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Smoking, vaccinations, drugs and alcohol during pregnancy
Smoking
Read the label on a pack of cigarettes. It offers a succinct warning about the risks to the unborn child from exposure to smoke. We know smoking has been associated with a diminished capacity to get pregnant. In addition, smoking during pregnancy is associated with premature birth and smaller babies. Children of smokers tend to have more lung conditions (including asthma) than those of non-smokers.
I plead with my smokers to quit "cold turkey" before pregnancy. If they haven’t stopped, I strongly encourage that they stop or smoke as little as possible. The use of nicotine gum, patches and medication is not recommended during pregnancy.
Vaccinations
Have you been re-vaccinated for the measles? For many women born after 1956 and before 1980, the answer is no. The vaccine you received as part of your childhood immunizations is wearing off! I advise my patients to get the vaccine in advance of getting pregnant. The only downside is that you must wait three months to get pregnant after vaccinating because it contains a weakened strain of measles which could cause problems for a baby. In addition, I check with patients about chicken pox and tetanus. If you haven’t had chicken pox, you may be a candidate for this vaccine. If you receive the vaccine, you should wait one to three months prior to conceiving. The tetanus shot should be administered every ten years. It can be given without any waiting period. It can also be given if necessary during pregnancy (e.g. if your skin gets cut with a rusty metal object).
Drugs and Alcohol
Illicit drugs should never be used during pregnancy. They can have major impacts upon an unborn child. Alcohol can also be very harmful during pregnancy. In advance of conceiving, mild (1-2 drinks per day) alcohol consumption is permissible. Those who abuse alcohol may have a harder time getting pregnant because of its effect on their general health.
About the author: By: Craig L. Bissinger, MD, FACOG
http://www.pregnancy.org
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