Tips To Create a Pre-Pregnancy Plan

Caring for yourself during pregnancy is the only way to ensure that your baby will have a healthy start. Here are eight vital tips for prenatal care by Barbara Coulter-Smith, D.O., an obstetrician/gynecologist on the medical staff at Baylor Regional Medical Center at Grapevine.

1. Add folic acid to your diet. If you’re of childbearing age, it’s important to take folic acid supplements—especially if you have stopped using contraception. Folic acid is a B vitamin that reduces the risk of neural tube defects like spina bifida. Few women get enough folic acid in their diet alone, so talk with your physician about supplementation.

2. Get vaccinated. Make sure that all of your vaccinations are up to date, including immunization against rubella (also called German measles) and chickenpox. It’s also important to be up to date on your tetanus shot (every 10 years).

3. Kick bad habits. No one should smoke while trying to get pregnant or during pregnancy. Smoking can lead to higher risk for miscarriage as well as low-birth-weight babies. Drinking alcohol is OK, but in moderation only. If you think you might be pregnant, it’s better to abstain.

4. Maintain a healthy weight. Being overweight can increase your risk of gestational diabetes and other pregnancy-related complications.

5. Keep exercising. Exercise will help you maintain or lose weight and it helps manage stress. If you think you might already be pregnant, check with your doctor about the kinds of exercise that are safe to continue.

6. Ask about chronic health problems. Discuss with your physician the health risks of pregnancy if you have a chronic medical condition and which prescription medications are safe to continue. It’s also important to talk about a family history of any heredity disorder prior to planning a pregnancy.

7. Wait a month after stopping contraception. Dr. Coulter-Smith recommends waiting for one spontaneous menstrual cycle before trying to conceive. A normal menstrual cycle is the signal that the endometrium, the lining of the uterus, is healthy enough to support new life.

8. What about the dad-to-be? Prior to conception, the important consideration is sperm count. Avoid hot tubs and saunas. Smoking and alcohol also can affect sperm count. Advancing age does not affect fertility in men as much as it does in women.

For more information about Baylor Regional Medical Center at Grapevine, visit

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