Deciding When to Have a Baby
Nivin Todd, MD, FACOG
Picking colors for the baby’s room is fun, but here are some practical tips you’ll want to think about before you consider getting pregnant.
Get healthy. "The No. 1 thing I tell women is health, health, health. I would love her to time the pregnancy for when she is healthiest," says Jeanne Conry, MD, PhD, president of the American Congress of Obstetricians and Gynecologists. "For a woman who is overweight or obese, the No. 1 factor for predicting a healthy baby is how healthy she is."
Before you get pregnant you should shoot for a body mass index (BMI) of less than 30. Being overweight can raise your chances of a condition called preeclampsia, which can cause other health problems such as high blood pressure or gestational diabetes. Now's the time to make sure you exercise, eat healthy, and lose any extra pounds. If you smoke, drink, or use illegal drugs, stop.
Make a plan. Meet with your doctor for a pregnancy planning checkup. If you have any underlying health problems like diabetes, high blood pressure, asthma, or depression, get them under control. Talk to your doctor about medications you take -- prescription or over-the-counter -- including supplements. She will probably suggest a prenatal vitamin or multivitamin with at least 1,000 milligrams of folic acid as soon as you start thinking about becoming a mom. Folic acid helps prevent major birth defects of a baby's brain and spine, and you need to start taking it before you get pregnant.
Vaccinations and tests. Make sure you're up to date on vaccinations like measles, chickenpox, tetanus, diphtheria, pertussis, and the flu. If you're unsure whether you've had the vaccines, your doctor can do a simple blood test to check. In any case, it won't hurt to get them again. Your doctor may also want to do screening tests for genetic conditions like cystic fibrosis.
Life events. What's going on in your life? Career? School? Other kids? Sometimes it's hard for a woman to figure out when to take a break from a career or other responsibilities.
Balancing lifestyle demands with the idea of adding to your family can be tough, which can lead to stress, Conry says.
"You don’t ovulate regularly when you're under a lot of stress," says Andrea Zuckerman, MD, chief of women's care at Tufts Medical Center. "If you're going through something that's taking up a lot of time and energy, you can't concentrate on pregnancy by exercising and eating right."
Financial health. You don't have to be rich to have a baby, but it helps to have a job and some money in the bank. According to the USDA, you can spend roughly $12,000 on child-related expenses during the first year of your baby's life. Think diapers, car seat, high chair, child care, and doctor visits. And until that kid turns 18? You can expect to spend somewhere around $241,080 -- and that doesn't include college.