a few ?? about preconception visits

iVillage Member
Registered: 02-28-2008
a few ?? about preconception visits
8
Fri, 01-09-2009 - 1:21pm

hi ladies! i was wondering if you could let me know what i should expect to be done during a preconception visit. i hope to have one after one more cycle off BC and just wanted to know what to expect.


are there any procedures that will be done?


could i also make it my normal yearly checkup all in one?


will anything painful happen? (i'm a wuss :)


are there

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iVillage Member
Registered: 08-01-2008
Fri, 01-09-2009 - 1:33pm

I went to mine yesterday :)


are there any procedures that will be done?


Breast exam and pap culture


could i also make it my normal yearly checkup all in one?


Yes, mine was similar to my yearly well woman exam, with more talking to the doctor rather than come it-- and back out of the office


will anything painful happen? (i'm a wuss :)


no, at least not at mine


are there


iVillage Member
Registered: 09-29-2006
Fri, 01-09-2009 - 8:34pm

Hey there,

I went to my preconception visit with a tonne of questions! I had looked at some "guideline questions" from Before Your Pregnancy and Mother of all Pregnancy Books, and then I just had some of my own. I looked up my list, and here were the topics I asked about:
1) Current medication that I am taking
2) Concerns about my current weight (I am overweight)
3) Level of exercise exertion that is safe/healthy during TTC and pregnancy
4) Nutritional supplements (such as iron and Omega 3)
5) Foods to avoid and when to start avoiding them
5) Safety of over the counter drugs (such as pain relievers) during TTC and pregnancy
6) Safety of massage and chiropractic treatment during TTC and pregnancy
7) Vaccinations and medication needed for my upcoming trip to Africa
8) Concerns that I sometimes get asymptomatic UTIs
9) Toximoplsmosis immunity tests
10) Concerns about very light periods on BCPs
11) Steps to take when I got my BFP
12) What kind of prenatals to take

I did not need to have a pap smear, as I had had my regular annual exam about 6 months before. He did order blood and urine tests and an ultrasound to ensure that my ovaries and uterus looked the way they were supposed to. I will get the results at an appt next week!

Basically, as the PP said, definitely don't be worried about it being painful or anything. It's basically like your annual exam plus a chance to ask all your TTC and pregnancy related questions. And your doc may order some tests just to make sure everything looks the way it should. Honestly, the most painful thing for me was not being able to pee prior to the ultrasound!

HTH:).

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iVillage Member
Registered: 02-28-2008
Mon, 01-12-2009 - 9:38am

thanks for the information, that's a great list. i am also concerned about lifting things. i'm not sure if it's something you shouldn't do at all or only until later into the pregnancy. i ask because i am the only employee for an older lady and am also a photographer. so when i have to set up for shoots, sometimes i'm carrying a good bit on myself. but mostly in the photo lab, my boss can sometimes treat me like a pack mule because i am young and she is in bad health (although she'd never admit it) and therefore cannot even walk swiftly from one end of the building to the other without being short of breath. so i am always the one lifting, pulling, moving, packing etc. so when i'm pregnant, i don't know what she'll do because i'm not putting my baby in danger.


also, does the doctor only prick your finger or will he draw blood from your arm? i'm afraid of needles and blood and have never had it drawn before. so that scares the bejeesus out of me!


thanks again for any info on this :)

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iVillage Member
Registered: 08-04-2003
Mon, 01-12-2009 - 3:50pm

When XH and I TTCed for DS I had my preconception visit the same time as my yearly exam. It was pretty much the same as my yearly exam except we talked more about how long it might take to TTC, the best times to TTC, about charting, etc.

XH wasn't expected to come to any DR visit (by my DR) expcet for the 2nd visit (1st was blood test visit to confirm pregnancy) and that was more for family history, etc. If any of my genetic tests came back that would of indicated that he needed to be tested then he would have went in for those.

As far as lifting, etc... don't stress. Most PG women don't have any serious restrictions on what they can lift... especially in the early months. These types of restrictions (along with diet and exercise) will be discussed by you and your DR depending on how your pregnancy progresses and what IF ANY complications you might face.

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iVillage Member
Registered: 09-29-2006
Mon, 01-12-2009 - 4:00pm

It sounds like a good idea to ask about the lifting so that you will know your limitations when you become pregnant.

For any sort of blood test, they draw it from a needle in your arm (usually around the inside of your elbow). Normally, your doc will send you to a lab (hopefully in the same building) that can draw the blood. It honestly doesn't hurt much - just like a little poke when they put the needle in and then some pressure as the blood is drawn. It only takes a minute and you can look away while they're doing it:).

I know it might sound scary if you've never done it before, but it's really not! And, remember, once you are pregnant, they will need to take blood tests to confirm your pregnancy and a couple times during - so this will just get you used to the process:).

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iVillage Member
Registered: 02-28-2008
Mon, 01-12-2009 - 4:05pm

lord have mercy i think i almost passed out reading about it.


i am such a wuss. when i was a volunteer at a hospital when i was in high school, the first time i took someone to get lab work done, the tech started putting in the needle in the man's arm and i nearly fell over. i don't know what happened to me, but from then on the tech made me wait in the hall :)


but to have a baby, i will do what i have to. lord help me.

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iVillage Member
Registered: 04-21-2004
Mon, 01-12-2009 - 6:27pm

You'll see this in my charting post, but I had "partial" pre-conception visit. I mentioned as part of the visit I'm charting. She assumed we were getting ready to TTC, but I said it's about a year away.

Anyhow, since the Dr took blood for another reason, she ordered that the usual conception tests done in Australia - Blood type and Rh status, rubella plus chicken pox immunity, be done at the same time. Mine ran the full blood-borne STI gammat as well - HIV plus HEP B & C. The tech that drew the blood said 'congratulations! is this your first?' Ummmm, no. Not Pregnant.

Remember - what usually hurts with needles is the stuff they're putting in. Since they're taking out, there's nothing going in. My step-mum used to be a tech, and explained this to kids.

Another trick - keep talking to the tech. I also recite my times tables!! I was never very good at them, so even now I have to actively think about the answer. It keeps me distracted. I've actually done this since I was a kid for both draws and innoculations, and many techs have thought it was a brilliant idea.

Siggy

iVillage Member
Registered: 09-29-2006
Tue, 01-13-2009 - 6:29pm
Ashley - I'm sorry if I freaked you out anymore! But just try to remember always that you are doing this for your future baby:). And I hope that you can get used to it - it is honestly not painful.
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