Before you get Pregnant

To give you and your baby the best start in life together, it is a good idea to make sure you are fit and healthy before you get pregnant.

Help with Conceiving

If you are trying to get pregnant but are not succeeding, please see your GP in the first instance.

Your GP can help find out if there is a problem, and refer you to fertility services if necessary.

Starting your pregnancy in good health

You may want to make some changes to your diet, and it is also a good idea to check you are up to date with immunisations against diseases that may harm your baby if you are infected while you are pregnant (such as rubella).

If you smoke, now is a good time to try and give up; for help with this, see below.

Accordion

There is no evidence that drinking one or two units per week (i.e. a small glass of wine, half a pint of beer, larger or cider or a single measure of spirits) harms your baby.

We do not know what a safe level of alcohol in pregnancy is but we know that large amounts of alcohol (even occasionally) can harm your baby.

If you drink more than 10 units per week during pregnancy your midwife/doctor will offer you a referral to Action for Change (Community Alcohol Team) for help and support.

If you eat a varied and healthy diet you should not need vitamin supplements. Iron tablets are not given as a matter of routine, but only when indicated by your blood tests.

Prescription and non-prescription drugs can have an affect on your growing baby and your doctor will only prescribe medicines where the benefits are greater than the risks.

Dependence on heroin and other drugs can lead to maternal infection, neglect and malnourishment. This is partly responsible for baby’s born with low birth weight, premature birth and neonatal withdrawal.

Drug use during and after pregnancy can also have a serious affect on the emotional, cognitive and behavioural development of children. It is important that you receive help and support from specialist substance misuse services.

Some prescription and non-prescription drugs can also have an effect on breastfeeding and if it is safe to do so, our maternity team will be able to advise you on the safest options.

The more active and fit you are, the easier it will be for you to cope comfortably with your changing shape and weight during pregnancy, the demands of labour and looking after a newborn baby.

Regular walking, swimming and yoga are particularly good. It is not a good idea to start doing vigorous exercise if your body is not already used to it.

Please ask your midwife or GP for further advice.

Taking Folic Acid – 400 micrograms per day – when you are trying to get pregnant or during the first 12 weeks of your pregnancy will reduce the risk of your baby having a neural tube defect, such as Spina bifida, which causes damage to the baby’s nervous system.

The following foods may contain elements which could be harmful to your unborn child and you are advised to avoid them:

  • Soft/blue cheeses
  • Unpasteurised milk products
  • Raw meats, pâtés, liver, raw/soft eggs
  • Shellfish, swordfish, marlin, shark (mercury content)
  • More than two portions of tuna a week
  • Peanuts and peanut products

If you are overweight, it is a good idea to lose some weight before you get pregnant.

Raised BMI (body mass index) has been shown to be linked to an increased risk of developing diabetes during pregnancy, emergency caesarean section in labour, increased risk of needing to be induced, increased risk of excessive bleeding after birth, and numerous other problems such as an increased risk of pre-exclampsia.

We therefore strongly recommend that women try to normalise their weight prior to conceiving.

There is no physical reason why you should not continue to have sexual intercourse throughout a normal pregnancy.

Your midwife is used to discussing this subject and is happy to help with any concerns you may have.

This is an infection which is not usually dangerous to healthy adults and children but could harm an unborn baby. We do not routinely test for this infection but would advise the following precautions:

  • If you do not have to pick up or handle cats, then don’t
  • Cat owners, in particular, should take extra care since the infection can be caught from cat faeces – you should, for example, wear rubber gloves when changing cat litter
  • Wash your hands thoroughly before preparing any food
  • Ensure raw meats are stored separately at the bottom of your fridge and only eat meat which has been cooked thoroughly
  • Wash fruit and vegetables thoroughly to remove all traces of soil

High levels of vitamin A could cause abnormalities in your baby.

Avoid taking vitamin A supplements and eating liver (or anything made from liver) while you are pregnant.

You do not need to take any iron supplements as a matter of routine when you are pregnant.

They do not improve your health and can give unpleasant side effects such as constipation.

Specialised antenatal advice

If you suffer from any long term health conditions which can effect or be affected by pregnancy, such as:

  • Diabetes
  • Epilepsy
  • High blood pressure
  • HIV Positive.

and are thinking of having a baby or are already pregnant, we can offer support and advice from the start at our specialist antenatal clinics we run at Conquest Hospital and Eastbourne DGH.

These clinics are run by a multidisciplinary team of obstetricians, midwives, endocrinologist, anaesthetists, physicians, and diabetic specialist nurses. Your midwife or GP can help you to get an appointment with this clinic.

Stop smoking service

Smoking while pregnant can be harmful to your baby and can damage your own health. It is a good idea to stop smoking before you get pregnant; this also has a positive effect on your fertility. Encourage your partner, if he smokes, to give up, too – second-hand smoke still contains harmful chemicals that can harm your baby.

Free help and advice is available from the local stop smoking service ‘One You East Sussex