Pap tests
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These are recommended every two years, unless your doctor advises more frequent tests. You may prefer to have this done before you are pregnant, or you may be offered a test in early pregnancy.
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Breast checks
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It is recommended that all women examine their breasts monthly and have an annual breast examination carried out by their doctor.
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Sexually transmitted infections (STIs) and blood borne viruses
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Ideally STIs should be treated before pregnancy. If you have any concerns about STIs you should discuss them with your doctor.
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Dental checks
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A dental check before pregnancy is a good idea because X-rays are not recommended for pregnant women.
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Medical conditions
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Any existing medical conditions that you have should be discussed with your doctor before pregnancy. Some conditions that may affect pregnancy are high blood pressure, asthma, diabetes, epilepsy, anaemia, kidney problems, heart or liver disease. You may wish to consider physiotherapy, seeing a chiropractor or osteopathy, if you have a back injury or condition that may affect your pregnancy or the birth of the baby.
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Gynaecological conditions
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Some gynaecological conditions may affect conception or cause concern during pregnancy. If you have fibroids, polycystic ovarian syndrome, pelvic inflammatory disease, endometriosis, have had any cervical or uterine surgery or more than three previous miscarriages, discuss this with your doctor.
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Rubella
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Rubella, also known as German Measles, is normally a mild viral disease that sometimes produces no symptoms at all. However, infection during the first 20 weeks of pregnancy can result in severe abnormalities in the unborn baby. In a small percentage of women, immunity to rubella is not life long, so having a rubella blood test before becoming pregnant is advisable. If further immunisation is required, you should delay pregnancy for three months or until a follow-up blood test has been taken to ensure the vaccine has provided you with protection.
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Chickenpox
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Chickenpox in very early pregnancy or near delivery can cause infection in the baby, miscarriage or possible abnormalities. As the infection is common in childhood, your parents or health records may be able to confirm if you have contracted this condition.
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A blood test can also check your immunity. A vaccination is now available, but pregnancy should be avoided for three months after the immunisation.
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Stress
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Pregnancy and childbirth can be a very stressful time. Past experiences may affect your desire to get pregnant or your feelings about pregnancy. If you are feeling overwhelmed, anxious or in need of assistance, talking with your doctor, midwife, or a counsellor or psychiatrist may be helpful. Life Line, Care Ring, Parentline or the Maternal and Child Health Line may also be of assistance.
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Further information and contacts
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Life Line
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Tel: 13 11 14 (24-hours)
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Web: http://www.lifeline.org.au/
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Care Ring
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Tel: 13 61 69 (24 hours)
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Parentline
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Tel: 1300 03 1300
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Web: http://www.parentline.com.au
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Maternal & Child Health Line (24 hours)
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Tel: 13 22 29
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Disclaimer
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The Royal Women’s Hospital does not accept any liability to any person for the information or advice (or use of such information or advice) which is provided in this fact sheet or incorporated into it by reference. We provide this information on the understanding that all persons accessing it take responsibility for assessing its relevance and accuracy. Women are encouraged to discuss their health needs with a health practitioner. If you have concerns about your health, you should seek advice from your health care provider or if you require urgent care you should go to the nearest Emergency Dept.
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Last updated Jan 2008
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