Pre-existing Conditions
Some health issues can lead to problems before, during, and after pregnancy. Talk with your health care provider before you start trying to conceive a baby if you have a pre-existing health concern.
Some health issues can lead to problems before, during, and after pregnancy. Talk with your health care provider before you start trying to conceive a baby if you have a pre-existing health concern.
If you have a health concern, it’s important to talk with your health care provider before you start trying to become pregnant. Together you can develop a care plan to meet your needs. Tell your health care provider about prescription medicine you’re taking as some can affect how your baby develops.
The following conditions may affect a pregnant person’s health or the health of their baby.
Diabetes can lead to problems before, during, and after pregnancy. Both Type I and Type II diabetes can affect how your baby’s organs develop.
Poor blood sugar control:
Work with your health care provider to keep your blood sugars as close to your target range as possible. Because diabetes can increase the risk of having a baby with a neural tube defect (e.g., spinal bifida), also talk with your health care provider about the amount of folic acid that’s right for you.
It’s better if high blood pressure is well managed before you start trying to become pregnant. If you have high blood pressure before or during pregnancy, there is an increased risk of developing a condition called pre-eclampsia. If untreated, pre-eclampsia can lead to problems with kidney and liver function, blood clotting, fluid in the lungs, or seizures.
Any of these can also affect your developing baby. If blood pressure is very high, it could keep your baby from getting enough blood and oxygen. This could limit your baby’s growth, or it could cause the placenta to pull away from the uterus too soon. It also could lead to stillbirth.
Certain prescription blood pressure medicine shouldn’t be taken while pregnant as they affect your baby. Make sure your health care provider knows all the medicine you take.
Thyroid disorders may make it harder to become pregnant. Thyroid problems can cause you to be less interested in sex and can change your menstrual cycle.
The hormone from your thyroid gland is important to your baby’s brain and nervous system. If this hormone is too high or too low it could have a serious effect on your baby’s brain or nervous system.
Talk with your health care provider about getting your thyroid levels checked if you have:
Pregnancy puts extra strain on the heart. Those who have cardiovascular conditions before becoming pregnant are more at risk of heart failure as well as issues such as an irregular heart rate. Pregnant people who have a heart defect are also at an increased risk of having a baby with a heart defect. The pregnant person’s treatment, medicine or health concern may put the baby’s growth and development at risk.
Epilepsy can be affected by pregnancy. Some people have more seizures, others have fewer. Keep taking your prescription medicines and talk with your health care provider about any changes to how you manage your epilepsy before and during pregnancy. Your epilepsy medicine may have to be changed, as some medicines can cause serious side effects or birth defects.
Asthma should be well controlled before you start trying to become pregnant. When asthma isn’t well controlled, the pregnant person’s blood oxygen level can be lower than normal. This will lead to lower-than-normal amounts of oxygen for the baby through the placenta. This can increase the risk of bleeding during the pregnancy, preterm labour, preterm birth, preeclampsia, as well as poor growth of the baby.
When asthma is well controlled, the chances for a healthy pregnancy and a healthy baby are much higher. If needed, the steroids used to treat asthma are usually safe during pregnancy.
If you have SLE, it’s best to wait until you’re in the inactive phase before trying to become pregnant. Some medicines can affect your baby’s growth and development so your medicine may have to be changed.
If you have an inherited blood clotting disorder, talk with your health care provider before you start trying to become pregnant. The blood’s ability to clot during pregnancy may change, affecting both your health and your developing baby. Medicines may need to be changed or adjusted.
Good oral health is an important part of a healthy pregnancy. If you have cavities, gum disease, or other health concerns with your mouth, talk with your dentist about treatment before you start trying to become pregnant. For more information talk with your dentist or dental hygienist.
It’s a good idea to speak with your health care provider before trying to become pregnant. Mental health conditions may be affected by pregnancy. Have a plan in place to watch for changes in your mental health. Keep taking your prescription medicines once you start trying to become pregnant.
For more information about mental health and stress, click here.
If you have concerns about your use of alcohol, tobacco, cannabis or other substances, talk with your health care provider. These can have harmful effects on a developing baby. There are ways to help you to cut down and quit before you become pregnant.
Being above a healthy weight can increase some risks during pregnancy. If BMI is too high, there’s a greater risk of gestational diabetes, miscarriage, preterm birth, having a larger than average baby, or certain birth defects. Talk with your health care provider about healthy ways to change your weight before you start trying to become pregnant.
If you or your partner has a family history of an inherited health condition, it’s a good idea to talk with your health care provider about genetic counselling before trying to become pregnant.
Talking about your medical history will also help identify any areas of concern.
Some health concerns may affect your sperm and your reproductive system which may impact the ability to conceive a baby.
The following can contribute to erectile dysfunction (getting or keeping an erection) and premature ejaculation (releasing semen early during intercourse).
Thyroid problems can affect sperm count and lower sex drive.
Understanding your medical history will also help identify any areas of concern.
Talk with your health care provider if you have any concerns.
There are some health conditions that can affect your ability to become pregnant.
Some are listed below:
Click here for more information on fertility and health and family history.
Talk with your health care provider about any health conditions you have.
Talking about your medical history and the medicines that you take will also help identify any areas of concern.
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