PLANNING A PREGANCY
Planning a family includes:
How many children to have?
When to become pregnant?
A reasonable monetary security.
Relatively light working pattern.
Because one or a combination of these factors has direct link
with the outcome of pregnancy, welfare of family,
society and nation.
to have 1st child is also a common
concern to young couple, when they start their
married life. Allow some time say about 6 months
to get into shape, start picking up good habits
and get rid of bad ones. If you have any of the
following risk factors, consult your gynecologist
before you plan to become pregnant.
< 16 years OR > 35 years
or more abortions in the past.
pressure in previous pregnancy.
major complications in previous pregnancy
leading to hospitalization, surgery, emergency
mentally retarded child.
of the parents mentally retarded.
warranting blood transfusion.
anomalies of previous baby.
The aim of evaluation in these case, is to identify the disease
at an early stage, calculate its incidence and
start treatment at an early stage to decrease
the risk to the baby and mother.Before you plan to become pregnant, you must inform your doctor
If you are on any medication like drugs for fits (convulsions),
diabetes, tuberculosis, blood pressure,
asthma etc. So that your doctor will
be in a position to tell you which drugs
are safe in pregnancy and which needs
to be changed.
Regarding any family illness like diabetes, blood pressure,
smoking and alcohol intake.
taking folic acid supplementation. It
helps in reducing congenital anomalies
you are going to have an X-ray, mention
it to your doctor that you may be pregnant.
nutritious diet rich in vegetables and
fruits to reduce junk food intake.
you are undergoing some surgery or planning
to undergo one, you must inform your
doctor that you may be pregnant.
PEOPLE WITH SPECIAL
Fertilisation in Sexual Activity and in
first few months of pregnancy, there are high
chances of baby having congenital abnormalities
of heart and brain. These might lead to a high
incidence of death of the foetus inside the uterus
or after delivery. The pregnancy,for these women
should be planned under a diabetiologist, gynecologist.
Mothers with blood pressure
Women having blood pressure for a long time or with prior record
of blood pressure in post pregnancy need special
attention. Weight reduction, regular exercise,
healthy nutritious diet and medications should
These women need to be monitored by special tests to have optimal
growth of foetus and minimal complications in
mother during pregnancy and delivery.
Women with Anaemia
Diagnosis of the type of anaemia and finding out the cause of
anaemia is vital in the treatment of these women.The anaemia must be adequately treated before planning a pregnancy.
Adequately spaced children, additional supplementation
of iron during pregnancy, lactation, treatment
of piles or any intestinal worms, must be followed.
Women with prior two or more abortion :
Before planning pregnancy in these women, it is important to
locate the cause of these abortions. A battery
of blood test is carried out to arrive at a diagnosis.Depending
on the diagnosis, treatment is initiated. It is
important to take complete treatment before going
ahead with pregnancy otherwise it may result in
Women with thalassemia
– a blood disorder:
An anaemia, which is not responding to routine iron treatment,
needs to be investigated.Thalassemia is a type of blood disorder, which results in anaemia
due to gene defect since birth. Depending of the
type of thalassemia i.e. major or minor, pregnancy
can be planned and executed under strict vigilance
of a haematologist, gynaecologist and later a
neonatologist for the baby.
with Rh – incompatibility:
When the mother’s blood group is negative and father’s is positive,
there are chances of Rh – incompatibility. The
mothers fighting cells (antibodies) recognise
baby’s red blood cells as foreign and starts killing
them. Depending on the severity of the disease,
the baby is at risk from mild jaundice to the
death of baby due to severe anaemia in baby. However,
observing the pregnancy carefully and taking Anti-D
immunisation can reduce the risk. Anti-D immunisation
contains ready-made fighting cells injected artificially
in the mother’s body to reduce the chances
of disease formation. It is given 1st at 8 months
of pregnancy (300 mg) and 2nd after delivery within
72 hours usually. It is advisable to take the
same drug in appropriate doses as advised by your
gynaecologist following abortion, ectopic pregnancy,
death of baby inside the uterus, etc.
the mother is previously exposed to Rh positive
cells,the protocol of treatment differs and requires
a specialized set-up with an experienced gynecologist
, neonatologist and a radiologist.
Women with a
prior mentally retarded child:
Such women need to be carefully evaluated and investigated with
special tests. At times, both the partners are
investigated to come to a diagnosis.The probability
of another child with similar disability is explained
to the couple with the help of special tests.Folic
acid supplementations, for the first 3-month with
special investigation like chorionic villus biopsy
or amniocentesis with special ultrasonography
are done routinely to treat these patients.
Women with heart
Depending on the severity of the disease, the pregnancy is planned.If
the pregnancy involves the risk to the life of
mother, it is advisable to avoid it.Less excertion,
adequate bed rest, continued medication under
supervision with active management during delivery,
helps in the better outcome of the pregnancy.
Weight reduction prior to pregnancy is vital. Loosing of weight
by following exercise routine
, following a diet regime
, avoiding starvation or fasting is important.
Regular antenatal exercises to strengthen the abdominal,
back and perineal muscles help in the process
of delivery. Diabetes and blood pressure are routinely
checked in these patients. Frequent visits with
dietician, gynaecologist is essential for those
THE SEX OF THE CHILD
There are various medical and non-medical means to plan the
sex of your child. But none of them is full proof
to achieve so. However, by practicing them, one
can definitely improve the odds.
of sex of the baby:
X and Y chromosome determines the sex of the baby.The mature
egg contains only ‘X’ type of chromosomes while
the sperm has two types ‘X’ type and ‘Y’
type. If the sperm of carrying the ‘X’ chromosome
fertilises the egg, then the baby will be female
child.If the sperm carrying the ‘Y’ chromosome
fertilises the egg, then the baby will be a male
child.So, the sex of the child entirely depends
on ‘father’ and not on mother.
There is indirect evidence that shows the spermswith 'Y' chromosome
swim faster, have shorter life span and are more
alkaline. While the sperms with 'X' swim slower,
have a longer life span of upto 72 hours and are
acidic in nature.
Ways of planning
the sex of the baby
As mentioned earlier, the ‘Y’ sperms are faster,
alkaline and with a short life span while the
‘X’ chromosome are slower, acidic and live upto
72 hours. On the basis of this hypothesis, one
can plan the timing of the intercourse to conceive
a baby of desired sex.If you want a male child,
then the couple should have relation at the expected
time of ovulation. It is advisable to avoid intercourse
for 4 – 5 days prior to ovulation.If the preference
is for female child, then the couple should keep
relation 2 – 3 days prior to the expected time
of ovulation, and then not to have relation for
4 – 5 days the expected time of ovulation.
Based on diet:
The women can modify her diet during the ovulation
period by taking either acidic or alkaline food
stuff and increase the chance of male or female
baby, depending on her preference. If she desires
a female child, she should take more of acidic
food like Citrus fruits (orange, lemon, mango,
pickle salty items) since this will be unfavorable
for alkaline nature of ‘Y’ sperms. Vice-a-versa,
if she desires a male child she should restrict
her salt intake, avoid taking Citrus fruits.
If a male child is desired, then the lotion
containing an alkaline medium is used which is
unfavorable to acidic female sperm. If a female
child is desired, the lotion will be more acidic,
in order to neutralise the male sperms.
IMPROVING THE ODDS FOR GETTING
- Following the fertility calendar
will help you to become pregnant. Understanding
the body’s language regarding ovulation, having
intercourse during that period improves the
chances of pregnancy.
- Alternate day intercourse during the middle 10 days of your
- During relations, preferably the woman should be below and
the man up.
- After ejaculation, not to get up
immediately or go to bathroom, or clean with
- Keep a pillow or two, below her buttocks, which helps the
‘cum’ to remain inside the vagina.
- Ovulation induction – (drugs given to increase the formation
and maturation of egg) with follicular study
under sonography guidance can be done.
- At the time of ovulation, if intercourse kept or intrauterine
insemination done helps in improving the odds
for becoming pregnant.
When to see a doctor
- If you belong
to the high-risk group, you must see the gynaecologist
before taking a decision to become pregnant.
- If you are trying to become pregnant for a year or more and
failed to achieve it, you must consult the gynaecologist.
- If you have missed your periods and suspecting to be pregnant,
you must consult the gynaecologist. .