Before you get pregnant, there are certain things you have to do to reduce the risks that may come with pregnancy. You will, first, need to stabilise you pre-pregnancy diseases to optimises your condition before embarking on the journey.
Your doctor will usually take a full history of your medical problems and do a relevant physical examination – they may also run other necessary tests. They will keep check of your medication and pre-pregancy diseases and their nature, should you have any.
During pregnancy, the normal physiology in a woman changes to adapt. This would affect the diseases through hormonal changes and may affect the medication that you are taking. In most cases, a pregnant woman’s blood volume may increase by 50%, so the medication may also have to be increased accordingly, based on the increasing gestation of the pregnancy.
The medications that you are taking may also affect your pregnancy and your unborn foetus. Hence, the medications should be able to manage the diseases and be safe to mother and foetus.
It is therefore important you see all the necessary doctors regularly after you become pregnant to keep the diseases under control. In most government hospitals, they have a combined clinic where a medical specialist will be seated with an obstetric specialist or a maternal fetal medicine specialist.
Ultimately all doctors try to provide the best care for their patients via discussions among themselves and with the patient for the best outcomes.
This article is contributed by consultant obstetrician and gynaecologist, maternal fetal medicine Datuk Dr H. Krishna Kumar.
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