More <bookmarks-menuPregnancy - health risksIf you are trying to get pregnant, you should try to follow healthy habits. You should stick to these behaviors from the time you are trying to get pregnant all the way through your pregnancy.Do not smoke tobacco or use illegal drugs. Stop drinking alcohol. Limit caffeine and coffee. Plan healthy eating. If you're not sure how to do this, talk to your health care provider. Optimize your sleep habits. Get regular aerobic exercise. Ask your provider if your weight is optimum. If your menses are regular, you are probably ovulating. If you've been on birth control pills, consider getting off them for several months before attempting pregnancy.Tobacco health risksIn general, chronic exposure to cigarette smoking may cause increased risk of cancer, COPD, coronary artery disease, stroke, fetal illnesses, and delayed wound healing.Talk to your health care provider about any medicines you may be taking to see if they can affect your unborn baby. Eat a well-balanced diet. Take supplemental vitamins with at least 400 mcg (0.4 mg) of folic acid (also known as folate or vitamin B9) a day.Folic acid sourceWomen who are thinking of becoming pregnant or who are pregnant often require additional supplementation of folic acid. Adequate folic acid is important for pregnant women because it has been shown to prevent some kinds of birth defects, including neural tube defects such as spina bifida. Many foods are now fortified with folic acid to help prevent these kinds of serious birth defects.If you have any chronic medical problems (such as high blood pressure, kidney problems, or diabetes), talk to your provider before trying to get pregnant.See a prenatal provider before trying to get pregnant or early in the pregnancy. This can help prevent, or detect and control health risks to the mother and unborn baby during pregnancy.Talk to your provider if you are planning to get pregnant within a year of your or your partner's traveling abroad. This is especially important if traveling to areas where viral or bacterial infections could affect the health of an unborn baby.Men need to be careful, too. Smoking and alcohol may cause problems with the unborn baby. Smoking, alcohol, and marijuana use have also been shown to lower sperm counts.Is Your Pregnancy High Risk?You may have a high-risk pregnancy if you: A. Are age 35 or older B. Have obesity, diabetes, or high blood pressure C. Drink alcohol, smoke cigarettes, or use drugs D. Had an earlier high-risk pregnancy E. Any of the above Correct Answer The correct answer is any of the above. Work with your doctor to manage any health problems before you get pregnant. Ask for advice on how to quit any habits such as smoking that may put your baby at risk. Getting regular prenatal care is the best way to have a healthy baby.Which pregnancy problems can put your baby at risk? A. Diabetes during pregnancy (gestational diabetes) B. High blood pressure and high levels of protein in the urine (preeclampsia) C. Problems with the uterus, cervix, or placenta D. Certain blood type mismatches E. Early labor (preterm labor) F. All of the above Correct Answer The correct answer is all of the above. If you have a high-risk pregnancy, your doctor may want to see you more often and do more tests while you are pregnant. That way, your doctor can treat any health problems early on before they affect your baby.If you are carrying twins or triplets, you have a high-risk pregnancy. A. True B. False Correct Answer The correct answer is true. Carrying more than one baby puts more of a strain on your body and your uterus. It puts you at a greater risk for health problems. For example, you are also more likely to deliver before your 38th week (preterm delivery). Your doctor can prevent health problems from blood mismatches. A. True B. False Correct Answer The correct answer is true. Rh incompatibility occurs when a pregnant woman has Rh-negative blood and her baby has Rh-positive blood. It can cause mild to severe -- and even deadly -- health problems. Fortunately, any problems can be prevented by injecting the mother with a medicine called RH immune globulin. Which of the following is true about gestational diabetes? A. It is high blood sugar that develops during pregnancy B. It often has no symptoms C. It means you may have a large baby D. It usually goes away after you give birth E. All of the above Correct Answer The correct answer is all of the above. Gestational diabetes occurs because pregnancy hormones keep insulin from doing its job. This causes sugar (glucose) to build up in your blood. It usually goes away after you give birth, but you are at risk for diabetes later in life. Your doctor can help you manage diabetes and prevent problems.The only way to cure preeclampsia is by having your baby. A. True B. False Correct Answer The correct answer is true. Preeclampsia is high blood pressure and high protein in your urine that occur during pregnancy. Symptoms may include swelling of the hands and face and sudden weight gain over 1-2 days or more than 2 pounds a week. Tell your health care provider right away if you notice unusual swelling or weight gain.Treatment for preeclampsia includes: A. Bed rest, lying on your left side most or all of the time B. Drinking plenty of water C. Eating less salt D. Medicines to lower your blood pressure E. More tests to monitor you and your baby F. All of the above Correct Answer The correct answer is all of the above. If your baby still has a lot of growing to do and you have mild preeclampsia, you can manage the disease at home until your baby has a good chance of surviving after birth. If needed, your doctor may have you stay in the hospital so you and your baby can be closely watched for any problems. You can prevent preeclampsia. A. True B. False Correct Answer The correct answer is true. The American College of Obstetrician and Gynecologists recommends low-dose aspirin therapy for women at high risk of preeclampsia. These risk factors include: a history of preeclampsia; having twins or more; a history of diabetes, high blood pressure, or kidney disease; or having an autoimmune disease, such as lupus. Anyone can develop preeclampsia, so be sure to see your doctor for regular prenatal care.Most babies born at 28 weeks don't survive. A. True B. False Correct Answer The correct answer is false. At least 90% of babies who are born at 28 weeks survive. Being born early used to cause most infant deaths. Better medical care has helped more premature babies survive. The closer a pregnancy gets to full term, the greater the chance the baby will live. Getting early and good prenatal care reduces the chance of premature birth and other problems. A. True B. False Correct Answer The correct answer is true. The best ways to prevent an early birth are to: be in good health before getting pregnant, get prenatal care as early as possible in the pregnancy, and continue to get prenatal care until the baby is born. Review Date: 7/12/2023Reviewed ByJohn D. Jacobson, MD, Professor Emeritus, Department of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. ReferencesBerger DS, West EH. Nutrition during pregnancy. In: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Gabbe's Obstetrics: Normal and Problem Pregnancies. 8th ed. Philadelphia, PA: Elsevier; 2021:chap 6.Gregory KD, Ramos DE, Jauniaux ERM. Preconception and prenatal care. In: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Gabbe's Obstetrics: Normal and Problem Pregnancies. 8th ed. Philadelphia, PA: Elsevier; 2021:chap 5.Mullins EWS, Regan L. Women's health. In: Feather A, Randall D, Waterhouse M, eds. Kumar and Clarke's Clinical Medicine. 10th ed. Philadelphia, PA: Elsevier; 2021:chap 39.Disclaimer The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. 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