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Would you like to become pregnant in the next year?

11 October, 2021


Would you like to become pregnant in the next year?

Did you know that 75% of Aussies plan for their retirement, yet only half will plan for their pregnancies (Mazza et al. 2012)?

Research shows that couples frequently will only seek guidance on preconception care when they are having trouble conceiving.

And yet, the benefits of being fit, healthy and well prior to conception can have long term impact on your future child's health.

I'm repeating that because it's so important..... Your pre-pregnancy health affects your adult kids' health.

What does Preconception Care help with?

  • Prevent birth defects such as the spine not closing around the spinal cord, absent brain, heart defects,
  • Less birthweight abnormalities
  • Reduces preterm labour
  • Less weight gain
  • Identify infertility earlier to start treatment sooner
  • Increased incidence of sudden infant death syndrome (SIDS)
  • Reduce incidence of colic and reflux in babies
  • Delay neurological development in baby
  • Fragile bones in the baby
  • Improve maternal health
  • Decreases chances of maternal deaths due to pregnancy & birth complications
  • Improve offsprings' health as a foetus, baby and throughout adulthood including obesity, cardiovascular  disease and diabetes
  • Reduces risk of gestational diabetes and high blood pressure
  • Decreased stillbirths and miscarriages
  • Improved chances of breastfeeding with all its benefits

Sources: (Beckmann et al 2014) (Dorney & Black 2018) (Mitchell & Milerad nd) (RANZCOG 2017) (Shenassa & Brown 2004)

How to optimise your preconception health?

Nutrition

Eating a healthy and varied diet is always important. During the pre-conception phase, this helps build up your stores and ensures that should you fall pregnant, that you've got plenty of wonderful nutrients to keep you and bubs healthy.

Bubs will demand lots of certain nutrients as it grows and develops. Less than a quarter of Aussies women consume enough folate prior and in early pregnancy (Australian Institute of Health and Welfare 2011).

Some nutrients to be particularly mindful of are:

  • Folate
  • Vitamin D
  • Iodine
  • Iron
  • Vitamin B12
  • Calcium

For some people, they require more than just a standard prenatal multivitamin. Some medication depletes our nutrients. Some illnesses prevent our absorption and utilisation of vitamins and minerals such as coeliac or diabetes. Also being overweight or having a family history may require increased supplementation levels.

It's also recommended to avoid excessive consumption of:

  • Caffeine
  • Vitamin A
  • Mercury containing fish

Exercise

Exercise has numerous effects for both mum and future baby. It's recommended to exercise for 30 minutes on most days, or around 2.5 hours of exercise a week. Strength training should be included twice weekly and pelvic floor exercises included on most days. Essentially, during preconception, you exercise as if you are pregnant.

Healthy diet & exercise can also help control blood sugar levels. This is particularly important in diabetics.

Excited couple with pregnancy test
Excited couple with pregnancy test

Smoking, Alcohol & Illicit Drugs

Substance use can have serious consequences for unborn babies. During preconception phase is a great time to work on breaking addictions or reducing your consumption levels. There's no known "safe" level of alcohol during pregnancy to consume.

Healthy Weight

Being over or underweight can make falling pregnant more challenging and result in complications during pregnancy and birth. It also has long term effects on the health of the baby.

Being overweight, with a Body Mass Index (BMI) over 30, is one of the most common causes of infertility, miscarriage, stillbirths and adverse pregnancy outcomes (RANZCOG 2017).

One study showed that a 10% decrease in pre-pregnancy BMI reduced still birth risk by a further 10% (Schummers et al 2015).

In addition, our pre-pregnancy health reflects our kids' future chances of being overweight themselves, even into adulthood.

Toxins & Infections

We can be exposed to toxins and infections in a variety of settings, such as:

  • Travel illnesses such as Zika virus, malaria and Bali belly
  • Sexually transmitted diseases
  • At work such as paint fumes
  • Around the home including renovations
  • Certain medications that are inappropriate during pregnancy

Psychological Wellbeing

Our mental wellbeing can play a role in how we deal with the stresses of trying to conceive as well as stress impacting our ability to fall pregnant. More so, a previous history of anxiety or depression places mums and dads at greater risk for perinatal anxiety and depression - yes dad's can get postnatal depression as well.

There's also research that links the mum's stress response with her growing unborn baby's.

We know Rome wasn't built in a day, so taking action in preconception is ideal. This may be seeking assistance from a psychologist, counsellor or biofeedback practitioner or doing some home practice  meditation, mindfulness or a gratitude journal.

Disappointed after negative pregnancy test
Disappointed after negative pregnancy test

Is preconception care just for mums-to-be?

No. Our weight, substance use, nutrition, exercise, stress and toxins all affect sperm quality too. Smoking damages sperm DNA and increases the risk of childhood cancers (RANZCOG 2017).

It's also good to be on the health journey as a couple. You can have common goal of wanting a beautiful, healthy baby so you can help motivate and keep each other accountable.


Appointments available in Moonee Ponds or online.


About the Author

Dr Cassie Atkinson-Quinton - Chiropractor, Women's Health Yoga & Pilates Instructor, Spinning Babies Lover

As a Chiropractor and perinatal Pilates & Yoga instructor, Dr Cassie loves to help pregnant women keep fit, healthy and comfortable. Knowing how empowering it felt to be fit and energetic during the pregnancy of her son inspires Cassie to want this for her patients. Cassie incorporates Spinning Babies, Yoga and Pilates exercises into her prenatal and postpartum Chiropractic sessions. She's currently studying her Graduate Certificate in Women's Health Medicine through the University of New South Wales.



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References 

  • Australian Institute of Health and Welfare (2011). Mandatory Folic Acid and Iodine Fortification in Australia and New Zealand: Baseline Report for Monitoring. Canberra: AIHW, 2011. 
  • Beckmann MM, Widmer T & Bolton E (2014). Does preconception care work? Does preconception care work?Australian and New Zealand Journal of Obstetrics and Gynaecology 2014; 54: 510–514 
  • Dorney E & Black K (2018). Preconception Care. Australian Journal of General Practice. 47 (7): 424-29. Accessed via https://www1.racgp.org.au/ajgp/2018/july/preconception-care 
  • Mazza D, Harrison C, Taft A, et al. (2012) Current contraceptive management in Australian general practice: An analysis of BEACH data. Med J Aust. 197(2):110–14. 
  • Mitchell & Milerad (nd). Smoking and Sudden Infant Death Syndrome. World Health Organisation (WHO). Accessed via https://www.who.int/tobacco/media/en/mitchell.pdf
  • The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), 2017. Pre-pregnancy Counselling.
  • Schummers L, Hutcheon JA, Bodnar LM, Lieberman E, Himes KP (2015). Risk of adverse pregnancy outcomes by prepregnancy body mass index: A population‐based study to inform prepregnancy weight loss counseling. Obstet Gynecol. 125(1):133–43. doi: 10.1097/ AOG.0000000000000591.       
  • Shenassa ED & Brown MJ (2004). Maternal smoking and infantile gastrointestinal dysregulation: the case of colic. Pediatrics Oct;114(4):e497-505. doi: 10.1542/peds.2004-1036. PMID: 15466076.