Patient's question:
Married for two years, want a child.Doctor's answer:
Pre-conception check-up 3 months before pregnancy, during the period when menstruation has just ended. This includes:1. Examination of the reproductive system and vaginal inflammation.
2. Toxoplasmosis screening, including rubella, toxoplasmosis, and cytomegalovirus.
3. Liver function tests, which currently include both comprehensive and basic liver function tests. Comprehensive liver function tests, in addition to the hepatitis B panel, also include items such as blood glucose and bile acid.
4. Urinalysis, which aids in the early diagnosis of kidney diseases.
5. Dental examination. If dental pain occurs during pregnancy, treatment options may be limited due to concerns about medication effects on the fetus, which can be challenging for both the pregnant mother and the baby.
6. Gynecological endocrinology, including 6 tests such as follicle-stimulating hormone and luteinizing hormone.
7. ABO hemolysis, including blood type and ABO hemolysis titer, to prevent hemolytic disease of the newborn.
8. Chromosomal abnormalities, to screen for hereditary diseases.
Testing method: Blood draw
Testing time: 3 months before pregnancy
Target population: Couples with a family history of genetic diseases.
Women of childbearing age should start taking 400 micrograms of folic acid daily 3 months before pregnancy to prevent neural tube defects in the fetus. Folic acid can prevent 80% of neural tube defects. This is especially important for women with a history of neural tube defects. Folic acid can be discontinued after the third month of pregnancy. Of course, women without a history of neural tube defects and those who do not have dietary restrictions may not need to take it.