Pre-pregnancy counselling is a proactive discussion with your healthcare provider to optimise your health and reduce risks before you conceive. It’s recommended for anyone planning a pregnancy, especially if you:
- Have a chronic medical condition (e.g., diabetes, epilepsy, hypertension).
- Take medications (prescription or over the counter).
- Have had previous pregnancy complications (e.g., miscarriage, preterm birth).
- Have a family history of genetic disorders.
- Are over 35 or under 18.
Why is it important?
- Reduce risks for you and your baby.
- Manage existing health conditions (e.g., diabetes, thyroid issues).
- Prevent birth defects with lifestyle changes and supplements.
- Address emotional readiness and mental health.
What to expect during your visit
- Medical History Review:
Chronic illnesses, surgeries, or genetic conditions.
Previous pregnancies (complications, losses).
Current medications/vitamins (some may need adjusting). - Lifestyle Assessment:
Diet, weight, exercise, smoking, alcohol, or substance use.
Exposure to toxins (e.g., workplace chemicals, cat litter). - Tests & Screenings:
– Blood tests (e.g., immunity to rubella, hepatitis B, HIV).
– Genetic carrier screening (e.g., sickle cell, cystic fibrosis).
– Cervical smear or STI testing (if needed). – Vaginal Microbiome testing. - Personalised Advice:
Start folic acid (400–800 mcg daily) to prevent neural tube defects. Update vaccinations (rubella, flu, COVID-19).
Manage weight (BMI <30 improves outcomes).
Key issues to discuss
- Pre-existing conditions: Optimise diabetes, hypertension, or mental health.
- Medications: Some drugs (e.g., ACE inhibitors, retinoids) are unsafe in pregnancy.
- Nutrition: Avoid raw fish, unpasteurised dairy, and excess caffeine.
- Substances: Quit smoking, alcohol, and recreational drugs.
- Mental health: Address anxiety, depression, or stress.
eGynaecologist Advice
- Most pregnancies are healthy with proper preparation, and small changes now can have a big impact on your baby’s future.
- You should consider pre-pregnancy vaginal microbiome testing and follow your personalised plan (e.g., adjust medications, take supplements).
- Schedule a prenatal visit with your gynaecologist as soon as you conceive, If you become pregnant while on unsafe medications.
Frequently Asked Questions
When should I start pre-pregnancy counselling?
Ideally 3 – 6 months before trying to conceive.
Do I need this if I’ve had a healthy pregnancy before?
Yes! Health changes over time—reviewing ensures safety for every pregnancy.
Are supplements necessary?
Folic acid is critical. Your doctor may recommend iron, vitamin D, or others based on needs.
What if I’m over 35?
Counselling helps address age-related risks (e.g., genetic testing options).
Should my partner attend?
Yes! Partners can discuss genetic risks, lifestyle changes, and support.
