Preconceptual Health
Establishing Good Habits

lanning to become pregnant is like planning to go on a wonderful, long-anticipated adventure. It is a special time, full of hopes and dreams. Yet it is also a reflective time, full of preparations and decisions. You and your partner probably have a lot of questions about what you should, or should not, do to prepare yourselves for parenthood. We hope to answer your questions. And when the right time comes, we hope you'll hear those eagerly awaited words: You're pregnant!

It's also a good idea to let your health care provider know that you're thinking of becoming pregnant. Discuss possible risks with her or him and use this opportunity to ask questions about what you can do to give your unborn baby the best possible beginning.

Good preconceptual health needs to be a priority of both parents. Taking care of yourselves both physically and emotionally will provide a more positive environment for you and your baby. Being in good preconceptual health simply means maintaining a healthy lifestyle before you conceive a child together. For once conception occurs, fetal development starts. Did you know, for example, that during the first month of life your baby's head, trunk, and buds that will later become your baby's arms and legs start to form? And that by the 25th day of life, your baby's heart begins to beat?

There is nothing mysterious about how to maintain a healthy lifestyle – eat a well-balanced diet; exercise regularly; keep away from environmental toxins; and eliminate cigarettes, alcohol, and illegal drugs from your life. Drugs, tobacco and alcohol can have a devastating effect on fetal development and need to be stopped now. Other changes such as exercising, eating healthy and cutting back on caffeine can be made more gradually. The solution is to work on one goal at a time and support each other's efforts. Keep in mind that since there is a higher likelihood of success when changes are made slowly, give yourself some time to accomplish your goals. Finally, know that you are not alone. There are very few couples who do not have to make some kind of change in their lifestyle to prepare for pregnancy. Just keep reminding yourself of the reason for all these changes: a healthy baby!

From the very beginning of your baby's life, he or she will be entirely dependent on you for proper nourishment and good health. Let's talk about what can interfere with your ability to provide these things:

Drugs and Alcohol: Would you give a baby an alcoholic beverage or a recreational drug? Of course not! Drugs and alcohol are known teratogens, which means that they are known to cause birth defects and miscarriages. Support groups are available to you and your partner to help stop the use of drugs and/or alcohol. It is a sign of strength, not weakness, to ask for help. Look in the "white pages" section of your phone book and call Alcoholics Anonymous or Narcotics Anonymous for information on a local support group. They are confidential, non-profit organizations where anyone looking for help is welcome.

Prescription Medications: According to the American College of Obstetrics and Gynecology (ACOG), it is best not to take any medications while you are pregnant. This doesn't mean, however, that you should abruptly take yourself off medicine that has been prescribed for you. It does mean to check with your health care provider about the benefits and risks involved; then make a decision together.

Cigarettes: Pregnancy is a wonderful motivator to quit smoking. If you smoke, now is the time to stop. Nicotine is a highly addictive drug. It's a vasoconstricter, which means it causes blood vessels to narrow. This causes less oxygen and nourishment to reach the fetus. That's why pregnant women who smoke have a greater percentage of underweight babies, premature births, miscarriages and other complications than pregnant women who do not smoke.

Environmental Toxins: Examples of environmental toxins are: pesticides; defoliants; industrial chemicals and high levels of ionizing radiation (from X-rays). These agents are suspected of causing cancer, genetic defects, miscarriages and other problems. (This does not apply to low levels of radiation from television sets, video display terminals and microwaves). Toxins can also have an effect on male fertility by killing or damaging sperm. This is the time to think about toxin use at home, such as lawn products, as well as those used in your work environment. The Office of Safety and Health Association (OSHA) has guidelines that all employers must meet. You can check with your state OSHA agency to obtain this information. If you have any questions about your particular situation, call your health care provider.

Caffeine: If you are a heavy coffee drinker, this is a good time to begin reducing your caffeine intake. Keep in mind that caffeine is found not only in coffee, but in tea, chocolate, cola drinks and some medications as well.

Caffeine crosses over the placenta and in high doses can affect the fetus' breathing and heart rate. With so many waters, juices and caffeine-free cola drinks on the market, reducing your caffeine intake should be easy.

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