St. David's HealthCare

St. David's HealthCare is one of the largest health systems in Texas and Austin's third-
largest private employer, with more than 60 sites throughout Central Texas, including
seven hospitals, four urgent care centers, four ambulatory surgery centers, and two
freestanding emergency departments, with a third set to open in Bastrop this summer.

St. David's HealthCare has a long history of serving the residents of Central Texas
with exceptional medical care. Our 7,500 employees touch over 858,000 lives each
year with a spirit of warmth, friendliness and personal pride.

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Preconception Care—An Essential First Step

Wednesday, February 09, 2011

michelI am so happy when a patient takes the initiative to come in for a preconception visit. Preconception care allows me to identify individual risk factors that may impact your future pregnancy, and it allows you to possibly change these risk factors. Together, we can optimize your chance of having a healthy pregnancy.

Here are some major issues that are discussed at a preconception visit:

Medical History
We will review your past and present medical problems and how these may affect your pregnancy. It is helpful to bring a list of your current medications (including herbal supplements.) We will also review past pregnancies and infections.

Potentially Harmful Exposures
It is important to avoid tobacco, alcohol and illicit drug use before and during pregnancy. I will ask about these and other potentially harmful exposures.

Family History
You should be aware of medical problems in your family. Ask your husband about genetic issues in his family. Couples in high risk groups may be referred to a genetic specialist for screening.

Immunizations
Certain infections may cause serious risks during pregnancy. It is important to be current on your immunizations before pregnancy. A blood test is usually ordered to check your rubella status, and if you have not had the chicken pox virus this may be checked as well.

Vitamins
Folic acid supplementation can help prevent serious birth defects. This is why all women of child bearing age should take at least 400 mcg of folic acid daily. You may choose to take folic acid by itself or as a prenatal vitamin.

If you are considering pregnancy, then meet with an obstetrician. This may be part of your annual exam or its own separate visit. This commitment to your health is an essential first step to having a healthy baby.

Stephanie Michel, M.D.

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