What is Pregnancy Consultation Program?
Windowofworld.com – Pregnancy program consultation is an examination procedure that is carried out before the patient goes into pregnancy. This procedure aims to identify things that can affect the patient’s ability to get pregnant and undergo pregnancy, and increase the chances of a healthy baby being born.
Consultation of the pregnancy program is one of the first steps that can be done by couples who plan to undergo the process of pregnancy. The consultation stage of the pregnant program generally includes discussions and health checks, which aim to detect various risk factors that can endanger the condition of the mother and fetus when undergoing later pregnancy.
Not only that, consulting a pregnant program also has several benefits. Among others are:
- Preparing mothers and partners physically and emotionally in the face of pregnancy.
- Preventing disorders or disorders that may occur during pregnancy and childbirth, such as miscarriage, premature birth, or low birth weight.
- Prevents birth defects.
- Prevents infections in newborns.
- Preventing HIV transmission or sexually transmitted infections from mother to baby.
- Preventing the risk of a baby born stunting, which is a growth and development disorder experienced by the baby due to lack of nutrition.
- Reducing the risk of cancer that may occur in childhood.
- Reducing the risk of type 2 diabetes, and future heart and blood vessel disease.
Consultation on the pregnancy program can be done in a clinic or hospital with an obstetrician.
Pregnancy Program Consultation Indications
Consultation on the pregnancy program is highly recommended for every woman who plans to become pregnant. In addition, there are several conditions that cause women and their partners to undergo consultation during pregnancy. Among others are:
- Have suffered certain medical disorders, such as diabetes, hypertension, sexually transmitted infections, phenylketonuria, epilepsy, thyroid disease, and arthritis.
- Difficult to get offspring for approximately 2 years after marriage.
- Having genetic disorders that risk being passed on to the fetus, such as thalassemia.
- Having disorders in previous pregnancies, such as miscarriage, fetal death, or babies born with congenital abnormalities.
- Women over 40 years old.
- Active smoker
Before Consultation on Pregnancy Program
There are several things that need to be prepared by the patient or partner before consulting a pregnant program, including:
1. Overall health history
As a first step in consulting a pregnant program, the doctor will usually check the patient’s overall health history. Bring all the results of the examination ever done, including records of vaccinations, results of laboratory tests, X-rays, and other supporting tests, such as CT scans or MRI.
2. Types of drugs or products that are or have been consumed
Patients should bring and show the types of drugs, including vitamins and supplements, which are being consumed. Some drugs may inhibit the process of pregnancy or cause birth defects in babies.
3. List of questions
Before undergoing a pregnancy program consultation, the patient and partner should make a list of questions about various things about the pregnancy program. Sort questions starting from the most important
Pregnancy Program Consultation Procedure
Consultation on a pregnant program generally consists of several types of examinations, namely:
1. Examination of medical history
At this stage of the examination, the doctor will ask questions about several things. Among others are:
1. Patient’s medical history
Various types of diseases that have or are currently being suffered by patients, especially types of diseases that can increase the risk of complications during pregnancy, such as asthma, diabetes, and hypertension. By knowing the patient’s health condition, the doctor can take medication before the patient enters pregnancy.
2. Patient’s family health history
Medical disorders that are inherited from family members, such as blood clotting disorders.
3. Reproductive history
Includes a history of previous pregnancies, menstrual cycles, history of using contraceptives, and sexually transmitted infections if they have been suffered.
4. History of surgery
Various types of operations that have been undertaken by patients, especially myoma operations or other surgical procedures that have been done in the reproductive organs.
5. Types of drugs consumed
Types of drugs that are being consumed, including over-the-counter medicines, supplements, or herbal products. Your doctor may advise patients to stop taking certain types of drugs to prevent the risk of birth defects in babies.
6. History of vaccination
A history of vaccination is important to prevent birth defects or other complications during pregnancy. There are several types of vaccinations that should be done before undergoing pregnancy, namely the vaccine rubella, chicken pox, tetanus, diphtheria, flu, and hepatitis B.
7. Social and emotional history
The doctor will ask questions related to mental health disorders that the patient has been through, such as depression or eating disorders.
8. Home and workplace environment
Hazardous substances, such as lead, mercury, or pet feces, can affect a patient’s ability to get pregnant or maintain a healthy pregnancy.
9. Patient’s lifestyle
The doctor will ask questions related to the lifestyle of the patient at this time, including daily routines, sports activities, and types of food consumed. This is to prepare the patient before undergoing pregnancy and create a healthy pregnancy.
2. Physical examination
This examination is done to check the condition of the patient’s body before undergoing pregnancy. Physical examination includes:
3. Laboratory examination
This examination is carried out using urine and blood samples to detect various abnormalities.
1. Urine test
Urine samples are used to detect sugar levels in the urine. Too high sugar levels can affect fetal development. Therefore, the doctor will take steps or actions to control the patient’s blood sugar levels to normal before the patient enters pregnancy.
2. Blood test
Blood samples are used to detect several types of diseases, such as syphilis, HIV, herpes, hepatitis B, and cytomegalovirus. In addition, blood samples are also used to identify several things. Among others are:
3. Pap smear
The doctor will take a sample of cervical tissue cells for later analysis in the laboratory. This examination is done to detect the possibility of abnormalities in the female reproductive organs, such as inflammation or infection.
If needed, the doctor will ask the patient to undergo a scan to see the state of the reproductive organs. Among others are:
Ultrasound is performed to check the condition of the ovaries, uterus and ovaries, as well as detect abnormalities that can affect the function of the uterus and inhibit the process of pregnancy, such as endometriosis and myoma.
Hysterosalpingography, which is an examination carried out using X-ray and contrast fluid to check the condition of the uterus and ovaries.
Laparoscopy or keyhole surgery, can also be done if the patient has a history of pelvic inflammation or a blockage is found in one or both fallopian tubes.
Pregnancy consultation and examination programs are not only done by women. Men should also do an examination to determine the level of fertility, so that the pregnancy process is faster. Some types of checks that can be carried out include:
1. Urinalysis test (urinalysis)
To detect white blood cells in urine as an indicator of possible infections.
2. Sperm examination
Sperm examination is performed to count the number of sperm and detect any abnormalities in the shape, movement, or color of the sperm.
An examination is carried out to detect the location of damage or blockage in the male reproductive tract.
Examination using X-rays to detect blockage or leakage of sperm in the vas deferens, the channel that connects the testes with the urethra (urethra).
5. Testicular biopsy
The doctor will take a small sample of testicular tissue and do an analysis in the laboratory to determine the level of sperm production.
After Pregnancy Program Consultation
After the couple has gone through discussions and various types of medical examinations, the obstetrician or midwife will analyze the results of the physical examination, the results of laboratory tests, and the results of other examinations that have been carried out. From these results, the doctor can find out several things, namely:
1. Partner’s condition
Through consultation and examination, doctors can determine health conditions and fertility levels, both in terms of men and women, as well as abnormalities that may be experienced.
2. Treatment measures
If the patient suffers from certain abnormalities or diseases that can hinder the process of pregnancy or increase the risk of complications when the patient starts entering pregnancy, the doctor may take medication so that the patient can undergo a healthy pregnancy.
3. Determine the pregnancy program
Specifically for patients or couples who have not had children for approximately 2 years and have undergone various therapies to increase fertility, but to no avail, doctors can provide choice of IVF programs to increase the patient’s chances of getting pregnant.
In addition to consulting with the pregnant program, there are several things you can do to increase your chances of getting pregnant. Among others are:
- Consume about 400 μg of folic acid at least 1 month before pregnancy until 12 weeks of gestation.
- Stop smoking, consume alcohol, and use drugs.
- Avoid toxic substances and environment contaminated with hazardous materials, such as fertilizers, synthetic chemicals, or insect spray.
- Maintain ideal body weight, because excess weight (obesity) increases the risk of some serious illness, including complications during pregnancy, heart disease, type 2 diabetes, and certain types of cancer (breast and large intestine).
- Studying family health history to prevent the risk of hereditary diseases that may not have been realized so far.
- Maintain mental health and reduce stress.
Thus our explanation of the consultation on the pregnant program. Hopefully this article is useful for you, especially for those who want to undergo a pregnancy program. Don’t forget to share this article on social media so they can also understand what pregnancy consultation is about.