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Preconception planning: Is your body ready for pregnancy?

Do you have a family history of any specific medical conditions?

Sometimes family medical history — either your history or your partner's — increases the risk of having a child who has certain medical conditions or birth defects. If genetic disorders are a concern, your health care provider may refer you to a genetic counselor for a preconception assessment.

How old are you?

After age 35, the risk of fertility problems, miscarriage and certain chromosomal disorders increases. Some pregnancy-related problems, such as gestational diabetes, are more common in older mothers as well. Your health care provider can help you put these risks into perspective, as well as develop a plan to give your baby the best start.

Have you been pregnant before?

Your health care provider will ask about previous pregnancies. Be sure to mention any complications you may have had, such as high blood pressure, gestational diabetes, preterm labor, premature birth or birth defects. Share any concerns or fears you may have about another pregnancy. Your health care provider will help you identify the best ways to boost the chances of a healthy pregnancy.

Would your current lifestyle support a healthy pregnancy?

Healthy lifestyle choices during pregnancy are essential. Your health care provider will discuss eating healthy foods, exercising regularly and keeping stress under control. If you're overweight, your health care provider may recommend losing excess pounds before you conceive. It's also important to avoid alcohol and illicit drugs. If you smoke, ask your health care provider about resources to help you quit.

What about your partner's lifestyle?

If possible, have your partner attend the preconception visit with you. Your partner's health and lifestyle — including family medical history and risk factors for infections or birth defects — are important because they can affect you and your baby.

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May 31, 2008

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