Pre-pregnancy Advice

• General Health, medical and family history

  • Medication

  • inherited family diseases

    • Diabetes Mellitus

    • Hypertension

    • Foetal abnormalities

• Obstetric History

• Diet

  • folic acid 400 micrograms - 5mg per day - whilst trying to conceive and first 12 weeks

• Smoking advice

• Alcohol

  • stop while trying to conceive and in early pregnancy

  • moderation appears safe later in pregnancy

• Discontinuation of hormonal contraception

  • helps to gauge due dates

• Baseline obs of

  • maternal weight,

  • BP

  • Immune status

    • rubella

    • Hepatitis B

    • Hepatitis C

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