Pre-pregnancy counseling is necessary for all women, but it is obligatory for a group such as: • Women who use contraceptive methods should know the appropriate time interval between stopping the method and pregnancy. • Mothers under 18 years old or over 35 years old. • In families with a history of hereditary and family diseases or in family marriages, genetic counseling is necessary before pregnancy. to follow • A history of frequent abortions, stillbirths, and abnormal births are necessary factors for pre-pregnancy counseling.

• In the case of chronic underlying diseases and subsequent continuous use of special drugs, the mother must be aware of the risks and complications of her diseases, how to manage pregnancy and control the disease during pregnancy. The most important of these diseases are the following: Kidney and liver failure, diabetes, chronic cardiovascular diseases, coagulation disorders, epilepsy, etc. **What matters are discussed in the pre-pregnancy consultation?** The need to treat maternal diseases and problems before pregnancy With pre-pregnancy counseling, things like blood pressure, diabetes or genetic diseases are diagnosed and necessary measures are taken in this field. If the mother is overweight, weight loss is recommended. Also, diseases such as malnutrition, anemia, genital tract and urinary tract infections should be treated before pregnancy.

Because if the mother goes to the doctor after pregnancy to treat her problem, due to the restrictions created and also the possibility of drug side effects in the fetus, it is not possible to give her sufficient and complete treatment.

Folic acid prescription is necessary to prevent neurological diseases of the fetus, treatment of anemia and genital tract infections before pregnancy.

Folic acid consumption During pregnancy, it prevents neurological diseases in the fetus. Taking this drug two to three months before pregnancy leads to a reduction in the birth of abnormal fetuses. **What is the purpose of prenatal care?** The purpose of these cares: Feasibility of having a healthy pregnancy Create a risk-free pregnancy Maintaining and ensuring the health of mother and fetus Reduction of maternal and fetal mortality Reduction of postpartum diseases in mothers Reducing the birth of children with certain diseases and… #### Dr. Siddiqa Akhan Tabib **Surgeon and specialist in gynecology, childbirth and infertility** **Office:** Valiasr Street, below Vali Asr Square, Voldi Street, No. 21, 1st floor **Telephone for appointment:** 021-88938793