Planning the birth of a child does not begin when you are already trying to become pregnant, but when you start thinking about the future and start caring for your body, preparing it for pregnancy. It is necessary to know that this care before and during pregnancy will help not only your children, but also children of your children. Therefore, you need: (1) A thorough medical examination. You and your husband should go to a therapist or family doctor. The examination will help to identify problems that need to be addressed in advance so that they do not appear during pregnancy. It is necessary to think about medical problems that you have hitherto postponed: vaccinations and planned small surgeries. Before the onset of pregnancy, if necessary, visit the dentist, prosthetist, therapist. (2) The choice of the doctor and the examination in connection with the planned pregnancy. It is more desirable to choose a doctor in advance, without haste, t. Not when the need for a first follow-up examination during pregnancy already arose. You should contact a gynecologist or family doctor whose opinion you respect and appreciate. He examines you about the potential risk that may appear in the planned pregnancy. In case the clinical examination assumes such a risk, then during pregnancy you need the care of an obstetrician. (3) Solution of gynecological problems Before the onset of pregnancy, it is necessary to examine and cure abnormalities that could interfere with pregnancy: polyps, cysts, tumors, hyperfunction or hypothyroidism of the thyroid gland, en-dometriosis, recurrent inflammation of the urinary tract. If you find out or suspect that your mother was taking dietylstilbestrol (DES), when she was pregnant with you, tell the doctor. He should, with the help of the colposcopy, carefully examine your genitals. Colposcopy allows you to make a visual assessment of the vagina and cervix. You should tell the doctor about pregnancy problems that you had before: miscarriage, abortion or premature birth. The doctor should indicate to you the measures that should be taken to prevent the recurrence of cases. You should do tests for syphilis, gonorrhea, chlamydia and whey, for HIV (the virus that causes AIDS) even if you are sure that you can not have these diseases. (4) Solving other medical problems. Before pregnancy, the following medical examinations are required: determination of hemoglobin and hematocrit (to confirm anemia); Rh (to find out which Rh factor you have: positive or negative); Urine (to detect the presence of protein or sugar); A skin test for tuberculosis (if you live in a high-risk area); Nbs (if you are a high-risk group, such as sanitation workers); The presence of antibodies against cytomegalovirus. It is also recommended to conduct an immunological examination for toxoplasmosis, if you have a cat or you regularly eat raw or half-baked meat, or drink unpasteurized milk. If it turns out that you do not have antibodies, then immediately start taking precautionary measures. (5) Watching your cycle. If you make intercourse during the prolific part of the cycle, then your chance to get pregnant will come when you want. It will be easier for you to establish an approximate date of delivery if you know exactly when you became pregnant. Record the first day of each menstruation in the desktop calendar or diary, also try to notice when you are having ovulation. Ovulation, in general, occurs in the middle of the cycle (for example, on the 14th day of the 28-day cycle), but it is more difficult to foresee in women with irregular cycles. In some women, the signs of ovulation are easy to see, others are elusive (your body's core temperature, measured every morning, reaches the lowest point per month, and then sharply increases, the mucus in the neck is clean, gelatinous and can be stretched into a thread, usually colored in Pink color, the neck is blue, you can feel short-term back pain in the middle of the cycle). The doctor can recommend you a home kit for determining ovulation if ovulation is irregular or if you have a pregnancy problem. (6) Inoculations. It is necessary to urgently do an anti-tetanus vaccination, if you have not done it for the last ten years. If you did not get rubella, then you need to get vaccinated, and then wait three months before trying to get pregnant. But do not panic if you accidentally become pregnant earlier, since any risk is a purely theoretical risk. (7) Consultation with a geneticist. If you or a family member have a genetic disorder (eg, cystic fibrosis, Down's complex, muscular dysfunction, fenilocetonuria, spina bifida and Other defects), then consult a geneticist or specialist in the field of maternal and fetal medicine. Earlier obstetric problems - such as two miscarriages, abortions, the birth of a dead fetus, long infertility or a lack of development in a previous pregnancy, a marriage with a cousin or with a close relative - may also be the reason to seek advice on genetics. You should also be examined for genetic diseases frequent in your genetic group. (8) Assessment of the method of preventing pregnancy. Change the birth control method before trying to become pregnant, if it is some kind of risk (although small) for a future pregnancy. To allow your generative system to perform at least two spontaneous cycles before you attempt to conceive a child, abolish the birth control pills a few months before fertilization. For maximum safety, it will be best to give up sperm-producing substances for a period of months to six weeks, until you want to get pregnant. A remedy that can be used temporarily is a condom (used with caution and without sperm and substance suppressants). (9) Disease Control. You must get a confirmation from your doctor that your condition is under control. If you are sick with diabetes, asthma or some other long illness, you will get a doctor's consent for pregnancy. If, as a child, you were sick with phenylketone-riya, then start to apply a diet without phenylalanine before getting pregnant and continue it during pregnancy. (10) Improving your diet. It is advisable to "join" a pregnancy with a normal body weight, try to achieve this before attempting to fertilize. To do this, you must exclude from your diet salty meats and refined sugar. Include in your diet whole grains and fibrin. However, the reduction in body weight should be achieved reasonably, even if this requires the transfer of fertilization to the next few months. This must be done so that your body will return to equilibrium after a destructive diet before you try to get pregnant. If you suffer or have an appetite disorder - such as food aversion or wolfish hunger, if you have any unusual dietary habits: the desire for starch or chalk, if you are on a special diet: vegetable, diabetic or any other, inform about To your doctor. (11) Improving your husband's diet. The diet of your husband should be a reflection of your diet during pregnancy with the addition of calories according to his body weight and activity. If he is diabetic, he needs to control the blood sugar level. Remember, the better the nutrition of your husband, the healthier his sperm. (12) Additional intake of vitamins and mineral salts. Additional consumption of vitamins, among which is folic acid, before pregnancy and in the first months of pregnancy reduces the risk of a child with a neural tube defect (spina bifida). In addition, your child will receive the necessary vitamins and mineral salts from the first days of his development. But excess can be risky. Therefore, if you are taking any other nutritional supplements, discard them before fertilization. (13) Exercise. The exercise program will prepare your body for carrying and giving birth to a child. The necessary exercises will increase the tension and stretching of the muscles. This will also help you lose excess weight. If you are trying to get pregnant, you need to know that overheating during exercise is undesirable. This can lead to a potentially harmful increase in body temperature. Therefore, you should also avoid hot tubs and the use of electric cushions and blankets. You must remember that excessive exercise can harm ovulation, without which you can not become pregnant. (14) Protection from radiation. Avoid unnecessarily exposing yourself to radiation. But if you need the use of X-rays, make sure that your genitals are protected and that the most minimal doses are applied. (15) Protection from hazardous chemicals. Many chemicals, however only in very large doses, are potentially dangerous to your husband's sperm and your egg before fertilization, and later to the developing embryo, embryo, fetus. Special care should be taken by women and men working in medicine and dentistry, artistic photography, transport, construction, agriculture, dry-cleaning, hairdressing and cosmetology, and of course in some shops of factories and factories. In the most extreme cases, it may be prudent to make a decision to change work or take precautions before attempting to become pregnant. The occurrence of problems in your child may be caused by an increase in the level of lead in pregnancy. If the level of lead in your blood is high, then before conception, experts recommend chelation therapy to remove lead from the blood. It is necessary to avoid poisoning by chemicals and in the household. (16) Restriction of caffeine consumption. You must give up coffee, tea and cola or limit their intake, as it is known that a woman who drinks more than one cup of coffee, tea or soft drinks containing caffeine daily is less likely to become pregnant. This is due to the biological effect of caffeine on the body and the fact that frequent consumption of caffeine is the cause of stress, which can reduce the probability of pregnancy. (17) Restriction of Drug Use. You should consult your doctor about taking medication, even though most over-the-counter medicines have a warning regarding their use in pregnancy. Check the safety of any medications prescribed to you. Some, used in the treatment of protracted diseases and disorders, can cause the developmental defects in a future child. Refuse to take harmful drugs for at least a month (sometimes it takes from three to six months) before attempting to conceive a child. It is necessary to use safe substitution therapy as treatment, until the end of pregnancy, and also during lactation. (18) Waiver of prohibited medicines. You need to abandon illegal drugs. Exclude relaxing medications containing caffeine, marijuana and heroin, since they are potentially harmful to your fetus. In addition, these drugs increase the risk of miscarriage, prematurity and fetal death. (19) Exclusion of drugs. If you take drugs from time to time or regularly, stop doing it immediately.. If you are not able to, then seek help before you start trying to get pregnant. 'Your husband must give up drugs and limit alcohol consumption. Studies show that father use of drugs (like excessive alcohol consumption) before attempting to conceive can prevent pregnancy or lead to its unfavorable ending, since drugs, getting into the sperm, damage it, change the activity of the testicles and lower testosterone levels. If your husband is not able to do away with the use of drugs and alcohol, let him turn to specialists for anonymous outpatient or inpatient treatment. (20) Refusal to drink alcohol and smoking. When you want to try to conceive a child, stop using alcoholic beverages in general. You and your husband should quit smoking. Recent research has shown that tobacco limits the fertility of both men and women. It is dangerous for pregnancy. One of the best birthday gifts for your child is a smoke-free environment. (21) Balancing and peace. You need to "discharge", bring your spirit to balance and peace. This may be the most important of all that is said to prepare for the conception of a child. If you are tense and maximally excited by the thought of conception, you may have serious difficulties with the occurrence of pregnancy.

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