Pre-Pregnancy Planning

Preparing for the journey of motherhood is a deeply personal and significant step in a woman's life. As your obstetrician, I am here to guide you through the process.

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I encourage you to schedule a visit as you plan for pregnancy. This personal step ensures that you are well-prepared and in the best possible health when you conceive.

A woman’s health prior to conception is important to the outcome of her pregnancy and may have a lifelong impact on her child’s health. There is a lot that women can do prior to pregnancy to optimise their health including lifestyle changes such as a healthy diet and appropriate supplementation.

When I see a woman (or couple) prior to pregnancy, a thorough history is taken.

Medical history

An assessment of any medical problems and a discussion of how they may affect, or be affected by, a pregnancy should be undertaken.

Stabilisation of pre-existing medical conditions and assessment of mental health status prior to a pregnancy is necessary to optimise pregnancy outcomes.


Reproductive carrier screening

All women and couples planning pregnancy should be offered reproductive carrier screening. If there is an increased risk of a heritable disorder, based on the family history or ethnic background, then pre-pregnancy genetic counselling should be offered to assist in determining the couple’s risk of an affected child and to provide information about options for carrier screening, preimplantation genetic diagnosis, prenatal diagnosis and postnatal management.


Vaccinations

Vaccination history for covid, measles, mumps, rubella, varicella zoster, diphtheria, tetanus and pertussis should be checked and maintained as per recommendations published by the relevant Australian and New Zealand Government bodies. Hepatitis B, rubella and varicella immunisation should be considered for women with incomplete immunity.


Healthy weight

Steps to correct high BMI (dietary, exercise and where appropriate consideration of bariatric surgery) prior to a pregnancy should be recommended.


Supplementation

Folic acid should be taken for a minimum of one month before conception and for the first 3 months of pregnancy. The recommended dose is at least 0.4mg daily. Where there is an increased risk of Neural Tube Defects  (anti-convulsant medication, pre-pregnancy diabetes mellitus, previous child or family history of NTD, BMI >30), a 5mg daily dose should be used.


Here for your entire pregnancy journey

I am an advocate for the continuity of care – a seamless journey from preconception to post-natal care under the guidance of the same Obstetrician. One significant advantage lies in the establishment of a strong doctor-patient relationship right from the beginning. This connection fosters open communication, trust, and an understanding of your individual health history. With this continuity, I can tailor preconception plans based on your unique needs and seamlessly transition into prenatal care, ensuring a consistent and personalised approach throughout your pregnancy.

This ongoing relationship facilitates a smoother post-natal transition, as I am intimately familiar with your medical history and can provide tailored postpartum care. The continuity of care not only enhances the quality of medical guidance but also offers emotional support, creating a comforting and familiar environment for you as you navigate the transformative journey of motherhood.

A team of specialists to support every aspect of your pregnancy journey

At Amelie Private, you will meet our midwives, lactation consultants, physiotherapists, psychologists and dietitian as part of one team. I can organise an appointment as we all work closely together as a team to provide an outstanding level of care. We pride ourselves in offering quality educational classes, including antenatal (birthing classes) and grandparents and carers first aid and CPR classes. We are the only Obstetric clinic in Wollongong that offers such a unified and collaborative care model.

Amelie Private

Frequently asked about pre-pregnancy planning

How early can you test for pregnancy?

You can carry out most pregnancy tests from the first day of a missed period. If you don’t know when your next period is due, do the test at least 21 days after you last had unprotected sex. Some very sensitive pregnancy tests can be used even before you miss a period.


What are obstetricians?

An obstetrician is a specialist doctor whose area of interest is concerned with a woman during her pregnancy, labour and delivery

  • Antenatal care: During a woman’s pregnancy, an obstetrician is responsible for monitoring the health and wellbeing of the woman and her baby. Various tests and investigations are ordered to ensure the growth of the baby and the physical and mental health of the mother. Obstetricians are specialised doctors who also manage complications during pregnancy, such as medical issues, high blood, pressure, pre eclampsia and diabetes, as well as obstetric complications such as placenta praevia, pre term labour.
  • During labour: During labour, the obstetrician provides care during the birthing process and if complications arise, makes decisions on the mode of delivery and performs instrumental deliveries if required (vacuum or forceps)
  • Obstetricians also perform caesarean sections.
  • Post-delivery: The obstetrician is responsible for the woman and her newborn baby for six weeks during the post-partum period and will review the mother and her baby usually six weeks following.

Does private health cover obstetrician fees?

In Australia, Obstetetric private health insurance covers only hospital presentations, delivery and post partum care. Private health does not cover antenatal visits.


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My plan for birth is simple, for a healthy baby and a healthy mother

The care I provide for my patients is based on open communication, education and support.

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