Dr. Komarovsky about pregnancy and its planning

In recent years, an increase in the birth rate has been noted in Russia. The second, third child in the family is no longer surprising. Parents decide on the fourth and fifth baby.

However, the planning of pregnancy as a crucial stage, many omit, as not worthy of attention. Get pregnant - give birth, even if it was a surprise. But after all good planning allows you to have a healthier baby and avoid problems during pregnancy and childbirth.

The famous doctor Yevgeny Komarovsky assigns not the last place in his books and television programs to the issues of pregnancy planning. He tells future mothers and fathers about how to properly prepare for the birth of a baby.

The culture of pregnancy planning Russians still have to train, I'm sure Dr. Komarovsky. And this process can last several decades. After all, only three kids out of ten today are born after careful preparation of mom and dad for such an important event in family life. More healthy and strong children will be born when planning becomes a general rule.

The healthier mom and dad at the time of conception, the more chances a baby will be born healthy, says Komarovsky. In principle, all adults know this simple truth, or in the worst case, they are aware of this, but for some reason they do not consider it necessary to undergo a preliminary examination by different specialists. And a pregnant woman starts running to the doctors only after the test shows two treasured strips, and the local gynecologist confirms the fact of pregnancy in the antenatal clinic and writes out a pile of referrals for tests and consultations of the doctors.

The release of the program on planning pregnancy from Dr. Komarovsky, on how to approach this issue can be viewed below.

Yevgeny Olegovich strongly recommends running to the doctors not after conception, but in front of him. A woman must be visited by a gynecologist 3–4 months before the alleged conception, and a urologist by a man. For the future mother, a healthy oral cavity and respiratory organs are very important, therefore, according to Komarovsky, a visit to the dentist and ENT is mandatory. It is advisable to visit a cardiologist and make an ECG, because while carrying a child the load on the heart increases, and the woman may not know that she has incipient heart problems.

It would be useful both spouses to look for an allergist and genetics. The first specialist will determine if the couple is allergic to something, because children are more likely to inherit allergic reactions from their parents. The geneticist will weigh the risks of having a child with genetic abnormalities (Down syndrome, Edvads syndrome, etc.).

Among the tests that need to be passed at the planning stage are general blood and urine tests, a biochemical blood test, a vaginal smear on the flora, a blood test for the detection of antibodies to a number of viruses, such as cytomegalovirus, rubella, toxoplasmosis and herpes. You must donate blood for HIV and RV (syphilis), hepatitis B and C, as well as determine the Rh status and blood group. In addition, it is necessary to do an ultrasound of the pelvic and breast organs.

A month before the day “X” is worth taking a vacation and a good rest, advises Dr. Komarovsky. But the rest is not the way many Russians are used to doing it - on the sofa in front of the TV, and go to nature, to the sea, to the lakes, to the forest, to where there is fresh air and you can rest actively, in motion.

A woman's diet needs to be adjusted 2-3 months before pregnancy.. Enter into the diet a lot of vitamins, fresh vegetables and fruits, dairy products, temporarily (and better forever!) Forget about fast food and raw food or vegetarianism, if the expectant mother adheres to this type of food, limit the consumption of coffee, cocoa, strong tea.

Even if the allergist does not reveal any pathologies in future mothers and fathers, before conception, all contact with household chemicals, detergents, powders and cleaners should be minimized. A couple of weeks before conception, it is recommended to reduce sexual activity. This preparation can be completed, it's time to go to the main part.

Time of conception, season and day are of great importance, said Komarovsky. The strongest body of the person becomes in the autumn, after the summer, saturated with vitamins and sunlight. If parents are somatically healthy, then it is best to choose this season to conceive a child.

Another great time to get pregnant is January and February. The fact is that babies conceived in these months, with full-term pregnancy, are born in the autumn. It is easier for them to prepare for winter, it will be easier for moms to organize tempering, the innate immunity of babies will allow them, without illnesses and viral ailments, to spend the first half of their lives, which falls on the most epidemiologically dangerous period.

Summing up all these arguments, Evgeny Komarovsky advises healthy parents, who have no problems with the results of the preliminary examination, to plan conception for the beginning of winter so that the child can be born in the “favorable” months - September and October. But if the health of future parents, what is said, is not very, then it is best to become pregnant when the adult body is at the peak of health - in September and October, and then the child will be born in the summer, which is also pretty good.

Dr. Komarovsky will tell you how to prepare for the appearance of a child in the family in the next video.

Evgeny Olegovich calls this question the cornerstone, because it is asked more often than others. At the age of 18, getting pregnant and giving birth is very good, because nature does everything for easy bearing and the birth of strong offspring, but also at 3540 years a woman is quite able to give birth to a normal, healthy baby. Therefore, a woman should decide for herself when to give birth and not to listen to any negative information from numerous supposedly “knowledgeable” advisers.

It is not so much the calendar age of a woman that matters, but her state of health and history. For example, if there were childbirth not so long ago, then it is better to give the body time to recover and not to rush. Minimally the second pregnancy should occur one year after delivery, and preferably after 2-3 years. After a cesarean section, you can become pregnant, Komarovskaya stresses, there is nothing supernatural about this operation. But it is better to wait 2-3 years and before conceiving you should visit the doctor and ask to examine the condition of the scar on the uterus.

Dr. Komarovsky says that there are many ways to plan the sex of the child, however, none of them explain, from the point of view of common sense, does not hold water. You can count on Japanese and Chinese tables, on blood renewal, on cycle day, on stars and national signs, Komarovsky says, but the 100% way to “order” the floor today is only IVF with a selection of embryos of a certain sex.

All other ways - something from the field of folk art, says the doctor. If mom and dad want to have fun, wondering by the stars, no one bothers, please. But you should not expect a 100% hit.

If the pregnancy has come, Yevgeny Komarovsky recommends that the woman start a special calendar as early as possible, which will allow you to follow the development of the crumbs and notice possible difficulties in time. The doctor says that such a calendar will help both the mother and her gynecologist, and then it will be a pleasant memory of nine months of waiting and pleasant excitement.

On the preparation for childbirth through the eyes of Dr. Komarovsky - useful tips for future parents.

In general, pregnancy is not a disease, says Yevgeny Olegovich, so you should not limit yourself too much in everything. Careful attitude requires, perhaps, only the power of the future mother. The diet of a woman in an interesting position should not contain foods that are “atypical” for the climate zone where she was born and lives. In other words, it is not necessary to eat oranges, if all relatives up to the seventh generation come from Siberia, because oranges do not grow in Siberia. This rule doctor means briefly "do not eat what your great-grandfather did not eat."

In addition, in the name of the health of the future baby, Komarovsky urges women not to eat fat, canned food, mushrooms, peas, pickled vegetables, spicy dishes, cocoa, coffee, citrus, and a large number of pastries with butter cream. Preference is given to vegetables, fruits, berries, dairy products, lean meat and fish, dried fruit compote and green tea.

Unfortunately, a pregnant woman is sick at least any other, and therefore there is an urgent need to use different medications during the period of gestation.

The rest of the authoritative specialist recommends adhering to several important treatment rules during the period of gestation of the baby. Trivial ailments should not be treated with medicines, and serious ones should not be treated on their own. This should be done only by doctors, whose task and area of ​​responsibility will include the assessment of the potential risk to the fetus.

And because a pregnant woman who is sick, you need to learn to endure. If it does not work, go to a doctor, and not seek the advice of relatives and friends, as well as the all-knowing Internet about whether she can take "Indometacin" at 9 weeks of pregnancy.

Many temporary health problems that pregnant women perceive as serious problems do not need specific treatment at all, or they can be treated with folk remedies, of course, after consulting with a gynecologist. For example, thrush is a fairly frequent satellite of the initial terms of pregnancy. There is nothing surprising and life-threatening mother and fetus.

The runny nose and nasal congestion accompany some pregnant women during the entire term of carrying a child, and this, according to Komarovsky, is not a reason to start dripping vasoconstrictive drops into the nose, which are contraindicated in an interesting position.

However, completely stop responding to violations in the body can not. Expectant mothers should be tested regularly in order to detect possible pathologies in time.. Screening for genetic pathologies is quite informative and helpful, and urine tests that a woman carries in consultation before each planned intake can show such alarming results as the presence of protein or E. coli in the urine.

In any case, Komarovsky emphasizes, only a doctor should treat pregnant women. And no experimental self-treatment, even folk remedies at home, harmless at first glance.

The topic of joint childbirth is very relevant today, Dr. Komarovsky will tell us all about this topic.