It is extremely difficult to answer this question, although it is quite trivial. Nature is designed so that we can get pregnant and have good developing pregnancy without much preparing for pregnancy. To this day, the majority of women hold this opinion. After all, before people not prepared to pregnancy and successfully gave birth (in most cases).
Secondly, there are no official recommendations on this issue. Therefore, every doctor recommends what he consider to be necessary. For example, your gynecologist can tell you only take folic acid, and another gynecologist friend recommend to pass the entire group of tests and go with the results to three other specialists. It is impossible to say exactly what is more correct here.
However, this is only one side of the coin. The second is that we are increasingly conscious about our health. And it is quite natural that more and more women want to “consciously” get pregnant, plan pregnancy and conception, doing everything to increase the chance to born healthy child.
Preparing for pregnancy may not be mandatory, but there are a few things to keep in mind.
Folic acid for pregnancy
Reception folic acid for pregnancy is recommended when a woman is preparing for pregnancy. Preferably six months before the planned pregnancy.
Caries can cause miscarriage or premature birth. Moreover, caries is an infectious disease, so you can infect your child in the first months of life.
Check the function of the thyroid gland. When preparing for pregnancy and in the first trimester, a woman should have TSH no more than 2.5. It is proved that the correct function of the thyroid gland or the addition of thyroid hormones if it function improperly improves the development of the child and reduces the risk of pregnancy complications and premature born.
It is necessary to make sure that a woman preparing for pregnancy has immunity against “infectious diseases”. Mostly chickenpox and rubella and measles. Because if a woman gets sick with them during pregnancy, they can have a serious impact on the pregnancy development and the child.
These vaccinations are not given if the women is already pregnant. As vaccines against these diseases are weakened live viruses, which can have a negative impact on the child, especially if the mother does not have immunity against these diseases.
Thus vaccinations are recommended to be made six months before the planned pregnancy, if they weren’t supplied earlier. A complete list of required vaccinations can be get from your doctor.
Go through preventive examinations to exclude the possibility of cancer when you are preparing for pregnancy. The main procedures in the list are cytological analysis as prevention of cervical cancer and mammography as prevention of breast cancer. Unfortunately, both of these tumors are relatively common in women of childbearing age. And, even worse, pregnancy as a state of low immunity contributes to the rapid development of these types of cancer.
Blood test. A woman in preparing for pregnancy should check her health for infectious diseases. Toxoplasmosis and cytomegalovirus are usually recommended. It is also recommended to check the blood for hepatitis B and type C – which we can pass to the child. It is equally important to know whether a woman is infected with syphilis (BP) or HIV.
Ultrasound scanning of reproductive organs. Many pathologies can prevent the development of normal pregnancy and the birth of a healthy baby. This, for example, endometriosis, ovarian tumors, including malignant, and polyps in the uterine cavity. And during gynecological examination and the ultrasound the diseases can be excluded and cured before pregnancy.
Should women take vitamins when preparing for pregnancy? Today we are talking about vitamin D deficiency in people of our country. There is also much talk about the need for iodine intake for women with hypothyroidism. As for other popular ones, which are B vitamins, selenium, magnesium or DHA acids, there is no conclusive evidence that they should be taken as supplements prior before pregnancy.
Of course, the exact answer to the question whether vitamins are needed before pregnancy can only be given by your doctor. In addition, there are no official recommendations that they are necessary, at least in the case of a normal healthy woman. However, it is worth discussing this issue with your doctor.
All of the above recommendations apply to HEALTHY women. If there are other comorbidities or menstrual cycles are irregular, more procedures are required. And the preparing for pregnancy will be longer because of the treatment.