Preconceptual care

There are many things to consider when planning a pregnancy.

Alcohol Consumption

When planning a pregnancy both partners should be aware that high levels of alcohol intake will reduce their fertility. The unborn child can be damaged if its mother continues to drink during pregnancy. It is best to avoid alcohol altogether or at least limit it to one glass of wine (or the equivalent) once or twice weekly.

Tea and Coffee intake

High caffeine levels in pregnancy have been linked to early miscarriage therefore it is sensible to limit intake to three cups of tea or coffee per day or drink decaffeinated.

Smoking

Cigarette smoking during pregnancy is linked with serious damage to the unborn child therefore it is best to give up smoking before conception or at least try to reduce the number of cigarettes smoked per day.

Medicines and Drugs

Treatment with drugs and medicines can also present risks to the unborn child. In general the potential to harm is greatest in the early stages of pregnancy so where possible it is better to avoid taking medicines while trying for a baby. Women who have to take medicine regularly should consult their doctor before attempting to become pregnant.

Diet and Folic Acid

A well balanced diet before and during pregnancy is important for the health of both mother and baby. One supplement which is recommended for the early part of pregnancy is folic acid. Research has shown that it can reduce the risk of Spina Bifida and similar conditions where the child's brain and spinal chord are not formed properly. Women should take it for the first 12 weeks of pregnancy. Week 1 begins on the first day of the woman's last period so the tablets should be started before trying for a baby. These tablets can be obtained from any pharmacy. The recommended dose is 400 microgrammes daily. Women who have previously had a baby with Spina Bifida or a similar problem should consult their doctor as they require a higher dose.

The midwives at Berwick Maternity Unit will be happy to provide confidential advice on preconceptual care and any aspect of pregnancy. Please telephone the unit if you would like to make an appointment.

Brad Cheek 1998