Getting married and having children is a dream for many couples. However, before starting a pregnancy program, one crucial step that's often overlooked is a pre-marriage reproductive health check. This preparation doesn't mean rushing into having children, but rather a wise step to ensure the husband and wife are in optimal health when planning a pregnancy.
In the medical world, well-planned pregnancies tend to have a lower risk of complications. Therefore, consulting with an obstetrician and gynecologist (OBGYN) before marriage is increasingly recommended as part of preparing for a healthy family.
What is a Pregnancy Program?
A pregnancy program (promil) is a series of efforts to prepare the body for pregnancy. Promil is not only beneficial for couples experiencing fertility problems, but also for couples who want to increase their chances of a healthy pregnancy.
Preparing for pregnancy usually includes a reproductive health check, evaluation of certain medical conditions, lifestyle changes, and fulfilling essential nutritional needs such as folic acid, which is recommended for consumption before pregnancy.
Why is a Premarital Checkup Important?
Many fertility problems don't cause symptoms. Some couples only discover they have a problem after trying to conceive for a long time.
Through premarital examinations, doctors can help detect various conditions that can affect fertility and pregnancy, such as ovulation disorders, ovarian cysts, fibroids, endometriosis, hormonal disorders, sexually transmitted infections, and chronic diseases such as diabetes, hypertension, or thyroid disorders.
Early examination provides the opportunity for earlier treatment so that the chances of having a healthy pregnancy can increase.
Examinations Generally Performed Before a Pregnancy Program
Each couple has different health conditions, so the type of examination will be tailored to their individual needs. However, some common tests performed before trying to conceive include:
- Interview regarding personal and family health history.
- Physical examination and measurement of body mass index (BMI).
- Ultrasound of the reproductive organs to assess the condition of the uterus and ovaries.
- Laboratory tests, such as hemoglobin levels, blood sugar, and thyroid function.
- Evaluation of the menstrual cycle and factors that influence fertility.
- Examination for certain infections as medically indicated.
- Health checks for the prospective father if necessary, considering that male factors can also affect fertility.
Preparation for a Healthier Pregnancy
In addition to medical examinations, couples are also encouraged to adopt a healthy lifestyle. Some simple steps you can take include:
- Maintain ideal body weight.
- Eat a balanced nutritious diet.
- Consume folic acid as recommended by your doctor.
- Exercise regularly.
- Avoid smoking and alcohol.
- Manage stress well.
- Ensure you get enough sleep every day.
- Controlling existing chronic diseases.
These steps can help increase the chances of pregnancy while reducing the risk of complications during pregnancy.
Prepare a Pregnancy Plan with an Obgyn
Planning a pregnancy before marriage is a crucial investment in your family's future health. If you and your partner are preparing for marriage or want to have children soon, don't delay consulting an ob-gyn. With proper preparation, your chances of a healthy, safe, and smooth pregnancy will be much greater.
Article written by Dr. Handojo Tjandra, MD., MMed O&G (M'Sia)., Sp.OG (Obstetrics and Gynecology Specialist, EMC Alam Sutera Hospital).