Patient's question:
What necessary checks should be done one month before pregnancy (note that you have never done any checks before)Doctor's answer:
Hello: Pre-pregnancy check-up items, in addition to general physical examinations, should also include blood and urine tests, hepatitis B surface antigen tests, and some special pathogen tests. In areas with the necessary conditions, chromosome tests should be conducted to avoid hereditary diseases.Some special pathogens that need to be tested include Toxoplasma, rubella virus, cytomegalovirus, and herpes simplex virus, collectively known as TORCH.
Pre-pregnancy also requires attention to the following:
1. Avoid pregnancy during illness or shortly after recovery from a serious illness.
2. Avoid pregnancy in the "honeymoon" month, i.e., avoid conceiving immediately after marriage.
3. Avoid pregnancy during a honeymoon trip.
4. Avoid pregnancy when both partners are advanced in age. The risk of chromosomal abnormalities leading to increases for women over 35, and the optimal age for childbirth is between 24 and 30.
5. Avoid exposure to radiation and highly toxic substances before pregnancy. Generally, pregnancy should be avoided four weeks after X-ray exposure. If repeatedly exposed to highly toxic pesticides and chemicals, pregnancy should be delayed by at least one month to avoid fetal malformations.
6. Avoid smoking and alcohol consumption. Stop smoking and drinking for 2–3 months before pregnancy. The husband should also avoid smoking and drinking a month before his wife becomes pregnant.
7. Avoid pregnancy immediately after childbirth or miscarriage. At least six months should pass before attempting to conceive again.
8. Avoid pregnancy while taking medication. Oral contraceptives should generally be stopped for six months before pregnancy. If long-term medication is being taken, consult a doctor to determine the impact on fertility.
9. Avoid pregnancy during periods of emotional distress.
10. Avoid pregnancy three months after receiving the rubella vaccine.