DEFINITION

What is Preconception care?

Preconception care is the care before
pregnancy.
It is directed towards the
identification of
medical and social problems prior t o
conception.
I t focuses the
on provision of prevention and
interventions to promote healthy pregnancy
outcomes.

VIVAVIDE
Pre-conception careincludescare for both men and women so as to reduce
both maternal and fetal and
morbidity mortality.
Both men
and women should practice healthy lifestyle which include healthy
eating, regular exercises, avoiding alcohol and smoking.

Preparing for
Parenthood

Journey to be a parent
ViVAVIDEO
 General
Health

Component
Physical sof Pre Medical
Fitness Condition
Conception
Care

Nutrition

ViVAVIDEs
General Health

Age
-Ideal Age for pregnancy >18to 34yrs
-<18yrs (teenage pregnancy) and >35yrs - both are at high risk to mother and
baby
Weight
essential to maintain an ideal BMI (Body mass index)
both underweight and overweight are associated with pregnancy loss,
diabetes mellitus, preeclampsia, and C section

VIVAVIDE
 Intrauterine
growtn
restriction
Iron
Preterm deficiency
delivery anemia

Low
BMI
consequ
ences Your Pre-Pregnancy BMI
1arget Welght f
One Child
Carrying Target Weight Ir

Carying Twins

Less than 185 12 to 18 kgs No recommendation

8.5 to 24. 11 to
16 kgs 16 to 25 kgs C-section &
prolonged
labour
Infant
25 to 29.9
7to 11 kgs 14 to 22 kgs
Birth defect macrosomla
30 or higher 5 to 9 kgs 12 to 19 kgs High
BMI
Consequu
ences
VIVAVIDEO
Medical Conditions

Diabetes Mellitus HbA1c <6.5% before conception is optimum. High blood sugar
levels
-

during organogenesis
causes defects in fetus, increases miscarriage risk.
Hypertension - Some antihypertensives are not safe during pregnancy.eg ACE-I,

ARBs.
Thyroid disorder (hyper/hypo) Both are associated with infertility, miscarriage,
pregnancy loss, preterm birth.
Cardiac diseases- Congenital heart diseases, coronary heart disease (in older age
group)
Asthma
Psychological Conditions -eg: depression, anxiety
Migraine
Similarly for male partner any medical condition DM, Thyroid, HTN needs to be under
Control for better sperm
quality and quantity

VIVAVIDEC
Medical Conditions

Diabetes Mellitus HbA1c <6.5% before conception is optimum. High blood sugar
-

levels during organogenesis causes defects in fetus,

increases miscarriage risk.
Hypertension Some antihypertensives are not safe during pregnancy.eg ACE-1,
ARBs.
Thyroid disorder (hyper/hypo) -Both are associated with infertility, miscarriage,
pregnancy loss, preterm birth.
Cardiac diseases- Congenital heart diseases, coronary heart disease (in older age
group)
Asthma
Psychological Conditions -eg: depression, anxiety
Migraine
Similarly for male partner any medical condition DM, Thyroid, HTN
Control tor better needs to be under
sperm quality and quantity

VIVAVIDEC
Nutrition
SayYES to Say NO to
Folic Acid- helps prevent neural tube defect like
spina bifidato be started 3 months prior to
Excessive Sugar

conception
Sources green leafy vegetables, o nges,
strawberries, beans and nuts

Calcium helps in smooth functioning of Alcohol

-

reproductive system; low levels may increase the risk

of osteoporosis
Sources- milk, cheese, yogurt kale, broccoli

Iron- deficiency increases risk of underweight baby Caffeine

or premature birth - increa ses morbidity and

mortality
Sources- lean meat, spinach
Fattytoacids- Omega 3 fatty acids increase blood Skipping meals
flow reproductive organs
Sources- seafood, nuts and seeds

VwIDEo
Say Yes to Say Noto
lodine -

helps controlling your metabolism-Smoking

impacting your BMI and thus
Sources
weight
dairy products,
iodized salt
Fiber- helps boost your fertility, decreases
risk of gestational diabetes
Sources-whole
fruits &
grains, oats, high fibe
cereals, veggies, beans,
lentils and
chickpeas

Proteins- helps supply your baby with

important nutrients
Sources -

fish, lean meats, black beans

VIVAVIDE
Physical Fitness

Reduces risk of
Improves fertility by
maintaining BMI developing gestational
D M & p r e e c l a m a

Benefits

Helps control mood Reduces post partum

disturbances weight retention

ViVAVIDE
 YOGA

YOGA POSES TO
BOOSTYOUR
FERTILITY
Moderate intensity
home workouts

Brisk Walking/
NO E O U I P M E N T
Running (30mins, 5/
WK
ankk

ieyele
cruneh

Kick

Brido

VIVAVIDEO
Sample diet and exercise routine
Time
7am glass warm water
7:30 am Exercise
Walking/Yoga/Running/
Moderate home workout
8:30 am Breakfast Poha/Upma/ldli/Cornflakes/
oatmeal/brown bread
sandwich
I am Mid meal 1 fruit
1:30 pm Mid meal 2 Salad bowl
2.30 pm Lunch 1 bowl dal, 1 bowl sabji, 1 bowl
curd, 2 multigrain chapatti
5pm Evening tea Tea/coffee/Fresh Juice no
sugar with 2 oatmeal/
multigrain cookies
8 pm Dinner 1 bowl of green leafy vegetable
with 2 multigrain chapatti

VIDEC