Let's prepare for pregnancy! -10 weeks before 要不要开始备孕？

shutterstock_354360209 (1).jpg

A 30 year old obstetrician husband and a 33 year old wife.

The story is Faction (fact + fiction)
Most of the story is based off an obstetrics textbook.
Medical information constantly changes, so just take it as an advice and make final decisions with your doctor. 
Each mother needs personal treatment.
I hope this information can be helpful for you. 

33岁的妻子和30岁的妇产科医生丈夫
这是根据在产妇经验的“fact”上加“fiction”元素的“faction”，以妇产科课程为主要内容。
医学知识并不是一成不变的，同时，每个产妇都需要寻找适合自己的医护方法。
此篇文章仅供参考，最终还需与医生确认之后，遵循医嘱一起进行。
希望这篇文章能给您带来一些帮助。

가로줄.jpg

I was trying to sleep as usual when my wife started to talk to me.
"Darling, isn't it about time we have a baby? I think we should try from now on... What do we have to prepare?"
Since I put too much attention on my patients in the morning, I turned my back on her and said
" We should sleep. That's how babies are made. Let's have a baby. Then we should go to see an obstetrician..."

....
....

After a moment of silence my wife said

"I don't know why I married an obstetrician.."
"Okay... Alright... I'm sorry..."

'妻子跟平时一样躺在我旁边，然后她突然对我说：“老公，我们是不是要开始备孕了？我觉得我们到要准备的时候了。我们该做些什么呀？”
因为白天认真工作，太累的我无意中敷衍说：
“嗯，先要有性生活呗，有了性生活才能有孩子，然后再去看妇产科。
……
……
妻子打破了安静
“我白跟妇产科医生结婚了”
“对不起对不起，我错了。”

The most important thing about preparing for pregnancy is the will of the couple. Loss of employment, social conditions, motherhood leading to career breaks. Support of other family members that can take care of the baby instead of the mother is needed while making the decision. An after plan is important for couples who are planning pregnancy.

Since most women in their early 30s don't have special conditions, they normally don't head to the ob/gyn when they become pregnant. Lots of women realize that they are pregnant after one or two weeks, after they skipped their period.

지피지기면 백전불태 (Jipi-Jigi-Myun Baek-Jeon-Bull-Tae) : A Korean saying ‘if you know your enemy and yourself, you will have a 100% chance of winning.'

It's better to know the state of health of both the male and female before preparing pregnancy. If you tell this kind of information at the hospital, you will be able to receive adequate treatment.

准备怀孕的过程中，最重要的是夫妻的决心。
现在人们的就业年龄和结婚年龄越来越大，社会竞争又非常激烈。在这种情况下，我们认为对备孕的夫妻来说最重要的，是想好生完孩子之后要怎么做，比如是找家人帮忙照顾孩子？还是找机构？等等类似问题。
因此我们想为鼓起勇气准备要孩子的夫妻，提供几个医学建议，希望能给读者们带来一些帮助。大部分30岁出头的女性身体相对比较健康，所以主动去医院检查的人不多，很多女性都是发现月经没来才知道自己怀孕了的。
知己知彼百战不殆
在准备怀孕之前，我们推荐你们抽出一些时间，先了解下彼此的身体状况，然后把这些情况都告诉医生，就能找到更适合自己的医护方案。

Things you should know before pregnancy 需要了解的身体情况包括

How old are you and your husband? 您和另一半年龄分别是多大？
How many kids are you planning to have? 您和另一半打算要几个孩子？
Which symptoms do you or your husband have and what kind of medicine are you two taking?- High blood pressure, diabetes, seizure... 您和另一半是否有疾病史，目前有在吃药吗？（如：高血压、糖尿病、痉挛等）
Are both of you non-smokers? 您和另一半有喝酒或吸烟习惯吗？
Are both of you free from any kind of genetic disorders?- phenylketonuria, NTD, Thalassemia 您和另一半是否有家族遗传病？（如：苯丙酮尿症、神经管缺陷（NTD）、海洋性贫血症（Thalassemia）等）
Have you recently visited a country prevalent of Zika virus? 您和另一半最近是否去过寨卡病毒流行的地区？

Maldives, the Philippines, Singapore, Thailand, Vietnam, Fiji and many other countries-https://wwwnc.cdc.gov/travel/page/zika-information Use this website for information of countries prevalent of Zika virus.

在疾病管理总部(http://www.cdc.go.kr)了解一下病毒传播国家的情况

The risk of down's syndrome of an infant gets higher after the age of 35, and the mother's risk of complications of pregnancy increases also. Though the male age doesn't highly affect deformity, the risk of chromosome disorder can increase depending on the age. It can help if you plan how many babies you will have and when you will have them.

以35岁年龄的女性为基准，孩子患康氏综合征的几率大幅增长，产妇的年龄越大，孕期并发症的发病可能性就越高。相比之下，丈夫的年龄不会给孩子带来很大的影响。但丈夫的年龄越大，患染色体病的概率有可能会增加。所以准备怀孕之前，要先考虑好“准备要几个孩子“、“要什么时候怀孕”等问题。

It's important to know your physical state for hypertension and diabetes before pregnancy are related to pregnancy induced hypertension,preeclamsia and preterm birth. It's also a crucial matter to talk to a doctor if you're taking meds for convulsion. These meds can result in anomaly, so it's better if you know beforehand.

备孕妈妈是否有高血压或者有无糖尿病是跟孕期高血压、妊娠中毒症、早产直接相关的，所以一定要提前了解。另外有些药物可能会对孩子产生不好的影响，所以如果你正在服药，请你告知医生并询问是否还能继续服药。

It's important to check the family history of you and your husband before pregnancy. If you two do have a history, there is a need to consult with an obstetrician, and if it's a serious genetic disease, it would be necessary to go through a prenatal genetic screening test.

确认自己和另一半的家族遗传病史也非常重要。如果有家族遗传病史，则需要向医生咨询；如果是严重疾病史，则需要进行羊水检查、基因检测等。

Lastly, I would like to mention the Zika virus. Getting infected by the Zika virus (which became prevalent from 2016), can result in microcephaly. Therefore it's recommended to postpone the pregnancy for 6 months, if you have visited a country that's prevalent of the Zika virus.

最后，我们想说一下寨卡病毒的问题。如果被2016年流行的寨卡病毒感染的话，可能会导致新生儿的小头畸形，所以在这样的情况下，如果你去到过这类国家，医生会推荐你们先观察一段时间，如果6个月后没有问题再做怀孕准备。

After gathering information, I recommend going to see an obstetrician. Not because you are sick but for healthier pregnancy.

好好了解彼此的身体情况之后，建议去看妇产科医生，这并不是为了治疗，而是为了更健康更安心地怀孕。

If you visit a maternity clinic before pregnancy, it varies on which hospital you go but you will go through various examinations. It's possible to go through examinations during early pregnancy, and you could go through some examinations in health centres too.

如果你想去妇产科做产前检查，每个医院的流程都不一样，会需要做各种各样的检查。这些检查怀孕初期也能做，部分检查在附近的保健所就可以做。

Height, Weight, blood pressure 身高、体重、血压测量
Complete blood cell count (renal function test, liver function test, ABO typing, rubella test, tests for hepatitis (antigen, antibody), tests for syphilis, tests for AIDS) 血液测量（血液检查、新技能检查、肝功检查、血型检查、风疹检查、肝炎检查（抗原、抗体）、梅毒检查、艾滋病检查等）
Urinalysis 尿液检验
Cervical cancer screening test 宫颈癌检查
Ultrasonography 超声波检查

That's the end of the post and I hope you would go to see the gynaecologist before pregnancy and be a wise mother-to-be.

我们希望你能及时去妇产科做检查，做一个准备更健康地怀孕的聪明的“预备妈妈”。好了，今天的文章就讲到这里，谢谢大家

I'll make constant efforts to write fun and helpful posts.
I'm @forhappywomen, and I hope every woman in the world would be happy and healthy.

我们一直在努力写更多更有益的内容，希望每篇文章都能对您有所帮助。
——希望每位女性都过得幸福而健康的@forhappywomen。

Neural tube defect
It happens to 0.9 babies in 1000, and it's the second most common structural deformity after congenital malformation of the heart. As well as congenital malformation of the heart, a certain type of NTD is known for it being related to mutation. To prevent this, it was recommended by the US. Preventive Services Task Force in 2009 to take 400 to 800ug of folic acid everyday.

神经管畸形（Neural tube defect）
神经管畸形是发病率续心畸形之后排在第二位的结构性畸形，1000人中0.9人发病。跟先天性心脏畸形一样，有的NTD是跟特定的变异有直接关系。为了预防这个病，
2009年，US.Preventibe Services Task Force劝告产妇怀孕之前开始每天服400-800ug的叶酸。

Folic acid
Fruits are rich of folic acid, and vitamin B9 helps the growth of the fetus’s blood vessel and nerve development.

叶酸（Folic acid）
叶酸也叫维生素B9，是一种水溶性维生素的一种，绿叶蔬菜和水果中含量比较多，对胎儿的血管和神经发育很重要

Zika virus
It is spread through mosquitos. In 2014, the Zika virus spread across the pacific ocean to Polynesia (the French territory), then the Easter Islands. In 2015 it spread over Central America to the Caribbean Sea. The Zika virus which occurred in South America became a prevalent disease. Nowadays , doctors consider the Zika virus to be related to the microcephaly of infants which were born by infected mothers.

寨卡病毒（zika virus)
丛林蚊子传播寨卡病毒，2014年，塞卡病毒经过太平洋传到法属玻利尼西亚与复活节岛，2015年传到中美洲、加勒比海，从南美洲发生的塞卡病毒的成为了不可忽视的大流行病。到现在，能看产妇的寨卡病毒的发病导致胎儿的小头畸形。

BMI
Body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women, Weight(kg)/(height x height(m)) ( The obesity number is 25 or higher, the overweight number is 23 or higher)

身体质量指数（BMI指数）
是用体重公斤数除以身高米数平方得出的数字，体重（kg）/（个子*个子（m））（数据超过25的话，是肥胖，超过23的话，是超重）。

I am writing refering to the following books.

以妇产科课本为主要内容

References>

1.Berek &Novak's Gynecology. 15th edition.
2.Clinical Gynecologic Endocrinology and Infertility 8th Edition.
3.Williams Obstetrics. 24th Edition

Translated by Team Harmony 翻译 : Team Harmony

투명배경.png

의사들이 직접 쓰는 최초의 STEEM 의학 매거진 The first STEEM medical magazine written by doctors

https://mediteam.us-바로보기