizations or by individual instructors. Not all classes are alike. Research them before attending. If you are planning a homebirth, you may be very dissatisfied with a hospital class which teaches about drug medications, cesareans and normal hospital interventions. It is better to attend classes geared toward your chosen method of birthing.




  • NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...


  • You or your family member has questions or concerns about preparing for pregnancy.


  • You need to make a medical appointment for you and your partner for a physical examination.





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