Table : TABLE 4.4Before Pregnancy
What Prospective Mothers Should DoWhat Prospective Mothers Really Do (U.S. Data)
1. Plan the pregnancy.1. At least a third of all pregnancies are not intended.
2. Take a daily multivitamin with folic acid.2. About 60 percent of women aged 18 to 45 do not take multivitamins.
3. Avoid binge-drinking (defined as four or more drinks in a row).3. One in seven women in their childbearing years binge-drink.
4. Update immunizations against all teratogenic viruses, especially rubella.4. Unlike in many developing nations, relatively few pregnant women in the United States lack basic immunizations.
5. Gain or lose weight, as appropriate.5. About one-third of all U.S. women of childbearing age are obese, and about 5 percent are underweight. Both extremes increase complications.
6. Reassess use of prescription drugs.6. Ninety percent of pregnant women take prescription drugs (not counting vitamins).
7. Develop daily exercise habits.7. More than half of women of childbearing age do not exercise.
Sources: Bombard et al., 2013; MMWR, (July 20, 2012); Mitchell et al., 2012; Mosher et al, 2012; U.S. Department of Health and Human Services, 2012.