I Want to have a healthy baby
Thoughts about the health of the unborn child come along with pregnancy, when to change something already too late.
According to medical statistics in perfectly healthy young people the risk of giving birth to a defective child is 5%.
Worldwide doctors have long engaged in planned pregnancy. A couple that is preparing to conceive a child should undergo a full medical examination, to prevent possible problems in the future, and having a healthy baby .
An important step in planning a healthy child – determining chromosome set of the parents of the unborn child. This is a complete study of the blood of the parents in some countries it is also required, as the determination of blood group and rhesus factor.
A study of the chromosome set is the analysis for both parents, because the child receives half of the chromosomes from mom and half from dad. A perfectly healthy young people can be carriers of balanced chromosomal rearrangements themselves without even knowing it. But if the child receives unwanted rebuilding from one of the parents, the possible imbalance. In such a family the risk of having a child with chromosomal abnormality is 10-30%. But if a chromosomal rearrangement in the set of spouses identified in advance, perhaps a special prevention during pregnancy that will enable you to prevent a defective child.
When planning pregnancy, expectant parents have a few months before conception to give up Smoking, alcohol, drugs. The most crucial period of pregnancy – the first 12 weeks, at this time, is the laying of the organs of the baby. During this period, the woman should receive adequate nutrition, having a minimum of stress. It is necessary to exclude, if possible, the medication.
During pregnancy every woman should experience a set of research, including screening for viral infections, ultrasound in 11-12 and 20-22 weeks.
Viral infection during pregnancy can lead to miscarriage or cause birth defects. One of the dangerous infections is rubella. This disease during pregnancy can cause birth defects: heart disease, hearing loss, vision, delayed mental and physical development. When the disease rubella before 12 weeks of pregnancy, the risk level is 70 – 80%. So you have to make a decision about abortion. Protection against rubella is required for the future mother. If it turns out that the woman has no immunity to rubella – need to be vaccinated in the three months before pregnancy.
On ultrasound scan, starting at 11 – 13 weeks of pregnancy it is possible to diagnose certain birth defects and to identify changes that may indicate the presence of chromosomal abnormalities. Thus, the presence of thickening of the neck area in the fetus at 11 – 13 weeks of pregnancy in 70% allows to detect down syndrome. To exclude a pathology of chromosomes hold special prenatal examination (a biopsy of the chorionic villi in the first trimester of pregnancy.
The second ultrasound examination is performed at 20-22 weeks. In this period of pregnancy it is possible to determine most of the variance in the development of the face, extremities, and to identify malformations of the internal organs of the fetus.
The study of the level of biochemical markers (Alphafetoprotein and human chorionic gonadotropin) in the blood is pregnant at 16 to 20 weeks of pregnancy. The change in the concentration of these proteins in the mother’s blood may be suspected chromosomal abnormality and a number of fetal malformations, primarily of the anterior abdominal wall and the nervous system. The level of biochemical markers may change with the threat of termination, toxemia of pregnancy and other conditions. Therefore, to properly evaluate the results of biochemical tests by a doctor, and will give advice on how to have a healthy baby.
Some pregnant women requires special invasive methods of prenatal diagnosis such as chorionic villus sampling, amniocentesis and cordocentesis. Indications for invasive diagnosis is the age of the pregnant woman is older than 35 years, the presence of a child with malformations or chromosomal abnormalities, an increased risk of hereditary disease to the fetus, the accumulation of chromosomal rearrangements by one of the spouses, as well as ultrasound of the deviation and the change in the level of Alphafetoprotein revealed during pregnancy.
All invasive manipulations are carried out under ultrasound control in the hospital one day by an experienced physician. After the procedure pregnant within four to five hours to be under the supervision of experts. To avoid possible complications to the patient prophylactically prescribers before and after the procedure.
Chorionic villus sampling is obtaining cells from the future placenta is at 8-12 weeks of pregnancy. The risk of complications (spontaneous abortion) after chorionic villus sampling is 2-3%. The advantages of this method is the duration of up to 12 weeks and the speed of response is 2-3 days. Thus in the event of detection of disease in the fetus to terminate a pregnancy in early pregnancy.
Diagnostics revealed a chromosomal abnormality such as down’s syndrome, Klinefelter’s syndrome, Turner’s syndrome, as well as monogenic diseases available prenatal diagnosis of hemophilia, muscular dystrophy, etc. a Full range of diagnostic methods allowing to identify most of the congenital and hereditary diseases to prevent the birth of a sick child is at the Centre of family planning.
The most favorable time for conception is the end of summer beginning of autumn. Long stay of spouses in the fresh air, eat foods rich in vitamins, the absence of viral infection, sun – all this has a positive effect on the birth of a healthy baby. Making career, the couple must not forget that the woman is in the best shape for conception, and birth of healthy children, ranging in age from 18 to 35 years. If the pregnancy occurred after 35 years, it is necessary to undergo genetic testing. Not recommended closely related marriages. Helps well taking folic acid 2 mg, 2 times a day for 3 months before conception and 3 months after pregnancy. Such prevention can significantly reduce the chances of having a baby with malformations of the brain and the anterior abdominal wall.