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<< Previous   of   Next >>   ADVERTISEMENT   CONTACT THE HERALD Melanie Munk, Features Editor munk@heraldnet.com   Published: Tuesday, May 13, 2008 A well-baby checklist for moms-to-be By Elizabeth Smoots columnist So you and your partner are thinking about starting or growing a family. For most couples, this is a very exciting time. To help your baby get off to a healthy beginning, I think it's a good idea to do some pre-conception planning. Have the mom-to-be fill out this form for some important tips. Medical care I have scheduled a pre-conception checkup with my primary care doctor. I have completed all necessary dental work in advance. I have checked for a family history of hereditary health problems for both me and my partner. Genetic counseling may be recommended for certain disorders such as Down syndrome, sickle cell anemia, thalassemia, Tay-Sachs disease, hemophilia, cystic fibrosis and muscular dystrophy. I have gotten screened for problems that could potentially pose a risk during pregnancy. Screening may include tests such as hemoglobin, Rh factor, thyroid function, tuberculosis, sexually transmitted diseases, and titers to check for immunity against chickenpox, rubella, hepatitis B, cytomegalovirus, and toxoplasmosis. Address any health problems that turn up and get your vaccines updated prior to pregnancy. I have worked with my doctor to ensure any chronic diseases are under control. Without optimum care, conditions such as asthma, diabetes, depression, epilepsy, heart disease and high blood pressure can adversely affect the baby. I have reviewed all my medications with my doctor to see if I can safely take them during pregnancy. This includes prescriptions, over-the-counter drugs and dietary supplements. I have talked to my doctor about discontinuing birth control. Some contraceptives need to be stopped several months before trying to conceive (while temporarily relying on other methods). Nutrition steps I eat a balanced diet that emphasizes fruits, vegetables, whole grains and low-fat dairy products. It's also healthy to include up to 12 ounces of cooked fish a week of species low in mercury and contaminants. If I'm overweight or underweight, I've asked my doctor how to reach a healthy weight before I try to conceive. I have talked to my doctor about taking a prenatal vitamin before conception. The supplement should contain at least 400 micrograms of folic acid to ward off neural tube defects and premature labor. I have cut back on caffeinated coffee to no more than two cups a day, or the equivalent amount of other caffeinated beverages. However, "there's no need to drop that latte, or switch to decaf, if you're planning on becoming pregnant or even once you become pregnant," said Heidi Murkoff, author of the popular pregnancy guide "What to Expect When You're Expecting." Lifestyle steps I avoid exposure to potential toxins such as alcohol, illegal drugs, X-rays and chemicals. These can cause birth defects or other problems for your baby. Get help for substance abuse before you try to conceive. I do not smoke. Quit if you do, since tobacco may hamper your ability to get pregnant. I regularly engage in physical activity. If you're sedentary, gradually work up to 30 minutes of moderate exercise a day with your doctor's approval. The fitness you gain enhances your ability to cope with childbirth and get back in shape afterward. Avoid excess activity or overheating since these conditions can impair fertility. To increase the odds of having a healthy baby, Murkoff said, the dad-to-be should take similar steps. For more information: American College of Obstetricians and Gynecologists, www.acog.org. Contact Dr. Elizabeth Smoots, a board-certified family physician and fellow of the American Academy of Family Physicians, at doctor@practicalprevention.com. Her columns are not intended as a substitute for medical advice or treatment. Before adhering to any recommendations in this column consult your health care provider. © 2008 Elizabeth S. Smoots

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